Holy Cross Hospital-Jordan Valley

3580 West 9000 South, West Jordan, UT 84088 · (801) 561-8888

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 4/5Salt Lake City, UT metro Part of Commonspirit Mountain Region · 13 hospitals Website ↗

Price file

Prices published

File dated 2026-02-11

3,237 price rows for 69 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $93

$93

cash

$6 to $232

71 negotiated rates

$232

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $2,724

$2,724

cash

$170 to $6,809

60 negotiated rates

$6,809

list

CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $1,072

$1,072

cash

$53 to $2,679

60 negotiated rates

$2,679

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $1,257

$1,257

cash

$135 to $3,143

60 negotiated rates

$3,143

list

Cataract surgery with lens implant

CPT 66984

—

cash

$427 to $2,220

15 negotiated rates

—

list

Cesarean delivery with prenatal and postpartum care

CPT 59510

—

cash

$2,149 to $5,311

11 negotiated rates

—

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$5,490 to $20,523

26 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 2 lines · metro median $85

$85

cash

$24 to $211

60 negotiated rates

$211

list

Colonoscopy (diagnostic)

CPT 45378 · lowest of 2 lines · metro median $1,633

$1,633

cash

$147 to $4,912

60 negotiated rates

$4,082

list

Colonoscopy with biopsy

CPT 45380

—

cash

$159 to $2,419

18 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$201 to $2,419

18 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines · metro median $138

$138

cash

$5 to $344

71 negotiated rates

$344

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $153

$153

cash

$7 to $382

71 negotiated rates

$382

list

Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 2 lines · metro median $299

$299

cash

$86 to $747

60 negotiated rates

$747

list

Electrocardiogram (ECG) with interpretation

CPT 93000

—

cash

$11 to $29

11 negotiated rates

—

list

Established patient office visit (about 40 minutes)

CPT 99215

—

cash

$115 to $286

11 negotiated rates

—

list

Family psychotherapy with the patient

CPT 90847 · lowest of 2 lines · metro median $225

$225

cash

$86 to $563

59 negotiated rates

$563

list

Family psychotherapy without the patient

CPT 90846 · lowest of 2 lines · metro median $225

$225

cash

$83 to $563

59 negotiated rates

$563

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$534 to $17,690

19 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 2 lines · metro median $85

$85

cash

$24 to $211

60 negotiated rates

$211

list

Group psychotherapy

CPT 90853 · lowest of 2 lines · metro median $132

$132

cash

$20 to $331

59 negotiated rates

$331

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$14,413 to $46,289

23 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$5,965 to $19,156

23 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$9,163 to $29,428

23 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$423 to $5,971

16 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$440 to $5,944

16 negotiated rates

—

list

Laser treatment after cataract surgery (YAG)

CPT 66821

—

cash

$243 to $628

15 negotiated rates

—

list

Left heart catheterization

CPT 93452 · lowest of 2 lines · metro median $6,940

$6,940

cash

$481 to $20,147

60 negotiated rates

$17,349

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines · metro median $80

$80

cash

$9 to $200

71 negotiated rates

$200

list

Liver function panel

CPT 80076 · lowest of 2 lines · metro median $127

$127

cash

$6 to $317

60 negotiated rates

$317

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $2,438

$2,438

cash

$166 to $6,095

60 negotiated rates

$6,095

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 2 lines · metro median $1,675

$1,675

cash

$110 to $4,188

60 negotiated rates

$4,188

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 2 lines · metro median $2,129

$2,129

cash

$96 to $5,323

60 negotiated rates

$5,323

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $2,033

$2,033

cash

$95 to $5,081

60 negotiated rates

$5,081

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$17,409 to $58,120

23 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 2 lines · metro median $744

$744

cash

$89 to $8,130

60 negotiated rates

$1,860

list

New patient office visit (about 30 minutes)

CPT 99203

—

cash

$66 to $163

11 negotiated rates

—

list

New patient office visit (about 45 minutes)

CPT 99204

—

cash

$107 to $266

11 negotiated rates

—

list

New patient office visit (about 60 minutes)

