Shoppable Services at Bear River Valley Hospital

General Disclosure

The list of standard charges displayed represent the pricing information for medical items and services required by the federal Hospital Price Transparency Rule. The pricing information does not necessarily reflect your financial responsibility for your hospital visit, for several reasons, including:

  • The listings reflect prices paid by your insurer for services provided during your hospital visit, which may not reflect your share of the costs for these services under the terms of your health plan.
  • The prices for your insurer are only available if your insurer covers the medical items or services under the terms of your health plan.
  • The actual medical items, including medications, and services that are furnished to you during your visit may vary from what is anticipated.
  • You may receive services or supplies from physicians, practitioners or contractors who are not employed by this hospital; the prices for such services or supplies are not listed here.
  • Your insurer may not be contracted with this hospital for all services. The posted prices will not apply to services for which your insurer has not contracted.

These listings do not guarantee pricing, coverage, benefits, or payments. Your financial liability will be based on the medical items and services billed by the hospital, the terms of your insurance policy, and the status of your benefits (i.e., deductibles, out of pocket maximum, co-insurance, and copays) at the time you receive care. Your eligibility and the amounts covered by your insurance are solely determined by your health insurance provider.

We encourage you to contact a Hospital Cost Estimation Specialist at (855) 442-8601 or INTCostEstimate@R1RCM.com or your insurer to obtain more precise information regarding your potential financial liability.

