| Procedure | Timpanogos Regional Hospital | Mountain View Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $87 | $92 | $51 |
| Abdominal ultrasound | $1,002 | $1,283 | $100 |
| Abdominal ultrasound (complete) | $1,002 | $1,548 | $114 |
| Abdominal ultrasound (limited) | $1,002 | $1,017 | $86 |
| Albumin blood test | $144 | $180 | $5 |
| Aldosterone test | $401 | $547 | $41 |
| Alkaline phosphatase test | $144 | $184 | $5 |
| Alpha-fetoprotein (AFP) test | $128 | $393 | $17 |
| ALT liver enzyme test | $157 | $219 | $5 |
| Ammonia blood test | $340 | $283 | $15 |
| Amylase test | $195 | $268 | $6 |
| Antinuclear antibody (ANA) test | $336 | $194 | $12 |
| Arterial blood gas (ABG) | $455 | $488 | $26 |
| AST liver enzyme test | $157 | $219 | $5 |
| Barium swallow study | $1,039 | $865 | $107 |
| Basic metabolic panel | $256 | $428 | $8 |
| Bilirubin blood test | $118 | $188 | $5 |
| Blood clotting test (PT/INR) | $151 | $184 | $4 |
| Blood glucose test | $162 | $198 | $5 |
| Blood transfusion | $821 | $2,998 | $47 |
| Blood type and screen | $252 | $298 | $10 |
| Blood type test | $49 | $144 | $3 |
| Blood type test (ABO group) | $49 | $206 | $3 |
| Blood type test (Rh/D antigen) | $49 | $82 | $3 |
| BNP (heart failure) test | $408 | $516 | $39 |
| Bone density scan (DEXA) | $586 | $1,023 | $39 |
| Bone scan (nuclear) | $2,597 | $2,714 | $259 |
| Breast MRI | $4,201 | $5,746 | $216 |
| Breast ultrasound | $686 | $651 | $92 |
| Breast ultrasound (complete) | $686 | $651 | $100 |
| Breast ultrasound (limited) | $686 | $553 | $84 |
| C-reactive protein (CRP) | $170 | $188 | $5 |
| CA 19-9 tumor marker test | $221 | $371 | $21 |
| CA-125 ovarian marker test | $239 | $402 | $21 |
| Calcium blood test | $144 | $172 | $5 |
| Capsule endoscopy | $5,103 | $5,675 | $802 |
| Cardiac rehabilitation | $265 | $381 | $26 |
| Cardiac stress test | $1,455 | $2,050 | $39 |
| Cardioversion | $3,257 | $4,771 | $155 |
| Carotid artery ultrasound | $1,596 | $2,155 | $156 |
| CEA tumor marker test | $123 | $493 | $19 |
| Celiac disease test | $242 | $342 | $12 |
| Chest X-ray | $456 | $593 | $37 |
| Chest X-ray (1 view) | $436 | $390 | $25 |
| Chest X-ray (2 views) | $436 | $562 | $33 |
| CK-MB heart enzyme test | $252 | $664 | $12 |
| Clotting time test (PTT) | $177 | $219 | $6 |
| Complete blood count (CBC) | $195 | $237 | $7 |
| Comprehensive metabolic panel | $392 | $547 | $11 |
| Copper blood test | $95 | $262 | $12 |
| Coronary CT angiography | $2,899 | $3,581 | $326 |
| Cortisol test | $239 | $436 | $16 |
| CPAP titration study | $2,638 | $1,991 | $69 |
| Creatine kinase (CK) test | $103 | $246 | $7 |
| CT angiography of the chest | $3,056 | $4,915 | $281 |
| CT angiography of the head | $3,178 | $5,659 | $274 |
| CT scan of the abdomen | $3,241 | $4,339 | $230 |
| CT scan of the abdomen and pelvis | $5,667 | $8,680 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $5,720 | $9,343 | $338 |
| CT scan of the abdomen and pelvis with contrast | $5,618 | $8,680 | $300 |
| CT scan of the abdomen and pelvis without contrast | $5,618 | $7,743 | $183 |
| CT scan of the abdomen with and without contrast | $3,300 | $4,651 | $259 |
| CT scan of the abdomen with contrast | $3,121 | $4,339 | $230 |
| CT scan of the abdomen without contrast | $3,121 | $3,915 | $136 |
| CT scan of the arm | $3,241 | $3,204 | $199 |
| CT scan of the arm with contrast | $3,036 | $3,204 | $199 |
| CT scan of the arm without contrast | $3,121 | $2,828 | $161 |
| CT scan of the chest | $3,121 | $4,081 | $167 |
| CT scan of the chest with contrast | $3,001 | $4,334 | $167 |
| CT scan of the chest without contrast | $3,001 | $3,829 | $133 |
| CT scan of the head | $3,148 | $4,300 | $148 |
| CT scan of the head with and without contrast | $3,178 | $4,745 | $173 |
