IHC Health Services Inc., DBA Intermountain Health Sanpete Valley Hospital
Mt Pleasant, UT
Addresses
Filing revisions
1 known revision on file.
| Revision date | Payer-specific rates |
|---|---|
| Aug 5, 2026 | Yes |
Example procedure pricing
- Total knee replacement β CPT 27447$975
- MRI brain w/ contrast β CPT 70553$3.4k
- Upper GI endoscopy β CPT 43239$1.2k
- Knee arthroscopy β CPT 29881$2.7k
- Colonoscopy β CPT 45378$1.7k
- Colonoscopy with biopsy β CPT 45380$982
- Cataract surgery β CPT 66984$1.9k
- Appendectomy β CPT 44970$310
- Hip replacement β CPT 27130$976
- Gallbladder removal β CPT 47562$3.5k
- Screening mammogram β CPT 77067$638
- CT scan, abdomen and pelvis β CPT 74177$2.4k
- Coronary stent placement β CPT 92928$19.6k
- Tonsillectomy β CPT 42820$2.6k
- Cardiac catheterization β CPT 93458$6.4k
- MRI, knee β CPT 73721$1.6k
- MRI, lumbar spine β CPT 72148$2.0k
- Chest X-ray β CPT 71046$255
- Emergency dept visit, level 4 β CPT 99284$1.8k
- Hernia repair β CPT 49505$419
- Carpal tunnel release β CPT 64721$484
- Cesarean delivery β CPT 59510$2.6k
- Spinal fusion β CPT 22612$753
- Vaginal delivery β CPT 59400$2.3k
- Pacemaker insertion β CPT 33208$17.9k
- Shoulder arthroscopy with rotator cuff repair β CPT 29827$4.9k
- Gastric bypass surgery β CPT 43644$817
EIN: 942854057
Last updated: Aug 5, 2026
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Hospital ID: 95736a7914c82b0bdf91543f8aaa50f1531636648b03a294dba4392a594be961