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Hospital Profile Acute Care Hospitals Proprietary

Mountain West Medical Center

2055 N MAIN ST, Tooele, UT 84074

CMS Overall Rating ★★★★☆
Factual Overview

Mountain West Medical Center is a Acute Care Hospitals (Proprietary) operating in Tooele, UT. Mapped commercial insurance prices across 91 procedures average 9.73x the Medicare baseline. The facility holds a CMS quality rating of 4/5 stars with a patient recommendation score of 66%.

Facility Overview

Setting: urban Bed Count: 36 Beds Teaching Status: Non-Teaching Annual Discharges: 1,715

Patient Experience

Recommendation Rate: 66% High Patient Rating: 72% ER Wait Time (Med): 150 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 91 codes Avg Markup vs Medicare: 9.73x Price File In Index: Yes MRF Version: 3.0.0
Procedure & Code Cash Price Actions
Blood transfusion
CPT Code: 36430
 $1,397 Calc
CT scan, head (no contrast)
CPT Code: 70450
 $1,783 Calc
CT scan, head (with contrast)
CPT Code: 70460
 $1,868 Calc
CT scan, head (with and without contrast)
CPT Code: 70470
 $2,065 Calc
CT scan, sinuses
CPT Code: 70486
 $1,827 Calc
MRI, brain (no contrast)
CPT Code: 70551
 $2,499 Calc
MRI, brain (with and without contrast)
CPT Code: 70553
 $2,704 Calc
X-ray, chest (single view)
CPT Code: 71045
 $268 Calc
X-ray, chest (two views)
CPT Code: 71046
 $400 Calc
CT scan, chest (no contrast)
CPT Code: 71250
 $1,899 Calc
X-ray, neck (cervical spine)
CPT Code: 72040
 $367 Calc
X-ray, lower back
CPT Code: 72110
 $636 Calc
CT scan, neck (cervical spine)
CPT Code: 72125
 $1,980 Calc
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $2,247 Calc
MRI, lower back (no contrast)
CPT Code: 72148
 $2,897 Calc
X-ray, pelvis
CPT Code: 72170
 $371 Calc
CT scan, pelvis
CPT Code: 72192
 $1,495 Calc
X-ray, shoulder
CPT Code: 73030
 $501 Calc
X-ray, hand
CPT Code: 73130
 $371 Calc
X-ray, hip
CPT Code: 73502
 $367 Calc
X-ray, ankle
CPT Code: 73610
 $401 Calc
X-ray, foot
CPT Code: 73630
 $393 Calc
MRI, knee or other leg joint
CPT Code: 73721
 $2,277 Calc
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $2,918 Calc
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $3,027 Calc
Ultrasound, thyroid and neck
CPT Code: 76536
 $1,082 Calc
Ultrasound, abdomen (complete)
CPT Code: 76700
 $1,472 Calc
Ultrasound, abdomen (limited)
CPT Code: 76705
 $731 Calc
Ultrasound, pelvis
CPT Code: 76856
 $556 Calc
Diagnostic mammogram (both breasts)
CPT Code: 77066
 $372 Calc
Screening mammogram (both breasts)
CPT Code: 77067
 $348 Calc
Blood test, basic metabolic panel
CPT Code: 80048
 $147 Calc
Blood test, comprehensive metabolic panel
CPT Code: 80053
 $111 Calc
Blood test, cholesterol (lipid panel)
CPT Code: 80061
 $83 Calc
Blood test, liver function panel
CPT Code: 80076
 $121 Calc
Urinalysis (automated, with microscopy)
CPT Code: 81001
 $64 Calc
Blood test, amylase
CPT Code: 82150
 $73 Calc
Blood test, vitamin D
CPT Code: 82306
 $89 Calc
Blood test, calcium
CPT Code: 82310
 $84 Calc
Blood test, creatinine (kidney)
