INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL

CCN 460062

45 CFR § 180 compliance
F · 55
This hospital published little of what § 180 requires.
Machine-readable file published
Gross / standard charges
Discounted cash price
Payer-specific negotiated rates
Min / max negotiated charges
Free, public, no login required
Procedures listed
38,935
Insurances with rates
31
CPT / HCPCS codes
24,251
Source MRF

Most expensive procedures (gross)

2722109771
$116,790
HC PERCUTANEOUS VENTRICULAR ASSIST DEVICE LVL 71
Gross
$155,721
2782649771
$116,790
HC VALVE IMPLANT LVL 71
Gross
$155,721
2722109771
$116,790
HC PERCUTANEOUS VENTRICULAR ASSIST DEVICE LVL 71
Gross
$155,721
2782649771
$116,790
HC VALVE IMPLANT LVL 71
Gross
$155,721
2721649601
$112,101
HC KIT PUMP DEVICE CARDIAC VENTRICULAR SMARTASSIST 5.5 S2
Gross
$149,468
2721649601
$112,101
HC KIT PUMP DEVICE CARDIAC VENTRICULAR SMARTASSIST 5.5 S2
Gross
$149,468
2782649770
$111,229
HC VALVE IMPLANT LVL 70
Gross
$148,305
278TRIG470
$111,229
HC NTAP TRICLIP G4 VLV RPR SYSTM
Gross
$148,305
2782649770
$111,229
HC VALVE IMPLANT LVL 70
Gross
$148,305
278TRIG470
$111,229
HC NTAP TRICLIP G4 VLV RPR SYSTM
Gross
$148,305
2721040201
$111,199
HC BERLIN HEART PUMP REPLACEMENT
Gross
$148,265
2721649701
$111,199
HC PUMP BLOOD VAD W/ VALVES
Gross
$148,265
2721040201
$111,199
HC BERLIN HEART PUMP REPLACEMENT
Gross
$148,265
2721649701
$111,199
HC PUMP BLOOD VAD W/ VALVES
Gross
$148,265
275C188267
$96,084
HC ICD BIV/CRT-D LVL 67
Gross
$128,112
275C188267
$96,084
HC ICD BIV/CRT-D LVL 67
Gross
$128,112
278C188966
$91,508
HC IMPLANTABLE-INSERTABLE DEVICE NOC LVL 66
Gross
$122,011
2782649766
$91,508
HC VALVE IMPLANT LVL 66
Gross
$122,011
278C182366
$91,508
HC NEUROSTIM GENERATOR/LEAD LVL 66
Gross
$122,011
278C188966
$91,508
HC IMPLANTABLE-INSERTABLE DEVICE NOC LVL 66
Gross
$122,011
2782649766
$91,508
HC VALVE IMPLANT LVL 66
Gross
$122,011
278C182366
$91,508
HC NEUROSTIM GENERATOR/LEAD LVL 66
Gross
$122,011
2782649765
$87,151
HC VALVE IMPLANT LVL 65
Gross
$116,201
2782649765
$87,151
HC VALVE IMPLANT LVL 65
Gross
$116,201
2782669764
$83,001
HC VASCULAR STENT GRAFT IMPLANT LVL 64
Gross
$110,668
2782649764
$83,001
HC VALVE IMPLANT LVL 64
Gross
$110,668
2782669764
$83,001
HC VASCULAR STENT GRAFT IMPLANT LVL 64
Gross
$110,668
2782649764
$83,001
HC VALVE IMPLANT LVL 64
Gross
$110,668
278C188963
$79,048
HC IMPLANTABLE-INSERTABLE DEVICE NOC LVL 63
Gross
$105,398
2782649763
$79,048
HC VALVE IMPLANT LVL 63
Gross
$105,398
278C188963
$79,048
HC IMPLANTABLE-INSERTABLE DEVICE NOC LVL 63
Gross
$105,398
2782649763
$79,048
HC VALVE IMPLANT LVL 63
Gross
$105,398
4813326401
$76,394
HC REMOVE & REPLAC DEFIB PULSE GEN MULT LEADS
Gross
$101,859
4813324901
$76,394
HC IMPLANT/REPOS DEFIB PULSE GEN W/LEADS SNG/DUAL
Gross
$101,859
4813326401
$76,394
HC REMOVE & REPLAC DEFIB PULSE GEN MULT LEADS
Gross
$101,859
4813324901
$76,394
HC IMPLANT/REPOS DEFIB PULSE GEN W/LEADS SNG/DUAL
Gross
$101,859
278C187462
$75,284
HC STENT COATED/COVERED IMPLANT LVL 62
Gross
$100,379
2782669762
$75,284
HC VASCULAR STENT GRAFT IMPLANT LVL 62
Gross
$100,379
278C188962
$75,284
HC IMPLANTABLE-INSERTABLE DEVICE NOC LVL 62
Gross
$100,379
278C187462
$75,284
HC STENT COATED/COVERED IMPLANT LVL 62
Gross
$100,379
2782669762
$75,284
HC VASCULAR STENT GRAFT IMPLANT LVL 62
Gross
$100,379
278C188962
$75,284
HC IMPLANTABLE-INSERTABLE DEVICE NOC LVL 62
Gross
$100,379
4813327001
$73,510
HC INSERT/REPLMNT SUBQ IMPL DEFIB W SBQ ELECTRODE
Gross
$98,013
4813327001
$73,510
HC INSERT/REPLMNT SUBQ IMPL DEFIB W SBQ ELECTRODE
Gross
$98,013
2722109761
$71,699
HC PERCUTANEOUS VENTRICULAR ASSIST DEVICE LVL 61
Gross
$95,599
278C182361
$71,699
HC NEUROSTIM GENERATOR/LEAD LVL 61
Gross
$95,599
2782649761
$71,699
HC VALVE IMPLANT LVL 61
Gross
$95,599
2722109761
$71,699
HC PERCUTANEOUS VENTRICULAR ASSIST DEVICE LVL 61
Gross
$95,599
278C182361
$71,699
HC NEUROSTIM GENERATOR/LEAD LVL 61
Gross
$95,599
2782649761
$71,699
HC VALVE IMPLANT LVL 61
Gross
$95,599
Showing top 50 of 38,935 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.