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Mountain West Medical Center

Tooele, UT · 44 beds · 90 procedures priced

Sourced from this hospital's machine-readable file, posted Wed Jun 03 2026 00:00:00 GMT+0000 (Coordinated Universal Time) · data quality 81/100 · source file ↗

Category

Procedure ▲	Negotiated i	Cash i	Gross i
Abdominal Hysterectomy	$13,987$13k$16k	—	—
ACL Reconstruction (Arthroscopic)	$17,170$7.2k$22k	—	—
Allergy Skin Testing	$1,022$1.0k$1.1k	—	—
Basic Metabolic Panel	$33$8$47	—	$48
Bone Marrow Biopsy	$2,018$839$11k	—	$2,442
Breast Biopsy (Ultrasound-guided)	$5,708$1.6k$11k	—	$6,820
Bunion Correction Surgery	$11,392$3.3k$15k	—	—
Cardiac Ablation for Atrial Fibrillation	$72,278$25k$98k	—	$101,060
Cardiac Catheterization (Left Heart)	$15,496$3.2k$21k	—	$18,514
Carpal Tunnel Release Surgery	$9,729$2.0k$11k	—	—
Cataract Surgery with Lens Implant	$9,729$2.3k$11k	—	—
Cervical Spinal Fusion (Anterior)	$23,200$13k$25k	—	—
Cesarean Delivery (Global Package)	$15,148$11k$15k	—	—
Chemotherapy Infusion (First Hour)	$1,469$333$1.8k	—	$1,810
Chest X-ray (2 Views)	$422$88$505	—	$520
Colonoscopy with Biopsy	$9,729$1.2k$11k	—	—
Complete Abdominal Ultrasound	$664$107$770	—	$794
Complete Blood Count (CBC) with Differential	$40$8$56	—	$58
Comprehensive Metabolic Panel	$55$11$78	—	$81
Coronary Angioplasty with Stent	$30,030$11k$41k	—	$41,988
Critical Care, First Hour	$4,021$847$14k	—	$4,804
CT Abdomen and Pelvis with Contrast	$2,869$359$3.9k	—	$4,011
CT Cardiac Calcium Scoring	$802$88$1.4k	—	$959
CT Chest without Contrast	$1,342$107$1.6k	—	$1,603
CT Head without Contrast	$1,446$107$1.7k	—	$1,771
DEXA Bone Density Scan	$107$107$110	—	—
Diagnostic Colonoscopy	$4,411$916$8.0k	—	—
Diagnostic Mammogram (Both Breasts)	$448$160$536	—	$536
Ear Tube Placement (Tympanostomy)	$9,729$1.5k$11k	—	—
Echocardiogram (Complete with Doppler)	$2,555$551$3.1k	—	$3,149
Emergency Room Visit (Level 3)	$1,387$278$5.1k	—	$1,657
Group Therapy Session	$303$93$303	—	—
Hemoglobin A1c (Diabetes Test)	$85$10$121	—	$113
HIV Antibody Test	$113$9$159	—	$150
Home Sleep Study	$1,256$157$1.5k	—	$1,548
Individual Therapy Session (45 Minutes)	$303$161$303	—	—
Inguinal Hernia Repair (Open)	$11,392$3.5k$15k	—	—
Initial Psychiatric Diagnostic Evaluation	$303$161$303	—	—
Initial Psychiatric Evaluation with Medication Management	$303$161$303	—	—
Intensity-modulated Radiation Therapy (IMRT) Treatment	$4,027$581$5.5k	—	$5,630
IUD Insertion	$8,011$7.0k$8.0k	—	—
IUD Removal	$796$306$8.0k	—	$951
Knee Arthroscopy with Meniscectomy	$11,392$3.3k$15k	—	—
Laparoscopic Appendectomy	$12,527$5.9k$16k	—	—
