Supplies, drugs & other prices at Mountain West Medical Center
Tooele, UT · every code in this section with a posted price and a Medicare benchmark.
32 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2019-ncov diagnostic p (U0001) | $67.57 | $112.61 | 1.9× |
| 2d tte w or w/o fol w/con,fu (C8924) | $1,056.14 | $1,760.23 | 3.0× |
| Admin hepatitis b vaccine (G0010) range across 4 matching MRF lines |
$33.23–$55.24 | $55.39–$92.06 | varies |
| Admin influenza virus vac (G0008) range across 5 matching MRF lines |
$34.49–$55.24 | $57.49–$92.06 | varies |
| Admin pneumococcal vaccine (G0009) range across 4 matching MRF lines |
$34.49–$55.24 | $57.49–$92.06 | varies |
| Covid-19 lab test non-cdc (U0002) | $96.52 | $160.86 | 1.9× |
| Direct refer hospital observ (G0379) | $68.02 | $113.36 | 0.1× |
| Eia hiv-1/hiv-2 screen (G0432) | $37.16 | $61.93 | 1.9× |
| Elec stim other than wound (G0283) range across 2 matching MRF lines |
$75.85–$78.88 | $126.41–$131.47 | varies |
| Elisa hiv-1/hiv-2 screen (G0433) | $210.16 | $350.26 | 11.5× |
| Fecal blood scrn immunoassay (G0328) | $85.55 | $142.58 | 4.7× |
| Group behave couns 2-10 (G0473) | $19.15 | $31.91 | 0.5× |
| Group mnt 2 or more 30 mins (G0271) | $16.09 | $26.81 | 0.9× |
| Hiv combination assay (G0475) | $105 | $175 | 4.4× |
| Inj for sacroiliac jt anesth (G0260) | $826.99 | $1,378.31 | 1.2× |
| Mnt subs tx for change dx (G0270) | $24.50 | $40.83 | 0.8× |
| Mra w/cont, abd (C8900) | $2,442.40 | $4,070.67 | 6.9× |
| Mra w/cont, chest (C8909) | $1,128.98 | $1,881.64 | 3.2× |
| Mra w/cont, pelvis (C8918) | $948.05 | $1,580.08 | 2.7× |
| Mra w/o cont, abd (C8901) | $2,271.95 | $3,786.58 | 9.4× |
| Mra w/o cont, pelvis (C8919) | $767.11 | $1,278.51 | 3.2× |
| Mra w/o fol w/cont, abd (C8902) | $2,498.69 | $4,164.49 | 7.1× |
| Mra w/o fol w/cont, pelvis (C8920) | $1,128.98 | $1,881.64 | 3.2× |
| Mri w/o fol w/cont, breast, (C8908) | $2,903.40 | $4,839 | 8.2× |
| Mri w/o fol w/cont, brst, un (C8905) | $2,204.48 | $3,674.13 | 6.2× |
| Njx platelet plasma (0232T) | $982.80 | $1,638 | 2.2× |
| Oral hiv-1/hiv-2 screen (G0435) | $119.08 | $198.46 | 9.9× |
| Psa screening (G0103) | $122.51 | $204.18 | 6.3× |
| Tomosynthesis, mammo (G0279) range across 4 matching MRF lines |
$47.74–$105.28 | $79.57–$175.46 | varies |
| Trauma respons w/hosp criti (G0390) range across 2 matching MRF lines |
$1,927.90–$2,390.44 | $3,213.16–$3,984.06 | varies |
| Tte w or wo fol wcon,doppler (C8929) | $1,656.12 | $2,760.20 | 2.1× |
| Unsched dialysis esrd pt hos (G0257) | $2,393.29 | $3,988.82 | 3.4× |
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.