Supplies, drugs & other prices at Mountain View Hospital
Payson, UT · every code in this section with a posted price and a Medicare benchmark.
27 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $4,780.84 | $4,780.84 | 6.0× |
| 2d tte w or w/o fol w/con,fu (C8924) | $4,086.51 | $4,086.51 | 11.6× |
| Adm tocilizu covid-19 1st (M0249) | $562.50 | $562.50 | 1.3× |
| Admin hepatitis b vaccine (G0010) | $198.20 | $198.20 | 4.2× |
| Admin influenza virus vac (G0008) | $212.14 | $212.14 | 4.5× |
| Admin pneumococcal vaccine (G0009) | $316.64 | $316.64 | 6.7× |
| Catheterize for urine spec (P9612) | $353.12 | $353.12 | 37.8× |
| Covid-19 lab test non-cdc (U0002) | $75.12 | $75.12 | 1.5× |
| Direct refer hospital observ (G0379) range across 6 matching MRF lines |
$788.45–$1,973.06 | $788.45–$1,973.06 | varies |
| Drug test def 1-7 classes (G0480) | $390.29 | $390.29 | 3.4× |
| Drug test def 15-21 classes (G0482) | $511.07 | $511.07 | 2.6× |
| Drug test def 22+ classes (G0483) | $802.64 | $802.64 | 3.3× |
| Drug test def 8-14 classes (G0481) | $511.07 | $511.07 | 3.3× |
| Fern test (Q0114) | $103.07 | $103.07 | 10.6× |
| Lev 1 hosp type b ed visit (G0380) | $327.92 | $327.92 | 4.4× |
| Lev 2 hosp type b ed visit (G0381) | $857.10 | $857.10 | 9.1× |
| Lev 3 hosp type b ed visit (G0382) | $2,078.27 | $2,078.27 | 11.9× |
| Lev 4 hosp type b ed visit (G0383) | $3,068.78 | $3,068.78 | 11.5× |
| Lev 5 hosp type b ed visit (G0384) | $5,674.74 | $5,674.74 | 13.6× |
| Mra w/o fol w/cont, abd (C8902) | $3,814.87 | $3,814.87 | 10.8× |
| Mri w/o fol w/cont, breast, (C8908) | $4,635.94 | $4,635.94 | 13.1× |
| Psa screening (G0103) | $404.61 | $404.61 | 21.0× |
| Screen cerv/vag thin layer (G0123) range across 2 matching MRF lines |
$287.86–$1,454.95 | $287.86–$1,454.95 | varies |
| Tomosynthesis, mammo (G0279) | $92.35 | $92.35 | 7.3× |
| Trauma respons w/hosp criti (G0390) range across 2 matching MRF lines |
$7,914.04–$13,084.56 | $7,914.04–$13,084.56 | varies |
| Tte w or w/o contr, cont ecg (C8930) | $5,273.16 | $5,273.16 | 6.6× |
| Unsched dialysis esrd pt hos (G0257) range across 2 matching MRF lines |
$2,540.93–$2,757.61 | $2,540.93–$2,757.61 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.