Intermountain Health Primary Children's Hospital prices. From its own published file.

Intermountain Health Primary Children's Hospital in Salt Lake City, UT publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

14,641prices published

Aug 2026file last updated

$2,800cash price for emergency visit, highest (level 5) (list $3,734)

Common services

Service	Cash price	List price	Insurers pay
Emergency visit, moderate (level 3) `99283`	$1,245	$1,660	$70.48–$1,460
Emergency visit, high (level 4) `99284`	$1,867	$2,489	$119–$2,190
Emergency visit, highest (level 5) `99285`	$2,800	$3,734	$173–$3,286
Comprehensive metabolic panel `80053`	$50.30	$67.07	$8.97–$59.02
Basic metabolic panel `80048`	$33.98	$45.31	$7.19–$39.87
Complete blood count (CBC) `85025`	$48.02	$64.02	$6.60–$56.34
Blood draw (venipuncture) `36415`	$17.06	$77.39	$7.73–$116
Urinalysis `81001`	$22.93	$30.57	$2.69–$26.90
Troponin (heart test) `84484`	$102	$381	$10.60–$551
EKG tracing `93005`	$164	$219	$5.94–$192
Chest X-ray, 2 views `71046`	$182	$243	$10.26–$213
CT head without contrast `70450`	$670	$893	$39.70–$786
CT abdomen and pelvis with contrast `74177`	$1,767	$2,356	$85.32–$2,073
MRI lower back without contrast `72148`	$1,547	$2,063	$69.44–$1,816
Ultrasound, abdomen `76700`	$410	$547	$37.72–$481
IV push, single drug `96374`	$236	$315	$35.24–$277
IV fluids, first hour `96360`	$276	$367	$30.84–$323
Ketorolac injection, 15 mg `J1885`	$11.25	$18.90	$0.25–$20.06
Ondansetron injection `J2405`	$2.04	$3.26	$0.09–$3.34
Colonoscopy, diagnostic `45378`	$1,794	$2,392	$163–$2,105
Upper GI endoscopy with biopsy `43239`	—	—	$133–$899
Knee arthroscopy `29881`	—	—	$364–$3,110
Vaginal delivery, routine care `59400`	—	—	$2,327–$2,327
Cesarean delivery, routine care `59510`	—	—	$2,572–$2,572

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: Intermountain Health Primary Children's Hospital price transparency page.

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Common billing problems to look for

Billed above the posted cash priceIf you're paying yourself, ask the hospital to apply its published cash price.
Panels billed inside panelsA basic metabolic panel (80048) billed with a comprehensive one (80053) on the same day.
Duplicate linesThe same service billed twice without explanation.
No itemized billYou can ask for every line with its code, date and amount.