CPT Code: 82565
 $96 Calc
Blood test, vitamin B12
CPT Code: 82607
 $260 Calc
Blood test, ferritin (iron stores)
CPT Code: 82728
 $135 Calc
Blood test, glucose (blood sugar)
CPT Code: 82947
 $60 Calc
Blood test, average blood sugar (A1c)
CPT Code: 83036
 $72 Calc
Blood test, lipase
CPT Code: 83690
 $52 Calc
Blood test, magnesium
CPT Code: 83735
 $61 Calc
Blood test, potassium
CPT Code: 84132
 $113 Calc
Blood test, PSA (prostate screen)
CPT Code: 84153
 $101 Calc
Blood test, sodium
CPT Code: 84295
 $113 Calc
Blood test, thyroid (TSH)
CPT Code: 84443
 $77 Calc
Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
 $113 Calc
Blood test, hemoglobin
CPT Code: 85018
 $69 Calc
Blood test, complete blood count (CBC)
CPT Code: 85025
 $71 Calc
Blood test, clotting time (PT/INR)
CPT Code: 85610
 $39 Calc
Blood test, clotting time (PTT)
CPT Code: 85730
 $116 Calc
Hepatitis C antibody test
CPT Code: 86803
 $139 Calc
Blood antibody screen
CPT Code: 86850
 $74 Calc
Culture, blood
CPT Code: 87040
 $211 Calc
Culture, bacterial
CPT Code: 87070
 $162 Calc
Hepatitis B immune globulin
HCPCS Code: 90371
 $272 Calc
Rabies immune globulin
HCPCS Code: 90375
 $506 Calc
Flu vaccine (high dose)
HCPCS Code: 90656
 $18 Calc
Typhoid vaccine
HCPCS Code: 90675
 $501 Calc
DTaP vaccine (diphtheria, tetanus, pertussis)
HCPCS Code: 90700
 $50 Calc
MMR vaccine (measles, mumps, rubella)
HCPCS Code: 90707
 $134 Calc
Tdap vaccine (tetanus, diphtheria, pertussis)
HCPCS Code: 90715
 $122 Calc
Varicella (chickenpox) vaccine
HCPCS Code: 90716
 $247 Calc
Pneumococcal vaccine
HCPCS Code: 90732
 $235 Calc
Hepatitis B vaccine
HCPCS Code: 90744
 $32 Calc
Speech therapy (language evaluation)
CPT Code: 92507
 $291 Calc
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
 $369 Calc
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $3,297 Calc
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $1,135 Calc
Breathing treatment (nebulizer)
CPT Code: 94640
 $200 Calc
Physical therapy (therapeutic exercise)
CPT Code: 97110
 $72 Calc
Physical therapy (neuromuscular re-education)
CPT Code: 97112
 $65 Calc
Physical therapy (gait training)
CPT Code: 97116
 $78 Calc
Physical therapy (manual therapy)
CPT Code: 97140
 $84 Calc
Occupational therapy (therapeutic activities)
CPT Code: 97530
 $68 Calc
Occupational therapy (self-care training)
CPT Code: 97535
 $60 Calc
Office visit, established patient (20-29 min)
CPT Code: 99213
 $299 Calc
Office visit, established patient (30-39 min)
CPT Code: 99214
 $374 Calc
Flu vaccine injection
HCPCS Code: G0008
 $36 Calc
Pneumonia vaccine injection
HCPCS Code: G0009
 $39 Calc
Colorectal cancer screening
HCPCS Code: G0010
 $36 Calc
Prostate cancer screening (blood test)
HCPCS Code: G0103
 $123 Calc
Injection procedure for pain management
HCPCS Code: G0260
 $827 Calc
Diagnostic procedure preparation
HCPCS Code: G0279
 $74 Calc
Electrical stimulation therapy
HCPCS Code: G0283
 $77 Calc
Hospital observation (per hour)
HCPCS Code: G0378
 $185 Calc
Trauma team activation
HCPCS Code: G0390
 $2,159 Calc