| CT scan of the head without contrast | $3,121 | $3,856 | $107 |
| CT scan of the leg | $3,241 | $3,874 | $166 |
| CT scan of the leg with contrast | $3,001 | $3,874 | $166 |
| CT scan of the leg without contrast | $3,121 | $3,529 | $130 |
| CT scan of the lower back (lumbar spine) | $3,241 | $4,522 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $3,300 | $4,971 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $3,036 | $4,522 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $3,121 | $4,164 | $130 |
| CT scan of the neck | $3,121 | $4,339 | $183 |
| CT scan of the neck (cervical spine) | $3,241 | $4,374 | $168 |
| CT scan of the neck (cervical spine) with contrast | $3,241 | $4,529 | $168 |
| CT scan of the neck (cervical spine) without contrast | $3,121 | $4,219 | $131 |
| CT scan of the neck with and without contrast | $3,091 | $4,745 | $220 |
| CT scan of the neck with contrast | $3,121 | $4,339 | $183 |
| CT scan of the neck without contrast | $3,121 | $3,864 | $150 |
| CT scan of the pelvis | $3,241 | $4,339 | $226 |
| CT scan of the pelvis with and without contrast | $3,300 | $4,692 | $251 |
| CT scan of the pelvis with contrast | $3,121 | $4,339 | $226 |
| CT scan of the pelvis without contrast | $3,121 | $3,829 | $133 |
| CT scan of the sinuses | $3,056 | $3,864 | $152 |
| CT scan of the sinuses with and without contrast | $3,178 | $4,184 | $184 |
| CT scan of the sinuses with contrast | $3,121 | $3,864 | $152 |
| CT scan of the sinuses without contrast | $3,001 | $3,465 | $128 |
| D-dimer test | $585 | $843 | $10 |
| DHEA-sulfate test | $200 | $571 | $22 |
| Diagnostic mammogram | $850 | $689 | $140 |
| Drug screen (urine) | $122 | $390 | $17 |
| Echocardiogram | $3,004 | $3,061 | $138 |
| Echocardiogram with and without contrast | $1,501 | $1,113 | $101 |
| EEG (awake and asleep) | $1,495 | $1,475 | $482 |
| EKG / ECG (tracing only) | $255 | $677 | $7 |
| Electrocardiogram (EKG) | $255 | $677 | $8 |
| Electroencephalogram (EEG) | $1,495 | $1,749 | $448 |
| Electrolyte panel | $221 | $353 | $7 |
| Emergency department visit | $1,674 | $2,769 | $69 |
| Emergency department visit (level 1) | $569 | $329 | $11 |
| Emergency department visit (level 2) | $1,395 | $1,291 | $40 |
| Emergency department visit (level 3) | $1,981 | $2,769 | $69 |
| Emergency department visit (level 4) | $2,986 | $3,813 | $118 |
| Emergency department visit (level 5) | $3,327 | $7,541 | $171 |
| Estradiol (estrogen) test | $614 | $490 | $28 |
| Fallopian tube X-ray (HSG) | $2,226 | $1,294 | $164 |
| Fecal occult blood (stool) test | $108 | $137 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $108 | $137 | $4 |
| Ferritin (iron) test | $113 | $134 | $14 |
| Fibrinogen test | $195 | $252 | $10 |
| Folate (folic acid) test | $118 | $298 | $15 |
| Free T4 thyroid test | $140 | $607 | $9 |
| FSH hormone test | $105 | $124 | $19 |
| Gallbladder scan (HIDA) | $2,597 | $3,214 | $334 |
| GGT liver test | $144 | $184 | $7 |
| Glucose tolerance test | $311 | $182 | $8 |
| H. pylori test | $132 | $402 | $67 |
| HDL cholesterol test | $216 | $285 | $8 |
| Hematocrit test | $113 | $107 | $2 |
| Hemodialysis | $3,917 | $2,758 | $75 |
| Hemoglobin A1c (diabetes test) | $216 | $283 | $10 |
| Hepatitis B test | $87 | $335 | $10 |
| Hepatitis B vaccine | $136 | $314 | — |
| Hepatitis C test | $177 | $379 | $14 |
| HIV test | $296 | $635 | $19 |
| HIV test (antibody) | $296 | $635 | $14 |
| Holter heart monitor | $1,128 | $1,230 | $26 |
| Iron blood test | $105 | $164 | $6 |
| IV infusion therapy | $1,330 | $325 | $44 |
| IV infusion therapy (each additional) | $260 | $220 | $21 |
| IV infusion therapy (initial) | $1,437 | $440 | $67 |
| Kidney scan (nuclear) | $2,597 | $2,812 | $172 |
| Kidney ultrasound | $1,050 | $793 | $84 |
| Lactate test | $82 | $97 | $12 |
