| Procedure | Timpanogos Regional Hospital | Lone Peak Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $87 | $97 | $51 |
| Abdominal ultrasound | $1,002 | $1,330 | $100 |
| Abdominal ultrasound (complete) | $1,002 | $1,513 | $114 |
| Abdominal ultrasound (limited) | $1,002 | $1,147 | $86 |
| Albumin blood test | $144 | $99 | $5 |
| Aldosterone test | $401 | $315 | $41 |
| Alkaline phosphatase test | $144 | $162 | $5 |
| Alpha-fetoprotein (AFP) test | $128 | $191 | $17 |
| ALT liver enzyme test | $157 | $162 | $5 |
| Ammonia blood test | $340 | $350 | $15 |
| Amylase test | $195 | $162 | $6 |
| Antinuclear antibody (ANA) test | $336 | $169 | $12 |
| Arterial blood gas (ABG) | $455 | $445 | $26 |
| AST liver enzyme test | $157 | $162 | $5 |
| Barium swallow study | $1,039 | $1,010 | $107 |
| Basic metabolic panel | $256 | $64 | $8 |
| Bilirubin blood test | $118 | $162 | $5 |
| Blood clotting test (PT/INR) | $151 | $47 | $4 |
| Blood crossmatch | $213 | $162 | — |
| Blood glucose test | $162 | $172 | $5 |
| Blood transfusion | $821 | $4,250 | $47 |
| Blood type and screen | $252 | $29 | $10 |
| Blood type test | $49 | $22 | $3 |
| Blood type test (ABO group) | $49 | $22 | $3 |
| Blood type test (Rh/D antigen) | $49 | $22 | $3 |
| BNP (heart failure) test | $408 | $80 | $39 |
| Bone density scan (DEXA) | $586 | $574 | $39 |
| Bone scan (nuclear) | $2,597 | $4,462 | $259 |
| Breast MRI | $4,201 | $4,393 | $216 |
| Breast ultrasound | $686 | $641 | $92 |
| Breast ultrasound (complete) | $686 | $641 | $100 |
| Breast ultrasound (limited) | $686 | $641 | $84 |
| C-reactive protein (CRP) | $170 | $182 | $5 |
| CA 19-9 tumor marker test | $221 | $297 | $21 |
| CA-125 ovarian marker test | $239 | $342 | $21 |
| Calcium blood test | $144 | $162 | $5 |
| Cardiac stress test | $1,455 | $1,800 | $39 |
| Cardioversion | $3,257 | $4,614 | $155 |
| Carotid artery ultrasound | $1,596 | $2,549 | $156 |
| CEA tumor marker test | $123 | $335 | $19 |
| Celiac disease test | $242 | $148 | $12 |
| Chest X-ray | $456 | $734 | $37 |
| Chest X-ray (1 view) | $436 | $566 | $25 |
| Chest X-ray (2 views) | $436 | $676 | $33 |
| CK-MB heart enzyme test | $252 | $217 | $12 |
| Clotting time test (PTT) | $177 | $185 | $6 |
| Complete blood count (CBC) | $195 | $45 | $7 |
| Comprehensive metabolic panel | $392 | $79 | $11 |
| Copper blood test | $95 | $406 | $12 |
| Coronary CT angiography | $2,899 | $1,169 | $326 |
| Cortisol test | $239 | $335 | $16 |
| COVID-19 PCR test | $61 | $52 | $51 |
| CPAP titration study | $2,638 | $1,201 | $69 |
| Creatine kinase (CK) test | $103 | $49 | $7 |
| CT angiography of the chest | $3,056 | $5,805 | $281 |
| CT angiography of the head | $3,178 | $5,805 | $274 |
| CT scan of the abdomen | $3,241 | $4,517 | $230 |
| CT scan of the abdomen and pelvis | $5,667 | $8,489 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $5,720 | $10,182 | $338 |
| CT scan of the abdomen and pelvis with contrast | $5,618 | $8,489 | $300 |
| CT scan of the abdomen and pelvis without contrast | $5,618 | $7,906 | $183 |
| CT scan of the abdomen with and without contrast | $3,300 | $4,967 | $259 |
| CT scan of the abdomen with contrast | $3,121 | $4,517 | $230 |
| CT scan of the abdomen without contrast | $3,121 | $4,220 | $136 |
| CT scan of the arm | $3,241 | $3,602 | $199 |
| CT scan of the arm with contrast | $3,036 | $3,602 | $199 |
| CT scan of the arm without contrast | $3,121 | $3,317 | $161 |
| CT scan of the chest | $3,121 | $3,975 | $167 |
| CT scan of the chest with and without contrast | $3,300 | $4,683 | $196 |
| CT scan of the chest with contrast | $3,001 | $3,975 | $167 |
