Visits & medical services prices at Uintah Basin Medical Center
Roosevelt, UT · every code in this section with a posted price and a Medicare benchmark.
152 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Actigraphy Testing Recording Analysis I&R (95803) | $147.15 | $163.50 | 2.5× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $65.93 | $73.25 | 1.6× |
| Airway Inhalation Treatment (94640) range across 3 matching MRF lines |
$124.20–$132.30 | $138–$147 | varies |
| Airway resistance by oscillometry (94728) | $494.10 | $549 | 3.8× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$62.55–$65.70 | $69.50–$73 | varies |
| Application Modality 1/> Areas Infrared (97026) | $14.85 | $16.50 | 2.2× |
| Assessment of aphasia per hr (96105) | $316.13 | $351.25 | 3.3× |
| Breath hydrogen/methane test (91065) | $351 | $390 | 1.6× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$568.80–$597.15 | $632–$663.50 | varies |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$94.73–$99.45 | $105.25–$110.50 | varies |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$738.45–$775.35 | $820.50–$861.50 | varies |
| Cardiopulmonary exercise testing (94621) | $523.80 | $582 | 1.4× |
| Cardiopulmonary resuscitation (92950) range across 4 matching MRF lines |
$1,000.35–$1,285.43 | $1,111.50–$1,428.25 | varies |
| Cardioversion (92960) range across 3 matching MRF lines |
$1,056.83–$1,367.55 | $1,174.25–$1,519.50 | varies |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$208.35–$218.70 | $231.50–$243 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 3 matching MRF lines |
$189–$378 | $210–$420 | varies |
| Chemo Ia Push (96420) | $343.80 | $382 | 1.0× |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$354.38–$372.15 | $393.75–$413.50 | varies |
| Chemo IV push addl drug (96411) range across 2 matching MRF lines |
$203.40–$213.53 | $226–$237.25 | varies |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) | $366.30 | $407 | 1.1× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) | $100.35 | $111.50 | 2.1× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 2 matching MRF lines |
$297.68–$312.53 | $330.75–$347.25 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$637.88–$669.83 | $708.75–$744.25 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $411.75 | $457.50 | 1.2× |
| Chest Wall Manipulation (94668) | $147.38 | $163.75 | 1.1× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $150.53 | $167.25 | 4.7× |
| Continuous Pulse Ox (94762) range across 3 matching MRF lines |
$212.63–$234.45 | $236.25–$260.50 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 5 matching MRF lines |
$392.18–$1,161 | $435.75–$1,290 | varies |
| Cpt initial (94667) range across 2 matching MRF lines |
$238.05–$249.98 | $264.50–$277.75 | varies |
| Critical care first hour (99291) range across 2 matching MRF lines |
$2,835–$2,976.75 | $3,150–$3,307.50 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$328.50–$344.93 | $365–$383.25 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $515.03 | $572.25 | 4.0× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$507.15–$626.85 | $563.50–$696.50 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$348.08–$467.78 | $386.75–$519.75 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 3 matching MRF lines |
$1,230.53–$1,602 | $1,367.25–$1,780 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 3 matching MRF lines |
$747–$937.13 | $830–$1,041.25 | varies |
| Duplex up extrem art bilat (93930) | $744.75 | $827.50 | 3.1× |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$348.08–$461.25 | $386.75–$512.50 | varies |
| ECG/monitoring and analysis (93271) range across 2 matching MRF lines |
$1,176.08–$1,234.80 | $1,306.75–$1,372 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 3 matching MRF lines |
$448.20–$508.05 | $498–$564.50 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 2 matching MRF lines |
$1,190.70–$1,250.10 | $1,323–$1,389 | varies |
| Eeg 41-60 Minutes (95812) | $849.15 | $943.50 | 3.9× |
| EEG extended monitoring 61-119 minutes (95813) | $840.60 | $934 | 3.8× |
| Electrical Stimulation Ea 15 Min (97032) | $74.25 | $82.50 | 5.1× |
| Electrocardiogram Tracing (93005) range across 5 matching MRF lines |
$193.50–$609.53 | $215–$677.25 | varies |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$351–$368.55 | $390–$409.50 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$787.50–$826.88 | $875–$918.75 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$1,327.50–$1,393.88 | $1,475–$1,548.75 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$180–$189 | $200–$210 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$2,506.50–$2,631.83 | $2,785–$2,924.25 | varies |
| Evaluate pt use of inhaler (94664) | $141.53 | $157.25 | 0.6× |
| Evaluate Speech Production (92522) | $252.90 | $281 | 2.3× |
| Evaluate Swallowing Function (92610) | $338.85 | $376.50 | 4.0× |
| Evaluation of speech fluency (92521) | $225 | $250 | 1.7× |
| Evoked Auditory Test,Limited (92587) range across 2 matching MRF lines |
$217.35–$228.15 | $241.50–$253.50 | varies |
| External ECG rec>48hr<7d recording (93242) range across 2 matching MRF lines |
$330.75–$347.40 | $367.50–$386 | varies |
| External ECG rec>48hr<7d scanning alys w/report (93243) range across 2 matching MRF lines |
$194.63–$204.30 | $216.25–$227 | varies |
| External ECG rec>7d<15d recording (93246) range across 2 matching MRF lines |
$496.13–$520.88 | $551.25–$578.75 | varies |
| External ECG rec>7d<15d scanning alys w/report (93247) range across 2 matching MRF lines |
$194.63–$204.30 | $216.25–$227 | varies |
| External Ecg Scanning Analysis Report (93226) | $477.23 | $530.25 | 8.0× |
| Extracranial Bilat Study (93880) range across 3 matching MRF lines |
$999–$1,201.50 | $1,110–$1,335 | varies |
| Flexible endoscopic eval swallow c/v rec (92612) | $632.25 | $702.50 | 3.2× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) | $502.88 | $558.75 | 2.2× |
| Gi tract capsule endoscopy (91110) | $1,415.70 | $1,573 | 1.5× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 2 matching MRF lines |
$1,488.38–$1,562.85 | $1,653.75–$1,736.50 | varies |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$520.88–$546.98 | $578.75–$607.75 | varies |
| Immunization administration (90471) range across 4 matching MRF lines |
$70.88–$78.08 | $78.75–$86.75 | varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $942.08 | $1,046.75 | 2.5× |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$82.80–$86.85 | $92–$96.50 | varies |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$157.28–$165.15 | $174.75–$183.50 | varies |
| IV infusion hydration each additional hour (96361) range across 5 matching MRF lines |
$157.50–$1,417.50 | $175–$1,575 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$342–$359.10 | $380–$399 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$153–$160.65 | $170–$178.50 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 4 matching MRF lines |
$166.50–$499.50 | $185–$555 | varies |
| IV push initial (96374) range across 5 matching MRF lines |
$180–$360 | $200–$400 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $207.45 | $230.50 | 3.5× |
| Methacholine challenge (94070) | $554.85 | $616.50 | 1.5× |
| Motion Fluoroscopy/Swallow (92611) | $298.58 | $331.75 | 3.3× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$3,937.73–$4,134.60 | $4,375.25–$4,594 | varies |
| Nasopharyngoscopy (92511) | $319.50 | $355 | 1.6× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $693.68 | $770.75 | 1.7× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $693.68 | $770.75 | 1.7× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$288.45–$310.50 | $320.50–$345 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$620.33–$651.38 | $689.25–$723.75 | varies |
| Neurobehavioral Status Exam (96116) | $523.80 | $582 | 2.4× |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$91.13–$95.63 | $101.25–$106.25 | varies |
| Newborn resuscitation (99465) | $1,266.53 | $1,407.25 | 1.9× |
| Oral Function Therapy (92526) | $246.83 | $274.25 | 2.9× |
| Oral Speech Device Eval (92597) | $505.35 | $561.50 | 7.1× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $86.18 | $95.75 | 1.9× |
| Ot Contrast Bath Ea 15 Min (97034) | $64.80 | $72 | 4.6× |
| Ot eval high complexity (97167) | $355.73 | $395.25 | 3.5× |
| Ot Eval Low Complex (97165) | $208.35 | $231.50 | 2.1× |
| Ot Eval Moderate Complexity (97166) | $217.80 | $242 | 2.2× |
| Ot manual therapy 15 min (97140) range across 3 matching MRF lines |
$96.98–$193.95 | $107.75–$215.50 | varies |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$57.38–$60.30 | $63.75–$67 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) | $94.05 | $104.50 | 2.3× |
| Ot Re-Eval Est Plan Care (97168) | $167.18 | $185.75 | 2.4× |