| LDH test | $150 | $198 | $6 |
| Leg vein ultrasound (Doppler) | $1,658 | $2,025 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $1,535 | $1,579 | $116 |
| LH hormone test | $139 | $441 | $19 |
| Lipase test | $296 | $360 | $7 |
| Lipid (cholesterol) panel | $347 | $412 | $13 |
| Liver function panel | $359 | $451 | $8 |
| Lung function test (PFT) | $950 | $602 | $37 |
| Lung scan (V/Q) | $3,871 | $4,287 | $291 |
| Magnesium blood test | $163 | $260 | $7 |
| MMR vaccine | $387 | $348 | — |
| MRA of the brain | $4,238 | $7,137 | $226 |
| MRA of the neck | $4,238 | $2,440 | $245 |
| MRA of the neck with contrast | $4,238 | $2,440 | $245 |
| MRI of the abdomen | $4,201 | $5,095 | $300 |
| MRI of the abdomen with contrast | $4,201 | $5,095 | $300 |
| MRI of the abdomen without contrast | $4,201 | $4,122 | $194 |
| MRI of the ankle | $4,201 | $6,200 | $261 |
| MRI of the ankle with contrast | $4,201 | $6,200 | $261 |
| MRI of the ankle without contrast | $4,201 | $4,803 | $222 |
| MRI of the brain | $4,201 | $5,881 | $269 |
| MRI of the brain with contrast | $4,201 | $5,881 | $269 |
| MRI of the brain without contrast | $4,201 | $5,366 | $195 |
| MRI of the chest | $4,201 | $5,313 | $371 |
| MRI of the knee | $4,201 | $6,200 | $315 |
| MRI of the knee with contrast | $4,201 | $6,200 | $315 |
| MRI of the knee without contrast | $4,201 | $6,200 | $204 |
| MRI of the lower back (lumbar spine) | $4,201 | $5,880 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $4,201 | $5,366 | $192 |
| MRI of the mid-back (thoracic spine) | $4,201 | $5,881 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $4,201 | $6,394 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $3,811 | $5,881 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $4,201 | $5,366 | $190 |
| MRI of the neck (cervical spine) | $4,201 | $5,881 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $4,201 | $6,394 | $318 |
| MRI of the neck (cervical spine) with contrast | $4,201 | $5,881 | $274 |
| MRI of the neck (cervical spine) without contrast | $4,201 | $5,366 | $191 |
| MRI of the pelvis | $4,201 | $4,498 | $268 |
| MRI of the pelvis without contrast | $4,201 | $3,293 | $227 |
| MRI of the shoulder | $4,201 | $4,803 | $313 |
| MRI of the shoulder with contrast | $4,201 | $6,200 | $313 |
| MRI of the shoulder without contrast | $4,201 | $4,803 | $205 |
| MRI of the wrist | $4,201 | $4,803 | $330 |
| MRI of the wrist without contrast | $4,201 | $4,803 | $303 |
| Nebulizer breathing treatment | $355 | $268 | $9 |
| Nuclear cardiac stress test | $12,992 | $6,021 | $428 |
| Occupational therapy evaluation | $296 | $146 | $101 |
| Occupational therapy evaluation (high complexity) | $296 | $146 | $101 |
| Occupational therapy evaluation (low complexity) | $296 | $146 | $101 |
| Occupational therapy evaluation (moderate complexity) | $296 | $146 | $101 |
| Office visit (established patient) | $365 | $517 | $115 |
| Office visit (new patient) | $416 | $454 | $177 |
| Office visit, established patient (level 3) | $267 | $580 | $95 |
| Office visit, established patient (level 4) | $463 | $454 | $136 |
| Office visit, new patient (level 3) | $337 | $345 | $118 |
| Office visit, new patient (level 4) | $495 | $454 | $177 |
| Office visit, new patient (level 5) | $619 | $499 | $237 |
| Parathyroid hormone (PTH) test | $177 | $790 | $41 |
| Pelvic ultrasound | $820 | $1,419 | $78 |
| Pelvic ultrasound (complete) | $955 | $1,419 | $105 |
| Phosphorus blood test | $144 | $230 | $5 |
| Physical therapy evaluation | $334 | $193 | $98 |
| Physical therapy evaluation (high complexity) | $334 | $193 | $98 |
| Physical therapy evaluation (moderate complexity) | $334 | $193 | $98 |
| Platelet count | $175 | $168 | $4 |
| Pneumonia vaccine | $304 | $339 | — |