| CT scan of the chest without contrast | $3,001 | $3,686 | $133 |
| CT scan of the head | $3,148 | $4,287 | $148 |
| CT scan of the head with and without contrast | $3,178 | $4,569 | $173 |
| CT scan of the head with contrast | $3,036 | $4,287 | $148 |
| CT scan of the head without contrast | $3,121 | $3,428 | $107 |
| CT scan of the leg | $3,241 | $3,602 | $166 |
| CT scan of the leg with contrast | $3,001 | $3,602 | $166 |
| CT scan of the leg without contrast | $3,121 | $3,317 | $130 |
| CT scan of the lower back (lumbar spine) | $3,241 | $3,701 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $3,300 | $2,662 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $3,036 | $4,193 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $3,121 | $3,701 | $130 |
| CT scan of the neck | $3,121 | $3,606 | $183 |
| CT scan of the neck (cervical spine) | $3,241 | $4,135 | $168 |
| CT scan of the neck (cervical spine) with contrast | $3,241 | $4,135 | $168 |
| CT scan of the neck (cervical spine) without contrast | $3,121 | $3,701 | $131 |
| CT scan of the neck with and without contrast | $3,091 | $4,840 | $220 |
| CT scan of the neck with contrast | $3,121 | $3,606 | $183 |
| CT scan of the neck without contrast | $3,121 | $3,163 | $150 |
| CT scan of the pelvis | $3,241 | $3,830 | $226 |
| CT scan of the pelvis with contrast | $3,121 | $3,974 | $226 |
| CT scan of the pelvis without contrast | $3,121 | $3,686 | $133 |
| CT scan of the sinuses | $3,056 | $3,758 | $152 |
| CT scan of the sinuses with and without contrast | $3,178 | $4,614 | $184 |
| CT scan of the sinuses with contrast | $3,121 | $3,758 | $152 |
| CT scan of the sinuses without contrast | $3,001 | $1,891 | $128 |
| D-dimer test | $585 | $74 | $10 |
| DHEA-sulfate test | $200 | $288 | $22 |
| Diagnostic mammogram | $850 | $886 | $140 |
| Drug screen (urine) | $122 | $144 | $17 |
| Echocardiogram | $3,004 | $3,949 | $138 |
| Echocardiogram with and without contrast | $1,501 | $1,739 | $101 |
| EKG / ECG (tracing only) | $255 | $674 | $7 |
| Electrocardiogram (EKG) | $255 | $674 | $8 |
| Electrolyte panel | $221 | $244 | $7 |
| Emergency department visit | $1,674 | $2,400 | $69 |
| Emergency department visit (level 1) | $569 | $676 | $11 |
| Emergency department visit (level 2) | $1,395 | $1,457 | $40 |
| Emergency department visit (level 3) | $1,981 | $2,400 | $69 |
| Emergency department visit (level 4) | $2,986 | $3,998 | $118 |
| Emergency department visit (level 5) | $3,327 | $5,209 | $171 |
| Estradiol (estrogen) test | $614 | $296 | $28 |
| Fallopian tube X-ray (HSG) | $2,226 | $1,521 | $164 |
| Fecal occult blood (stool) test | $108 | $94 | $10 |
| Ferritin (iron) test | $113 | $68 | $14 |
| Fibrinogen test | $195 | $477 | $10 |
| Folate (folic acid) test | $118 | $74 | $15 |
| Free T4 thyroid test | $140 | $68 | $9 |
| FSH hormone test | $105 | $335 | $19 |
| Gallbladder scan (HIDA) | $2,597 | $2,627 | $334 |
| GGT liver test | $144 | $162 | $7 |
| Glucose tolerance test | $311 | $258 | $8 |
| H. pylori test | $132 | $402 | $67 |
| HDL cholesterol test | $216 | $217 | $8 |
| Hematocrit test | $113 | $135 | $2 |
| Hemodialysis | $3,917 | $2,144 | $75 |
| Hemoglobin A1c (diabetes test) | $216 | $73 | $10 |
| Hepatitis B test | $87 | $48 | $10 |
| Hepatitis B vaccine | $136 | $480 | — |
| Hepatitis C test | $177 | $147 | $14 |
| HIV test | $296 | $103 | $19 |
| HIV test (antibody) | $296 | $103 | $14 |
| HIV test (antigen/antibody combo) | $107 | $41 | $24 |
| IV infusion therapy | $1,330 | $1,238 | $44 |
| IV infusion therapy (each additional) | $260 | $727 | $21 |
| IV infusion therapy (initial) | $1,437 | $2,049 | $67 |
| Kidney scan (nuclear) | $2,597 | $1,571 | $172 |
