CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Intermountain Health Sanpete Valley Hospital

Billing Code: 71250 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$440
about 4.1× the $107 Medicare rate · typically $103–$610
modeled estimate · not a bill or quote
What this hospital charges insurers
$533
Above the fair price
about $93 over the fair price · 5.0× Medicare
Medicare pays $107 Fair price $440 This hospital $533 Cash price $1,645 Hospital's list price $2,193

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 $533

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, chest (no contrast) is about $440 (about 4.1× the $107 Medicare rate). Intermountain Health Sanpete Valley Hospital charges insurers about $533, or about $1,645 in cash — above the fair price. Located in Mount Pleasant, UT.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $440. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $51 - $2,083 48%
Blue Cross Blue Shieldmajor $51 - $2,083 48%
Aetnamajor $51 - $2,105 48%
Cignamajor $533 - $2,083 499%
Humanamajor $51 - $2,083 48%
HealthPartners $51 - $658 48%
Molina $51 - $2,083 48%
SelectHealth $51 - $2,083 48%
+ 30 smaller / regional plans $51 - $2,105
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1100 South Medical Drive, Mount Pleasant, UT 84647
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals