CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Mountain West Medical Center

Billing Code: 70450 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$293
about 2.7× the $107 Medicare rate · typically $118–$370
modeled estimate · not a bill or quote
What this hospital charges insurers
$281
About the fair price
about $12 under the fair price · 2.6× Medicare
Medicare pays $107 Fair price $293 This hospital $281 Cash price $1,783 Hospital's list price $2,971

How we calculate the fair BaseRate →

How this hospital compares to other UT hospitals

Highest price of the 9 UT hospitals we have prices for — worth calling around.

Cheapest $64 Priciest $281

Black dot = this hospital, among the 9 UT hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, head (no contrast) is about $293 (about 2.7× the $107 Medicare rate). Mountain West Medical Center charges insurers about $281, or about $1,783 in cash — about the fair price. Located in Tooele, UT.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $2,288 2142%
Blue Cross Blue Shieldmajor $106 - $456 99%
Aetnamajor $1,131 1059%
Cignamajor $2,107 1973%
Humanamajor $2,526 2365%
SelectHealth $106 - $2,228 99%
+ 5 smaller / regional plans $1,931 - $2,526
Government programs also on file: Medicare.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 2055 North Main Street, Tooele, UT 84074
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals