Hospital Profile Critical Access Hospitals Voluntary non-profit - Private

Intermountain Health Fillmore Community Hospital

674 S HIGHWAY 99, Fillmore, UT 84631

CMS Overall Rating No CMS Rating

How this hospital's prices compare 111 procedures scored

1.0×

the fair BaseRate, typically

about the fair price

Across 111 shoppable procedures, Intermountain Health Fillmore Community Hospital typically charges about the fair BaseRate for the procedures it prices. 40 of them run 30%+ above the fair BaseRate.

Where it's most above the fair price

Gallbladder removal (laparoscopic) fair $1,377 → $8,709 6.3×
Knee arthroscopy with meniscus repair fair $1,328 → $6,225 4.7×
Upper endoscopy with biopsy fair $725 → $1,930 2.7×

How we calculate the BaseRate →

Intermountain Health Fillmore Community Hospital publishes prices for 116 shoppable procedures in Fillmore, UT. It's classified by CMS as Critical Access Hospitals (Voluntary non-profit - Private). CMS has not published a star rating for it.

Facility Overview

Setting: rural Bed Count: 19 Beds Teaching Status: Non-Teaching Annual Discharges: 221

Patient Experience

Recommendation Rate: 93% High Patient Rating: 96% ER Wait Time (Med): 108 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 116 codes Typical vs Fair BaseRate: 1.0× Price File In Index: Yes MRF Version: 3.0.0

Prices at Intermountain Health Fillmore Community Hospital

Every shoppable procedure, ranked by how far its price sits above the fair BaseRate. Fair BaseRate is the modeled typical charge; vs Fair is how many times higher this hospital's price is.

