CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Mountain West Medical Center

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$124
about 0.9× the $136 Medicare rate · typically $82–$200
modeled estimate · not a bill or quote
What this hospital charges insurers
$83
Below the fair price — a good deal
about $41 under the fair price · 0.6× Medicare
Medicare pays $136 Fair price $124 This hospital $83 Cash price $374 Hospital's list price $624

How we calculate the fair BaseRate →

How this hospital compares to other UT hospitals

One of the lower prices — 6 of 8 other UT hospitals charge more for the same procedure.

Cheapest $50 Priciest $120

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 Office visit, established patient (30-39 min) is about $124 (about 0.9× the $136 Medicare rate). Mountain West Medical Center charges insurers about $83, or about $374 in cash — below the fair price — a good deal. 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 $480 354%
Blue Cross Blue Shieldmajor $83 - $472 61%
Aetnamajor $468 345%
Cignamajor $442 326%
Humanamajor $530 391%
SelectHealth $83 - $468 61%
+ 5 smaller / regional plans $405 - $530
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

Insurance Before you use insurance

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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