BLUE MOUNTAIN HOSPITAL (Blanding, UT) prices

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
Anemia or other red blood cell disorders without	Anemia or other red blood cell disorders without complications	$42,229	$42,229	—	—	1
Otitis media & URI without major complications	Otitis media & URI without major complications	$17,146	$17,146	—	—	1
Blood infection without major complications	Blood infection without major complications	$13,712	$13,712	—	—	1
Blood Infection with major complications	Blood Infection with major complications	$12,734	$12,734	—	—	1
VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WI	VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC	$12,256	$12,256	—	—	1
32072156	MRI NECK SPINE W/O & W/DYE	$5,532	$5,532	—	—	1
32074183	MRI ABDOMEN W&W/O CONTRAS	$5,095	$5,095	—	—	1
32074178	CT ABD/PEL W/WO CONT	$4,954	$4,954	—	—	4
40027447	TOTAL KNEE ARTHROPLASTY	$4,860	$4,860	—	—	1
32072197	MRI PELVIS W&W/O CONTRAST	$4,791	$4,791	—	—	1
Pneumonia with major complications	Pneumonia with major complications	$4,717	$4,717	—	—	1
40026480	TRANSFER OR TRANSPLANT OF TENDON, CARPOMETACARPAL AREA OR DORSUM OF HAND; WITHOUT FREE GRAFT, EACH T	$4,500	$4,500	—	—	1
Pneumonia without complications	Pneumonia without complications	$4,393	$4,393	—	—	1
35095811	SLEEP STUDY IN SLEEP LAB WITH CONTINUOUS AIRWAY PRESSURE (6 YEARS OR OLDER)	$4,320	$4,320	—	—	8
35095810	PSG-SLEEP STUDY IN SLEEP LAB (6 YEARS OR OLDER)	$4,320	$4,320	—	—	6
32070553	MRI BRAIN W&W/O CONTRAST	$4,185	$4,185	—	—	4
32074170	CT ABDOMEN W&W/O CONT	$3,986	$3,986	—	—	1
32074181	MRI ABDOMEN W/O CONTRAST	$3,669	$3,669	—	—	1
32074177	CT ABD/PEL W/CONT	$3,554	$3,554	—	—	11
32072147	MRI THOR SPINE W/CONTRAST	$3,388	$3,388	—	—	1
120ROOM	CRITICAL CARE ROOM CHARGE	$3,218	$3,218	—	—	6
20036556	INSERTION OF CENTRAL VENOUS CATHETER FOR INFUSION, PATIENT 5 YEARS OR OLDER	$3,148	$3,148	—	—	1
20099291	ER CRITICAL CARE EVL&MGT; FIRS	$3,114	$3,114	—	—	2
32073718	MRI LWR EXT RT,NO JNT W/O C	$2,948	$2,948	—	—	1
32070551	MRI BRAIN W/O CONTRAST	$2,943	$2,943	—	—	2
40025447	REMOVAL OF BONE JOINTS BETWEEN WRIST AND FINGERS	$2,833	$2,833	—	—	1
32070498	CT ANGIOGRAPHY NECK W & W/O CONTRAST	$2,808	$2,808	—	—	1
32072148	MRI LUMBAR SPINE W/O CONTRAST	$2,764	$2,764	—	—	7
32072141	MRI CERVICAL SPINE W/O CONT	$2,756	$2,756	—	—	3
40046707	REPAIR OF ABNORMAL ANAL DRAINAGE TRACT	$2,742	$2,742	—	—	1
32070491	CT NECK SOFT TISSUE W/CONT	$2,740	$2,740	—	—	6
32071275	CT SCAN OF BLOOD VESSELS IN CHEST WITH CONTRAST	$2,700	$2,700	—	—	3
32073721	MRI ANY JOINT OF LWR EXT; W/O CONTRAST	$2,683	$2,683	—	—	6
32074176	CT ABD/PEL W/O CONT	$2,627	$2,627	—	—	6
32064493	INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE, SINGLE LEVEL	$2,592	$2,592	—	—	1
32072195	MRI PELVIS W/O CONTRAST	$2,591	$2,591	—	—	1
32073221	MRI UPR EXT RT, ANY JNT W/O	$2,558	$2,558	—	—	2
32073200	CT UPPER EXTREMITY RT W/O C	$2,550	$2,550	—	—	3
32070480	CT ORBITS/IACS W/O CONT	$2,484	$2,484	—	—	1
32062321	INJECTION OF SUBSTANCE INTO MIDDLE OR UPPER SPINE CANAL USING IMAGING GUIDANCE	$2,484	$2,484	—	—	2
40045380	COLONOSCOPE	$2,448	$2,448	—	—	1
32070496	CTA HEAD W & W/O CONTRAST	$2,444	$2,444	—	—	6
32070544	MRA HEAD W/O CONTRAST	$2,427	$2,427	—	—	1
32070547	MRA NECK W/OUT CONTRAST	$2,331	$2,331	—	—	1
40045382	COLONOSCOPY	$2,321	$2,321	—	—	1
32062323	INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE	$2,300	$2,300	—	—	5
31081479	UNLISTED MOLECULAR PATHOLOGY	$2,300	$2,300	—	—	1
32072132	CT LUMBAR SPINE W/CONT	$2,222	$2,222	—	—	1
32064483	INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE, SIN	$2,214	$2,214	—	—	3
32064635	DESTROY L/S FACET JNT ADDL	$2,214	$2,214	—	—	1

Showing top 50 of 463 priced procedures, sorted by gross charge.

Data straight from this hospital's federally-mandated machine-readable file (45 CFR § 180). The compliance grade reflects how completely the hospital published the six required data elements, not the quality of care.