Search Procedures & Codes

Procedure & Code	Cash Price	This Hospital	Fair BaseRate	vs Fair
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$8,709	$1,377	6.3×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$6,225	$1,328	4.7×
Upper endoscopy with biopsy CPT Code: `43239`	—	$1,930	$725	2.7×
X-ray, hip CPT Code: `73502`	$728	$275	$120	2.3×
Cataract surgery with lens implant CPT Code: `66984`	—	$4,182	$1,884	2.2×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,794	$1,453	$666	2.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$373	$240	$114	2.1×
X-ray, lower back CPT Code: `72110`	$463	$328	$166	2.0×
X-ray, pelvis CPT Code: `72170`	$277	$186	$102	1.8×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,589	$877	1.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,433	$1,036	$572	1.8×
Screening mammogram (both breasts) CPT Code: `77067`	$695	$339	$197	1.7×
X-ray, chest (single view) CPT Code: `71045`	$272	$197	$118	1.7×
X-ray, chest (two views) CPT Code: `71046`	$322	$197	$119	1.7×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,963	$1,942	$1,200	1.6×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$88	$84	$53	1.6×
CT scan, head (with contrast) CPT Code: `70460`	$1,574	$805	$508	1.6×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,808	$934	$629	1.5×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,214	$1,206	$816	1.5×
CT scan, head (no contrast) CPT Code: `70450`	$1,355	$533	$373	1.4×
MRI, brain (no contrast) CPT Code: `70551`	$2,567	$1,064	$749	1.4×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,644	$533	$384	1.4×
Ultrasound, abdomen (complete) CPT Code: `76700`	$697	$339	$245	1.4×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$621	$339	$246	1.4×
Ultrasound, abdomen (limited) CPT Code: `76705`	$537	$339	$250	1.4×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,010	$805	$598	1.3×
Ultrasound, pelvis CPT Code: `76856`	$522	$339	$253	1.3×
MRI, lower back (no contrast) CPT Code: `72148`	$2,631	$1,064	$799	1.3×
CT scan, sinuses CPT Code: `70486`	$1,392	$533	$402	1.3×
CT scan, pelvis CPT Code: `72192`	$1,824	$533	$408	1.3×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,863	$533	$411	1.3×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,719	$1,401	$1,097	1.3×
CT scan, chest (no contrast) CPT Code: `71250`	$1,645	$533	$440	1.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$524	$339	$285	1.2×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,327	$2,055	1.1×
C-section delivery (full package) CPT Code: `59510`	—	$2,572	$2,327	1.1×
Orthotic fitting and training CPT Code: `97760`	$90	$47	$44	1.1×
Hepatitis B vaccine HCPCS Code: `90744`	$72	$30	$28	1.1×
Prosthetic fitting and training CPT Code: `97761`	$78	$40	$38	1.1×
Speech therapy (language evaluation) CPT Code: `92507`	$321	$75	$72	1.0×
Physical therapy (functional capacity test) CPT Code: `97750`	$92	$33	$32	1.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$95	$36	$35	1.0×
Drug screening test HCPCS Code: `G0480`	$100	$114	$113	1.0×
Occupational therapy (self-care training) CPT Code: `97535`	$109	$32	$32	1.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$251	$76	$75	1.0×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$31	$31	1.0×
Typhoid vaccine HCPCS Code: `90675`	$1,020	$355	$356	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$176	$133	$134	1.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$94	$33	$33	1.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$251	$120	$124	1.0×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$45	$14	$14	1.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$117	$37	$39	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$160	$169	0.9×
New patient office visit (30-44 min) CPT Code: `99203`	$251	$94	$100	0.9×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$128	$137	0.9×
Physical therapy (gait training) CPT Code: `97116`	$97	$29	$32	0.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$136	$151	0.9×
Breast lump removal CPT Code: `19120`	—	$608	$677	0.9×
Speech therapy (group session) CPT Code: `92508`	—	$23	$27	0.9×
Rabies immune globulin HCPCS Code: `90375`	—	$278	$336	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$93	$26	$31	0.8×
Blood test, vitamin D CPT Code: `82306`	$124	$30	$38	0.8×
Psychotherapy session (45 minutes) CPT Code: `90834`	$237	$93	$118	0.8×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$26	$33	0.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$28	$36	0.8×
Family therapy session CPT Code: `90847`	—	$98	$131	0.7×
Neurobehavioral status check CPT Code: `96116`	—	$85	$121	0.7×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$12	$18	0.7×
Inguinal hernia repair CPT Code: `49505`	—	$412	$709	0.6×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$124	$4	$7	0.6×
Blood test, glucose (blood sugar) CPT Code: `82947`	$45	$4	$7	0.6×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$96	$19	$34	0.6×
Blood test, sodium CPT Code: `84295`	$100	$5	$9	0.5×
Blood test, potassium CPT Code: `84132`	$83	$5	$9	0.5×
Blood test, ferritin (iron stores) CPT Code: `82728`	$61	$14	$26	0.5×
Psychological testing evaluation CPT Code: `96136`	—	$32	$61	0.5×
Blood test, vitamin B12 CPT Code: `82607`	$68	$15	$29	0.5×
Blood test, calcium CPT Code: `82310`	$39	$5	$10	0.5×
Psychological testing by technician CPT Code: `96138`	—	$32	$62	0.5×
Hepatitis C antibody test CPT Code: `86803`	$67	$14	$28	0.5×
Blood test, magnesium CPT Code: `83735`	$40	$7	$14	0.5×
Blood test, hemoglobin CPT Code: `85018`	$81	$2	$4	0.5×
Blood test, creatinine (kidney) CPT Code: `82565`	$151	$5	$10	0.5×
Blood test, lipase CPT Code: `83690`	$40	$7	$14	0.5×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$50	$10	$20	0.5×
X-ray, ankle CPT Code: `73610`	$361	$35	$76	0.5×
Culture, bacterial CPT Code: `87070`	$111	$9	$20	0.4×
X-ray, shoulder CPT Code: `73030`	$371	$33	$75	0.4×
X-ray, foot CPT Code: `73630`	$360	$33	$76	0.4×
X-ray, hand CPT Code: `73130`	$351	$35	$81	0.4×
Blood test, amylase CPT Code: `82150`	$40	$6	$14	0.4×
MRI, knee or other leg joint CPT Code: `73721`	$2,338	$201	$471	0.4×
Culture, blood CPT Code: `87040`	$109	$10	$26	0.4×
Group therapy session CPT Code: `90853`	$83	$25	$71	0.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,139	$89	$263	0.3×
Hospital observation (per hour) HCPCS Code: `G0378`	$104	—	—	—
Breathing treatment (nebulizer) CPT Code: `94640`	$96	—	$41	—
Flu vaccine (high dose) HCPCS Code: `90656`	$30	—	—	—
Injection procedure for pain management HCPCS Code: `G0260`	$1,449	—	—	—
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$234	—	—	—
Blood test, clotting time (PTT) CPT Code: `85730`	$20	—	$24	—
Blood test, comprehensive metabolic panel CPT Code: `80053`	$61	—	$54	—
Blood test, complete blood count (CBC) CPT Code: `85025`	$58	—	$32	—
Blood test, clotting time (PT/INR) CPT Code: `85610`	$47	—	$15	—
Blood transfusion CPT Code: `36430`	$899	—	$256	—
Blood test, thyroid (TSH) CPT Code: `84443`	$75	—	$57	—
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$459	—	—	—
Urinalysis (automated, with microscopy) CPT Code: `81001`	$28	—	$9	—
Blood antibody screen CPT Code: `86850`	$63	—	—	—
Trauma team activation HCPCS Code: `G0390`	$3,595	—	—	—
Blood test, PSA (prostate screen) CPT Code: `84153`	$82	—	$61	—
Blood test, basic metabolic panel CPT Code: `80048`	$41	—	$48	—
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$60	—	$60	—
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$164	—	$51	—
Blood test, liver function panel CPT Code: `80076`	$40	—	$35	—
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$69	—	—	—