| Kidney ultrasound | $1,050 | $1,067 | $84 |
| Kidney ultrasound (limited) | $1,050 | $923 | $61 |
| Lactate test | $82 | $263 | $12 |
| LDH test | $150 | $162 | $6 |
| Leg artery angiogram | $10,703 | $12,056 | $149 |
| Leg vein ultrasound (Doppler) | $1,658 | $2,140 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $1,535 | $2,140 | $116 |
| LH hormone test | $139 | $335 | $19 |
| Lipase test | $296 | $211 | $7 |
| Lipid (cholesterol) panel | $347 | $78 | $13 |
| Liver function panel | $359 | $59 | $8 |
| Lung function test (PFT) | $950 | $772 | $37 |
| Lung scan (V/Q) | $3,871 | $5,225 | $291 |
| Magnesium blood test | $163 | $49 | $7 |
| MMR vaccine | $387 | $469 | — |
| MRA of the brain | $4,238 | $5,693 | $226 |
| MRA of the brain without contrast | $4,238 | $5,529 | $328 |
| MRA of the neck | $4,238 | $5,129 | $245 |
| MRI of the abdomen | $4,201 | $5,652 | $300 |
| MRI of the abdomen without contrast | $4,201 | $5,258 | $194 |
| MRI of the ankle | $4,201 | $5,258 | $261 |
| MRI of the ankle without contrast | $4,201 | $5,258 | $222 |
| MRI of the brain | $4,201 | $5,258 | $269 |
| MRI of the brain with contrast | $4,201 | $5,258 | $269 |
| MRI of the brain without contrast | $4,201 | $5,258 | $195 |
| MRI of the chest | $4,201 | $5,558 | $371 |
| MRI of the knee | $4,201 | $5,258 | $315 |
| MRI of the knee with contrast | $4,201 | $5,258 | $315 |
| MRI of the knee without contrast | $4,201 | $3,073 | $204 |
| MRI of the lower back (lumbar spine) | $4,201 | $4,908 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $4,201 | $3,957 | $192 |
| MRI of the mid-back (thoracic spine) | $4,201 | $4,908 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $4,201 | $5,858 | $319 |
| MRI of the mid-back (thoracic spine) without contrast | $4,201 | $3,957 | $190 |
| MRI of the neck (cervical spine) | $4,201 | $5,558 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $4,201 | $5,858 | $318 |
| MRI of the neck (cervical spine) without contrast | $4,201 | $5,258 | $191 |
| MRI of the pelvis | $4,201 | $5,558 | $268 |
| MRI of the pelvis without contrast | $4,201 | $5,258 | $227 |
| MRI of the shoulder | $4,201 | $5,258 | $313 |
| MRI of the shoulder with contrast | $4,201 | $5,258 | $313 |
| MRI of the shoulder without contrast | $4,201 | $5,258 | $205 |
| MRI of the wrist | $4,201 | $5,258 | $330 |
| MRI of the wrist with contrast | $4,201 | $5,258 | $330 |
| MRI of the wrist without contrast | $4,201 | $5,258 | $303 |
| Nebulizer breathing treatment | $355 | $213 | $9 |
| Nuclear cardiac stress test | $12,992 | $6,227 | $428 |
| Occupational therapy evaluation | $296 | $414 | $101 |
| Occupational therapy evaluation (high complexity) | $296 | $414 | $101 |
| Occupational therapy evaluation (low complexity) | $296 | $414 | $101 |
| Occupational therapy evaluation (moderate complexity) | $296 | $414 | $101 |
| Office visit (new patient) | $416 | $390 | $177 |
| Office visit, new patient (level 3) | $337 | $390 | $118 |
| Parathyroid hormone (PTH) test | $177 | $362 | $41 |
| Pelvic ultrasound | $820 | $1,218 | $78 |
| Pelvic ultrasound (complete) | $955 | $1,513 | $105 |
| Pelvic ultrasound (limited) | $624 | $923 | $51 |
| Phosphorus blood test | $144 | $162 | $5 |
| Physical therapy evaluation | $334 | $426 | $98 |
| Physical therapy evaluation (high complexity) | $334 | $426 | $98 |
| Physical therapy evaluation (moderate complexity) | $334 | $426 | $98 |
| Platelet count | $175 | $185 | $4 |
| Pneumonia vaccine | $304 | $350 | — |
| Pregnancy blood test (hCG) | $98 | $105 | $8 |
| Pregnancy ultrasound | $1,050 | $841 | $126 |
| Pregnancy ultrasound (first trimester) | $1,002 | $584 | $117 |