| Pregnancy blood test (hCG) | $98 | $88 | $8 |
| Pregnancy ultrasound | $1,050 | $1,197 | $126 |
| Pregnancy ultrasound (first trimester) | $1,002 | $1,318 | $117 |
| Pregnancy ultrasound (second or third trimester) | $1,050 | $1,076 | $136 |
| Prolactin test | $175 | $206 | $19 |
| Prostate test (PSA) | $315 | $405 | $18 |
| Rheumatoid factor test | $160 | $131 | $6 |
| Scoliosis spine X-ray | $372 | $480 | $58 |
| Scoliosis spine X-ray (3 views) | $475 | $480 | $72 |
| Screening mammogram | $931 | $782 | $126 |
| Scrotal ultrasound | $1,002 | $1,001 | $99 |
| Sedimentation rate (ESR) test | $118 | $145 | $3 |
| Semen analysis | $259 | $340 | $12 |
| Sex hormone binding globulin test | $303 | $293 | $22 |
| Soft tissue ultrasound | $682 | $694 | $64 |
| Speech therapy | $173 | $149 | $76 |
| Spirometry (lung function test) | $633 | $542 | $30 |
| Spirometry with bronchodilator | $1,268 | $661 | $43 |
| Stress echocardiogram | $1,013 | $4,018 | $209 |
| Swallow study | $319 | $96 | $85 |
| T3 thyroid test | $177 | $379 | $14 |
| Tdap (tetanus) vaccine | $321 | $285 | — |
| Testosterone test | $208 | $377 | $26 |
| Thyroid test (TSH) | $326 | $318 | $17 |
| Thyroid ultrasound | $955 | $1,085 | $109 |
| Thyroid uptake scan | $1,879 | $3,361 | $145 |
| Total IgE allergy test | $139 | $268 | $16 |
| Total protein test | $144 | $172 | $4 |
| Transesophageal echocardiogram (TEE) | $4,272 | $3,791 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $4,272 | $3,791 | $239 |
| Transvaginal ultrasound | $1,002 | $619 | $118 |
| Triglycerides test | $127 | $233 | $6 |
| Troponin (heart) test | $424 | $871 | $12 |
| Upper GI series (barium) | $1,039 | $1,055 | $128 |
| Uric acid (gout) test | $133 | $198 | $5 |
| Urinalysis | $118 | $141 | $3 |
| Urine microalbumin test | $303 | $386 | $5 |
| Urine pregnancy test | $98 | $88 | $9 |
| Vaccine administration | $216 | $232 | $19 |
| Vaccine administration (each additional) | $216 | $232 | $16 |
| Vitamin B12 test | $118 | $139 | $15 |
| Vitamin D test | $227 | $257 | $30 |
| X-ray of the abdomen | $456 | $572 | $36 |
| X-ray of the ankle | $456 | $524 | $37 |
| X-ray of the collarbone | $456 | $475 | $33 |
| X-ray of the elbow | $456 | $524 | $33 |
| X-ray of the facial bones | $456 | $720 | $39 |
| X-ray of the foot | $456 | $524 | $34 |
| X-ray of the forearm | $456 | $413 | $29 |
| X-ray of the hand | $456 | $524 | $38 |
| X-ray of the hip | $298 | $290 | $49 |
| X-ray of the hip (1 view) | $287 | $290 | $34 |
| X-ray of the hip (3 views) | $298 | $290 | $49 |
| X-ray of the knee | $438 | $745 | $42 |
| X-ray of the knee (2 views) | $456 | $469 | $34 |
| X-ray of the knee (3 views) | $456 | $873 | $42 |
| X-ray of the knee (4+ views) | $420 | $617 | $49 |
| X-ray of the lower back (lumbar spine) | $456 | $687 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $456 | $532 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $800 | $841 | $53 |
| X-ray of the lower leg | $456 | $524 | $31 |
| X-ray of the mid-back (thoracic spine) | $833 | $543 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $436 | $516 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $1,328 | $570 | $39 |
| X-ray of the neck (cervical spine) | $628 | $541 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $436 | $459 | $40 |
| X-ray of the pelvis | $436 | $413 | $36 |
| X-ray of the pelvis (1 view) | $436 | $413 | $28 |
| X-ray of the ribs | $557 | $669 | $42 |
| X-ray of the ribs (2 views) | $456 | $562 | $36 |
| X-ray of the ribs (3 views) | $557 | $669 | $42 |
| X-ray of the shoulder | $456 | $562 | $36 |
| X-ray of the skull | $628 | $727 | $40 |
| X-ray of the upper arm | $456 | $538 | $32 |
| X-ray of the wrist | $456 | $524 | $43 |
| Zinc blood test | $105 | $200 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
