Procedures & surgery prices at Mountain West Medical Center

Tooele, UT · every code in this section with a posted price and a Medicare benchmark.

38 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines
$2,175.31–$3,439.95 $3,625.51–$5,733.25 varies
Arterial puncture (36600) $43.80 $73 0.3×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $172.35 $287.25 0.6×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $193.93 $323.22 0.6×
Aspirate pleura w/ imaging (32555)
range across 3 matching MRF lines
$1,082.57–$1,980.27 $1,804.29–$3,300.45 varies
Biopsy of liver, needle; percutaneous (47000) $945.44 $1,575.74 0.6×
Blood Transfusion Service (36430)
range across 10 matching MRF lines
$178.55–$2,618.87 $297.58–$4,364.78 varies
Catheter aspiration nasotracheal spx (31720) $222.05 $370.08 1.0×
Collection of venous blood by venipuncture (36415) $28.97 $48.28 3.1×
Dx lmbr spi pnxr w/fluor/CT (62328) $1,148.54 $1,914.24 1.6×
Epidural Blood Patch (62273) $865.45 $1,442.42 1.2×
External cephalic version (59412) $2,946.86 $4,911.44 0.9×
Fetal Contraction Stress Test (59020) $459.70 $766.17 2.2×
Fetal non-stress test (59025) $459.70 $766.17 2.2×
Injection for identification of sentinel node (38792) $626.08 $1,043.46 1.5×
Ins endovas vena cava filtr (37191) $4,055.82 $6,759.70 0.7×
Insert cath pleura w/ image (32557)
range across 3 matching MRF lines
$1,101.51–$2,014.91 $1,835.85–$3,358.19 varies
Lithotripsy, extracorporeal shock wave (50590) $14,011.22 $23,352.04 3.9×
Myelography Lumbar Injection (62304) $2,360.99 $3,934.98 3.0×
Myelography via lumbar injection rs&i cervical (62302) $2,416.37 $4,027.29 3.0×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $2,360.99 $3,934.98 3.0×
Nasal/Orogastric W/Tube Plmt (43752) $739.92 $1,233.20 1.6×
Nfct ds bact&fng gram neg org id & rx resist DNA (0142U) $223.20 $372 1.4×
Nfct ds bact&fng gram pos org id & rx resist DNA (0141U) $223.20 $372 1.4×
Nfct Ds Bct/Vir Respir Dna/Rna 22 Trgt Sarscov2 (0223U) $330 $550 0.8×
Nfct Ds Dna&Rna 21 Targets Sars-Cov-2 Amp Probe (0225U) $349.20 $582 0.8×
Nfct ds fungal pathogen id DNA 15 fungal targets (0140U) $223.20 $372 1.4×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,274.65 $2,124.42 1.8×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,093.78 $1,822.96 1.5×
Peritoneal Lavage (49084) $2,175.31 $3,625.51 2.4×
Pseudoaneurysm Injection Trt (36002) $883.46 $1,472.43 1.4×
Push Transfusion Blood 2 Yr/Under (36440) $569.11 $948.51 1.3×
Redo Endovas Vena Cava Filtr (37192) $2,798.03 $4,663.39 0.9×
Rem Endovas Vena Cava Filter (37193) $2,798.03 $4,663.39 0.9×
Replace g/c tube perc (49450) $1,077.45 $1,795.75 1.2×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,265.19 $2,108.65 0.8×
Spinal puncture lumbar diagnostic (62270) $893.06 $1,488.43 1.2×
Thyroid biopsy (60100) $464.93 $774.88 0.6×

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.