| Pregnancy ultrasound (second or third trimester) | $1,050 | $1,098 | $136 |
| Procalcitonin test | $173 | $321 | $27 |
| Prolactin test | $175 | $97 | $19 |
| Prostate test (PSA) | $315 | $92 | $18 |
| Rheumatoid factor test | $160 | $178 | $6 |
| Scoliosis spine X-ray | $372 | $435 | $58 |
| Scoliosis spine X-ray (1 view) | $312 | $328 | $44 |
| Scoliosis spine X-ray (3 views) | $475 | $543 | $72 |
| Screening mammogram | $931 | $941 | $126 |
| Scrotal ultrasound | $1,002 | $1,211 | $99 |
| Sedimentation rate (ESR) test | $118 | $27 | $3 |
| Sex hormone binding globulin test | $303 | $118 | $22 |
| Soft tissue ultrasound | $682 | $1,058 | $64 |
| Speech therapy | $173 | $188 | $76 |
| Spirometry (lung function test) | $633 | $543 | $30 |
| Spirometry with bronchodilator | $1,268 | $1,000 | $43 |
| Strep throat test | $144 | $193 | $17 |
| Stress echocardiogram | $1,013 | $6,442 | $209 |
| Swallow study | $319 | $601 | $85 |
| T3 thyroid test | $177 | $106 | $14 |
| Tdap (tetanus) vaccine | $321 | $372 | — |
| Testosterone test | $208 | $83 | $26 |
| Thyroid test (TSH) | $326 | $84 | $17 |
| Thyroid ultrasound | $955 | $1,102 | $109 |
| Thyroid uptake scan | $1,879 | $3,225 | $145 |
| Tilt table test | $2,667 | $2,728 | $168 |
| Total IgE allergy test | $139 | $215 | $16 |
| Total protein test | $144 | $86 | $4 |
| Transvaginal ultrasound | $1,002 | $923 | $118 |
| Triglycerides test | $127 | $162 | $6 |
| Troponin (heart) test | $424 | $71 | $12 |
| Upper GI series (barium) | $1,039 | $1,258 | $128 |
| Uric acid (gout) test | $133 | $103 | $5 |
| Urinalysis | $118 | $22 | $3 |
| Urine microalbumin test | $303 | $43 | $5 |
| Urine pregnancy test | $98 | $108 | $9 |
| Vaccine administration | $216 | $276 | $19 |
| Vaccine administration (each additional) | $216 | $114 | $16 |
| Vitamin B12 test | $118 | $76 | $15 |
| Vitamin D test | $227 | $49 | $30 |
| X-ray of the abdomen | $456 | $711 | $36 |
| X-ray of the ankle | $456 | $719 | $37 |
| X-ray of the collarbone | $456 | $579 | $33 |
| X-ray of the elbow | $456 | $719 | $33 |
| X-ray of the facial bones | $456 | $922 | $39 |
| X-ray of the foot | $456 | $719 | $34 |
| X-ray of the forearm | $456 | $579 | $29 |
| X-ray of the hand | $456 | $653 | $38 |
| X-ray of the hip | $298 | $328 | $49 |
| X-ray of the hip (1 view) | $287 | $328 | $34 |
| X-ray of the hip (3 views) | $298 | $328 | $49 |
| X-ray of the knee | $438 | $757 | $42 |
| X-ray of the knee (2 views) | $456 | $653 | $34 |
| X-ray of the knee (3 views) | $456 | $757 | $42 |
| X-ray of the knee (4+ views) | $420 | $828 | $49 |
| X-ray of the lower back (lumbar spine) | $456 | $1,019 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $456 | $862 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $800 | $1,176 | $53 |
| X-ray of the lower leg | $456 | $689 | $31 |
| X-ray of the mid-back (thoracic spine) | $833 | $939 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $436 | $885 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $1,328 | $993 | $39 |
| X-ray of the neck (cervical spine) | $628 | $1,029 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $436 | $564 | $40 |
| X-ray of the pelvis | $436 | $764 | $36 |
| X-ray of the pelvis (1 view) | $436 | $621 | $28 |
| X-ray of the ribs | $557 | $1,027 | $42 |
| X-ray of the ribs (2 views) | $456 | $883 | $36 |
| X-ray of the ribs (3 views) | $557 | $1,027 | $42 |
| X-ray of the shoulder | $456 | $764 | $36 |
| X-ray of the skull | $628 | $1,002 | $40 |
| X-ray of the upper arm | $456 | $579 | $32 |
| X-ray of the wrist | $456 | $653 | $43 |
| Zinc blood test | $105 | $150 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