| Ot rom hand (95852) | $104.63 | $116.25 | 4.9× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $236.03 | $262.25 | 1.8× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $236.03 | $262.25 | 1.8× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$212.40–$222.98 | $236–$247.75 | varies |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$99.68–$104.63 | $110.75–$116.25 | varies |
| Plethysmography (94726) range across 2 matching MRF lines |
$239.63–$251.55 | $266.25–$279.50 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$4,459.28–$4,682.25 | $4,954.75–$5,202.50 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) range across 2 matching MRF lines |
$899.10–$4,145.18 | $999–$4,605.75 | varies |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $4,677.98 | $5,197.75 | 5.4× |
| Pt Eval High Complex (97163) range across 2 matching MRF lines |
$262.58–$275.63 | $291.75–$306.25 | varies |
| Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$172.80–$181.35 | $192–$201.50 | varies |
| Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$202.28–$212.40 | $224.75–$236 | varies |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$85.73–$90 | $95.25–$100 | varies |
| Pt mechanical traction (97012) range across 2 matching MRF lines |
$64.58–$67.73 | $71.75–$75.25 | varies |
| Pt Re-Eval Est Plan Care (97164) range across 2 matching MRF lines |
$132.30–$138.83 | $147–$154.25 | varies |
| Pulmonary service/procedure (94799) | $216.90 | $241 | 1.7× |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$213.75–$224.55 | $237.50–$249.50 | varies |
| Refill/Maint Portable Pump (96521) range across 2 matching MRF lines |
$446.63–$468.90 | $496.25–$521 | varies |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $43.65 | $48.50 | 1.2× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $233.33 | $259.25 | 1.7× |
| Remote 30 Day Ecg Rev/Report (93270) | $264.15 | $293.50 | 7.0× |
| Remote 30 Day Ecg Tech Supp (93229) | $742.50 | $825 | 2.0× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$309.60–$328.95 | $344–$365.50 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $95.18 | $105.75 | 3.7× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) range across 2 matching MRF lines |
$294.53–$309.15 | $327.25–$343.50 | varies |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $128.70 | $143 | 2.7× |
| Self Care Mngment Training (97535) | $90.23 | $100.25 | 2.8× |
| Sensory Integration Ea 15 Min (97533) | $88.43 | $98.25 | 1.5× |
| Sleep study unattended (95806) range across 3 matching MRF lines |
$393.30–$437.63 | $437–$486.25 | varies |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) range across 2 matching MRF lines |
$202.73–$212.85 | $225.25–$236.50 | varies |
| Speech sound lang comprehen (92523) | $437.63 | $486.25 | 1.9× |
| Spirometry (94010) | $463.05 | $514.50 | 2.1× |
| Standardized Cognitive Performance Testing (96125) | $287.33 | $319.25 | 2.8× |
| Temp transcutaneous pacing (92953) | $698.18 | $775.75 | 1.0× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $67.05 | $74.50 | 3.0× |
| Ther Ivntj Ea Addl 15 Min (97130) | $45.90 | $51 | 2.2× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $91.13 | $101.25 | 2.5× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $81.45 | $90.50 | 2.7× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $269.33 | $299.25 | 2.6× |
| Ther/Proph/Diag Inj Ia (96373) | $400.73 | $445.25 | 1.9× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 6 matching MRF lines |
$46.80–$499.50 | $52–$555 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$459–$481.95 | $510–$535.50 | varies |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$98.10–$103.05 | $109–$114.50 | varies |
| Tte w/doppler, complete (93306) range across 3 matching MRF lines |
$1,312.43–$1,388.70 | $1,458.25–$1,543 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 2 matching MRF lines |
$229.73–$270.45 | $255.25–$300.50 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $57.60 | $64 | 2.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 7 matching MRF lines |
$180–$540 | $200–$600 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$393.75–$413.55 | $437.50–$459.50 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $660.60 | $734 | 3.0× |
| Vasopneumatic device (97016) | $46.13 | $51.25 | 3.8× |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$1,526.63–$1,602.90 | $1,696.25–$1,781 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,228.50 | $1,365 | 2.0× |
| Vital capacity, total (94150) | $234.45 | $260.50 | 1.8× |
| Whirlpool Therapy (97022) | $70.65 | $78.50 | 4.5× |
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.