CPT 99205

—

cash

$146 to $362

11 negotiated rates

—

list

PSA test (prostate)

CPT 84153 · lowest of 2 lines · metro median $137

$137

cash

$13 to $343

60 negotiated rates

$343

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 2 lines · metro median $81

$81

cash

$4 to $201

60 negotiated rates

$201

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 4 lines · metro median $64

$64

cash

$26 to $316

120 negotiated rates

$160

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines · metro median $465

$465

cash

$67 to $1,163

60 negotiated rates

$1,163

list

Preventive visit, new patient age 18 to 39

CPT 99385

—

cash

$115 to $289

15 negotiated rates

—

list

Preventive visit, new patient age 40 to 64

CPT 99386

—

cash

$133 to $333

15 negotiated rates

—

list

Prostate biopsy

CPT 55700

—

cash

$104 to $1,941

15 negotiated rates

—

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$958 to $9,808

15 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 2 lines · metro median $65

$65

cash

$3 to $163

71 negotiated rates

$163

list

Psychotherapy, 30 minutes

CPT 90832 · lowest of 2 lines · metro median $187

$187

cash

$58 to $468

59 negotiated rates

$468

list

Psychotherapy, 45 minutes

CPT 90834 · lowest of 2 lines · metro median $249

$249

cash

$77 to $622

59 negotiated rates

$622

list

Psychotherapy, 60 minutes

CPT 90837 · lowest of 2 lines · metro median $236

$236

cash

$113 to $589

59 negotiated rates

$589

list

Removal of a breast lump (biopsy by excision)

CPT 19120

—

cash

$338 to $3,632

15 negotiated rates

—

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 2 lines · metro median $257

$257

cash

$71 to $643

60 negotiated rates

$643

list

Shoulder arthroscopy with decompression

CPT 29826

—

cash

$138 to $5,944

12 negotiated rates

—

list

Sleep study (overnight, attended)

CPT 95810 · lowest of 2 lines · metro median $1,855

$1,855

cash

$393 to $4,638

60 negotiated rates

$4,638

list

Spinal fusion (not neck), no complications

MS-DRG 460

—

cash

$40,944 to $64,564

5 negotiated rates

—

list

Spinal injection, lower back, no imaging guidance

CPT 62322

—

cash

$63 to $868

15 negotiated rates

—

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 2 lines · metro median $931

$931

cash

$79 to $8,130

60 negotiated rates

$2,328

list

TSH test (thyroid)

CPT 84443 · lowest of 2 lines · metro median $135

$135

cash

$12 to $338

71 negotiated rates

$338

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$236 to $5,580

15 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830 · lowest of 2 lines · metro median $379

$379

cash

$65 to $947

60 negotiated rates

$947

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $559

$559

cash

$60 to $1,397

60 negotiated rates

$1,397

list

Upper endoscopy (EGD)

CPT 43235

—

cash

$97 to $864

15 negotiated rates

—

list

Upper endoscopy with biopsy

CPT 43239

—

cash

$110 to $864

15 negotiated rates

—

list

Urinalysis with microscope

CPT 81001 · lowest of 2 lines · metro median $83

$83

cash

$2 to $208

60 negotiated rates

$208

list

Vaginal delivery after a previous cesarean

CPT 59610

—

cash

$2,027 to $5,006

11 negotiated rates

—

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$3,499 to $16,216

26 negotiated rates

—

list

Vaginal delivery with prenatal and postpartum care

CPT 59400

—

cash

$1,935 to $4,796

11 negotiated rates

—

list

X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 2 lines · metro median $392

$392

cash

$30 to $980

60 negotiated rates

$980

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://csdam.widen.net/content/io0gtsq56o/original/820588653-1801591391_catholic-health-initiatives-colorado-holy-cross-hospital-jordan-valley_standardcharges.csv
Holy Cross Hospital - Jordan Valley · parsed · tall v3.0.0 · file dated 2026-02-11 · 676.4 MB · 3237 price rows read · read Nov 2026