Laparoscopic Gallbladder Removal	$12,527$5.9k$16k	—	—
Laparoscopic Tubal Ligation	$12,527$5.9k$16k	—	—
Lipid Panel (Cholesterol Test)	$46$13$66	—	$61
Lumbar Epidural Steroid Injection	$1,950$696$8.0k	—	$2,329
Lumbar Puncture (Spinal Tap)	$2,530$696$8.0k	—	$3,023
Lumbar Spinal Fusion (Posterior)	$23,200$18k$25k	—	—
Lumpectomy (Partial Mastectomy)	$11,392$3.8k$15k	—	—
MRI Abdomen with and without Contrast	$2,711$359$3.7k	—	$3,790
MRI Brain with and without Contrast	$2,438$359$3.0k	—	$3,059
MRI Brain with Contrast	$2,108$359$2.9k	—	$2,947
MRI Brain without Contrast	$1,994$243$2.7k	—	$2,786
MRI Cervical Spine (Neck) without Contrast	$1,765$243$2.0k	—	$2,109
MRI Knee without Contrast	$1,922$243$2.2k	—	$2,296
MRI Lower Back (Lumbar Spine) without Contrast	$2,168$243$2.9k	—	$3,032
MRI Thoracic Spine (Mid-back) without Contrast	$2,168$243$2.9k	—	$3,032
Newborn Circumcision	$464$188$11k	—	$540
Nuclear Cardiac Stress Test	$6,091$1.3k$7.3k	—	$7,506
Pacemaker Insertion (Dual Chamber)	$24,412$10k$29k	—	$29,647
PET/CT Scan, Whole Body	$2,893$1.5k$3.2k	—	—
Pregnancy Ultrasound (Second or Third Trimester)	$591$107$685	—	$706
Prostate Biopsy	$4,844$2.0k$11k	—	$5,787
PSA Prostate Cancer Screening	$67$18$93	—	$95
Pulmonary Function Test with Bronchodilator	$1,185$313$1.4k	—	$1,461
Rotator Cuff Repair (Arthroscopic)	$17,170$7.2k$22k	—	—
Screening Mammogram	$317$130$433	—	$378
Septoplasty (Deviated Septum Repair)	$9,729$3.3k$11k	—	—
Sinus Surgery (Endoscopic, with Tissue Removal)	$15,316$7.0k$17k	—	—
Skin Biopsy (Tangential)	$443$184$8.0k	—	$529
Skin Lesion Removal (Benign, up to 0.5 cm)	$3,125$1.3k$11k	—	$3,734
Sleep Study (In-lab Polysomnography)	$8,166$1.0k$9.8k	—	$10,063
Spinal Cord Stimulator Trial	$17,202$6.6k$24k	—	$20,553
Spirometry (Breathing Test)	$615$157$736	—	$758
Tonsillectomy and Adenoidectomy (Age 12 and Over)	$9,729$3.3k$11k	—	—
Tonsillectomy and Adenoidectomy (Under Age 12)	$11,480$5.9k$16k	—	—
Total Hip Replacement	$25,928$13k$30k	—	—
Total Knee Replacement	$26,578$13k$30k	—	—
Total Mastectomy	$15,316$6.6k$17k	—	—
TSH Thyroid Function Test	$67$17$129	—	$106
TURP (Transurethral Prostate Resection)	$11,480$5.1k$16k	—	—
Upper GI Endoscopy (EGD)	$7,022$942$8.0k	—	—
Urinalysis with Microscopy	$28$3$40	—	$41
Vaginal Birth After Cesarean (VBAC) Global Package	$15,148$11k$15k	—	—
Vaginal Delivery (Global Package)	$15,148$11k$15k	—	—
Vaginal Hysterectomy	$11,480$5.0k$16k	—	—
Vasectomy	$9,729$2.1k$11k	—	—
Vitamin D Blood Test	$233$30$329	—	$315

Median facility price per procedure. Negotiated shows the median across payers with the full range. Figures as reported in the hospital's file — not a quote.