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Primary Childrens Hospital

Dr, Salt Lake City, UT 84113  Hospital

25%Self-pay discount
25% off list
A typical self-pay discount. Median across the 12,182 prices this hospital publishes, comparing its cash price with its list price for the same item.
Overall cost rating
Not rated
Type
Mid-size hospital (100 to 399 beds)
Beds
353
Ownership
Nonprofit
Health system
Intermountain Healthcare INC
Medicare ID
463301
Cost report
FY ending 12/31/2024
Emergency dept
Yes
Metro area
Salt Lake City-Murray, UT
This hospital did not report enough detail by service line to rate individual categories.

What this hospital charges a cash payer

Real published prices from this hospital's own federal price transparency file. We list only services coded in HCPCS Level II, which CMS owns, so nothing here is AMA-licensed. Compare these across hospitals.

ServiceCashList price
PSA prostate cancer screening blood test
HCPCS G0103
$71.00
cash price
$94.66
25% off
Cefazolin (Ancef) antibiotic injection, 500 mg
HCPCS J0690
$79.82
cash price
$106
25% off
Ceftriaxone (Rocephin) antibiotic injection, 250 mg
HCPCS J0696
$89.62
cash price
$119
25% off
Dexamethasone steroid injection, 1 mg
HCPCS J1100
$51.60
cash price
$68.80
25% off
Diphenhydramine (Benadryl) injection, 50 mg
HCPCS J1200
$29.25
cash price
$39.00
25% off
Gentamicin antibiotic injection, 80 mg
HCPCS J1580
$35.34
cash price
$47.12
25% off
Heparin blood thinner injection, 1000 units
HCPCS J1644
$79.06
cash price
$105
25% off
Ketorolac (Toradol) pain injection, 15 mg
HCPCS J1885
$53.53
cash price
$71.37
25% off
Ondansetron (Zofran) anti-nausea injection, 1 mg
HCPCS J2405
$35.27
cash price
$47.03
25% off
Fentanyl citrate injection, 0.1 mg
HCPCS J3010
$74.14
cash price
$98.85
25% off
One unit of red blood cells for transfusion
HCPCS P9016
$915
cash price
$1,220
25% off
Insurance. This facility holds Medicare certification number 463301, so it is Medicare-certified and bills Medicare. Commercial insurer network lists are not yet part of this dataset. Confirm your specific plan with the facility before you book.

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Something wrong here? This is generated from federal filings, and those filings contain errors. Tell us at krishan@thinkscoopinc.com.