Lakeview Hospital
630 East Medical Drive, Bountiful, UT 84010 · 125 Priced Procedures · 69% Patient Recommendation
Typical commercial prices here are +68% above the fair benchmark (1.68×) even after accounting for local nurse/doctor wages and patient complexity.
4-Star CMS clinical quality rating paired with 1.68× fair market pricing.
Specialty Drug & Surgical Margin Engine
Lakeview Hospital concentrates commercial margin in outpatient surgical suites (5.9× Medicare) and specialty drug infusions (1.7× Medicare) relative to routine diagnostics (1.6×). Comparing freestanding ambulatory surgery centers or specialty pharmacy options before treatment yields substantial savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.03× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 1% of shoppable procedures (25/100 Cash Honesty)
- 5-Star CMS clinical rating with 69% patient recommendation (76/100 safety score)
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 5.9× markup over Medicare rates
- Commercial insurance median sits at 1.70× Fair BaseRate (2.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 2.02×) jump +19% above the median procedure ratio (Q50 1.70×)
- Consolidated metro market (HHI 2,889) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Lakeview Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 125 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Total hip replacement CPT Code: 27130 | $29,880 | unverified |
| Total knee replacement CPT Code: 27447 | $29,880 | unverified |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $25,458 | 1.3× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $25,082 | 1.3× |
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $22,601 | 0.7× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $14,673 | 0.8× |
| Trauma team activation HCPCS Code: G0390 | $13,816 | 9.5× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $10,296 | 1.3× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $9,674 | 1.6× |
| Inguinal hernia repair CPT Code: 49505 | $7,399 | 2.0× |
| Breast lump removal CPT Code: 19120 | $7,394 | 1.9× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $6,817 | 2.0× |
| Bunion correction surgery CPT Code: 28296 | $6,817 | unverified |
| Cataract surgery with lens implant CPT Code: 66984 | $5,010 | 2.0× |
| Vaginal delivery (full package) CPT Code: 59400 | $4,565 | 1.7× |
| C-section delivery (full package) CPT Code: 59510 | $4,565 | 1.5× |
| Colonoscopy with biopsy CPT Code: 45380 | $3,086 | 2.5× |
| Upper endoscopy with biopsy CPT Code: 43239 | $2,908 | unverified |
| Colonoscopy (diagnostic) CPT Code: 45378 | $2,546 | 2.6× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $2,154 | 2.1× |
| Injection procedure for pain management HCPCS Code: G0260 | $1,817 | 2.1× |
| Blood transfusion CPT Code: 36430 | $1,162 | 2.3× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,160 | 2.0× |
| Psychological testing by technician CPT Code: 96138 | $870 | 2.2× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $855 | 1.9× |
Audit a Bill or Quote at Lakeview Hospital (Zero PHI Required)
Above Standard 400% FPL Financial-Assistance Ceiling
At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Lakeview Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)
Your bill ($71,712) is $58,299 above the denoised Fair BaseRate ($13,413) and 5.5× the $13,117 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Lakeview Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Lakeview Hospital. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-04-30·administrative_or_closure
Met Requirements
Recorded - 2023-10-12·administrative_or_closure
Met Requirements
Recorded
Source: CMS Hospital Care Compare (439 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Lakeview Hospital.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.