CDM Bill Item Service Code Service Description Payer Plan Name Inpatient Cash Price Inpatient Min Price Inpatient Max Price Inpatient Negotiated Price Outpatient Cash Price Outpatient Min Price Outpatient Max Price Outpatient Negotiated Price Charge Price
1001000091 1379881 00103 Anesthesia Time - Profee BCBS OOS -TRAD BCBS Association-Blue Card Traditional Plan $11.82 $11.35 $15.35 $14.97 $11.82 $11.35 $15.51 $14.97 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee Provider Networks of America Provider Networks of America (PNOA) $11.82 $11.35 $15.35 $14.97 $11.82 $11.35 $15.51 $14.97 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee Provider Networks of America Provider Networks of America (PNOA) $12.12 $11.35 $15.35 $15.35 $12.12 $11.35 $15.51 $15.35 $16.16
1001000091 1379881 00103 Anesthesia Time - Profee Prodegi Corporate Benefit Services, LLC Prodegi Corporate Benefit Services, LLC $12.12 $11.35 $15.35 $15.35 $12.12 $11.35 $15.51 $15.35 $16.16
1001000091 1379881 00103 Anesthesia Time - Profee Prodegi Corporate Benefit Services, LLC Prodegi Corporate Benefit Services, LLC $11.82 $11.35 $15.35 $14.97 $11.82 $11.35 $15.51 $14.97 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee Petersen, Inc. Petersen, Inc. $11.82 $11.35 $15.35 $14.97 $11.82 $11.35 $15.51 $14.97 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee Petersen, Inc. Petersen, Inc. $12.12 $11.35 $15.35 $15.35 $12.12 $11.35 $15.51 $15.35 $16.16
1001000091 1379881 00103 Anesthesia Time - Profee PEHP PEHP Summit Care $12.12 $11.35 $15.35 $15.35 $12.12 $11.35 $15.51 $15.35 $16.16
1001000091 1379881 00103 Anesthesia Time - Profee PEHP PEHP Summit Exclusive $12.12 $11.35 $15.35 $15.35 $12.12 $11.35 $15.51 $15.35 $16.16
1001000091 1379881 00103 Anesthesia Time - Profee PEHP PEHP Preferred Care $11.82 $11.35 $15.35 $14.97 $11.82 $11.35 $15.51 $14.97 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee PEHP PEHP Preferred Care $12.12 $11.35 $15.35 $15.35 $12.12 $11.35 $15.51 $15.35 $16.16
1001000091 1379881 00103 Anesthesia Time - Profee PEHP PEHP Capital Care $12.12 $11.35 $15.35 $15.35 $12.12 $11.35 $15.51 $15.35 $16.16
1001000091 1379881 00103 Anesthesia Time - Profee PEHP PEHP Capital Care $11.82 $11.35 $15.35 $14.97 $11.82 $11.35 $15.51 $14.97 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee PEHP PEHP Summit Exclusive $11.82 $11.35 $15.35 $14.97 $11.82 $11.35 $15.51 $14.97 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee PEHP PEHP Summit Care $11.82 $11.35 $15.35 $14.97 $11.82 $11.35 $15.51 $14.97 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee PEHP PEHP Advantage Care State Employees and Advantage Care Exclusive $11.82 $11.35 $15.35 $14.97 $11.82 $11.35 $15.51 $14.97 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee PEHP PEHP Advantage Care State Employees and Advantage Care Exclusive $12.12 $11.35 $15.35 $15.35 $12.12 $11.35 $15.51 $15.35 $16.16
1001000091 1379881 00103 Anesthesia Time - Profee PEHP PEHP Advantage Care - Non State $12.12 $11.35 $15.35 $15.35 $12.12 $11.35 $15.51 $15.35 $16.16
1001000091 1379881 00103 Anesthesia Time - Profee PEHP PEHP Advantage Care - Non State $11.82 $11.35 $15.35 $14.97 $11.82 $11.35 $15.51 $14.97 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee MotivHealth MotivHealth $12.12 $11.35 $15.35 $15.35 $12.12 $11.35 $15.51 $15.35 $16.16
1001000091 1379881 00103 Anesthesia Time - Profee MotivHealth MotivHealth $11.82 $11.35 $15.35 $14.97 $11.82 $11.35 $15.51 $14.97 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee Molina Healthcare of Utah Molina Healthcare Medicaid HMO $11.82 $11.35 $15.35 $14.03 $11.82 $11.35 $15.51 $0.00 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee Molina Healthcare of Utah Molina Marketplace $11.82 $11.35 $15.35 $14.97 $11.82 $11.35 $15.51 $14.97 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee Molina Healthcare of Utah Molina Marketplace $12.12 $11.35 $15.35 $15.35 $12.12 $11.35 $15.51 $15.35 $16.16
1001000091 1379881 00103 Anesthesia Time - Profee Molina Healthcare of Utah Molina CHIP $12.12 $11.35 $15.35 $15.35 $12.12 $11.35 $15.51 $15.35 $16.16
1001000091 1379881 00103 Anesthesia Time - Profee MedCare International, Inc. MedCare International, Inc. $11.82 $11.35 $15.35 $14.97 $11.82 $11.35 $15.51 $14.97 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee MedCare International, Inc. MedCare International, Inc. $12.12 $11.35 $15.35 $15.35 $12.12 $11.35 $15.51 $15.35 $16.16
1001000091 1379881 00103 Anesthesia Time - Profee Managed Care Administrators, Inc. Managed Care Administrators, Inc. $12.12 $11.35 $15.35 $15.35 $12.12 $11.35 $15.51 $15.35 $16.16
1001000091 1379881 00103 Anesthesia Time - Profee Managed Care Administrators, Inc. Managed Care Administrators, Inc. $11.82 $11.35 $15.35 $14.97 $11.82 $11.35 $15.51 $14.97 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee LW Miller LW Miller $12.12 $11.35 $15.35 $15.35 $12.12 $11.35 $15.51 $15.35 $16.16
1001000091 1379881 00103 Anesthesia Time - Profee LW Miller LW Miller $11.82 $11.35 $15.35 $14.97 $11.82 $11.35 $15.51 $14.97 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee Juniper Systems Juniper Systems $12.12 $11.35 $15.35 $15.35 $12.12 $11.35 $15.51 $15.35 $16.16
1001000091 1379881 00103 Anesthesia Time - Profee Juniper Systems Juniper Systems $11.82 $11.35 $15.35 $14.97 $11.82 $11.35 $15.51 $14.97 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee Inovar Inovar $12.12 $11.35 $15.35 $15.35 $12.12 $11.35 $15.51 $15.35 $16.16
1001000091 1379881 00103 Anesthesia Time - Profee Inovar Inovar $11.82 $11.35 $15.35 $14.97 $11.82 $11.35 $15.51 $14.97 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee Injury Care of Nevada Injury Care of Nevada $12.12 $11.35 $15.35 $12.12 $12.12 $11.35 $15.51 $12.12 $16.16
1001000091 1379881 00103 Anesthesia Time - Profee Injury Care of Nevada Injury Care of Nevada $11.82 $11.35 $15.35 $11.82 $11.82 $11.35 $15.51 $11.82 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee Icon Health Fitness Icon Health Fitness $11.82 $11.35 $15.35 $14.97 $11.82 $11.35 $15.51 $14.97 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee Icon Health Fitness Icon Health Fitness $12.12 $11.35 $15.35 $15.35 $12.12 $11.35 $15.51 $15.35 $16.16
1001000091 1379881 00103 Anesthesia Time - Profee Hygeia Corporation Hygeia Corporation $12.12 $11.35 $15.35 $15.35 $12.12 $11.35 $15.51 $15.35 $16.16
1001000091 1379881 00103 Anesthesia Time - Profee Hygeia Corporation Hygeia Corporation $11.82 $11.35 $15.35 $14.97 $11.82 $11.35 $15.51 $14.97 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee Humana Humana ChoiceCare $11.82 $11.35 $15.35 $14.97 $11.82 $11.35 $15.51 $14.97 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee Humana Humana ChoiceCare $12.12 $11.35 $15.35 $15.35 $12.12 $11.35 $15.51 $15.35 $16.16
1001000091 1379881 00103 Anesthesia Time - Profee Healthy U Healthy U-Medicaid $11.82 $11.35 $15.35 $14.03 $11.82 $11.35 $15.51 $0.00 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee Healthy U Healthy U-Medicaid $12.12 $11.35 $15.35 $14.38 $12.12 $11.35 $15.51 $0.00 $16.16
1001000091 1379881 00103 Anesthesia Time - Profee HealthSCOPE Benefits, Inc. HealthSCOPE Benefits, Inc. $11.82 $11.35 $15.35 $14.97 $11.82 $11.35 $15.51 $14.97 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee HealthSCOPE Benefits, Inc. HealthSCOPE Benefits, Inc. $12.12 $11.35 $15.35 $15.35 $12.12 $11.35 $15.51 $15.35 $16.16
1001000091 1379881 00103 Anesthesia Time - Profee Health Utah Health Utah $12.12 $11.35 $15.35 $15.35 $12.12 $11.35 $15.51 $15.35 $16.16
1001000091 1379881 00103 Anesthesia Time - Profee Health Utah Health Utah $11.82 $11.35 $15.35 $14.97 $11.82 $11.35 $15.51 $14.97 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee Health Plan of Nevada Medicaid Health Plan of Nevada Medicaid (HPN) $12.12 $11.35 $15.35 $14.38 $12.12 $11.35 $15.51 $0.00 $16.16
1001000091 1379881 00103 Anesthesia Time - Profee Health Plan of Nevada Medicaid Health Plan of Nevada Medicaid (HPN) $11.82 $11.35 $15.35 $14.03 $11.82 $11.35 $15.51 $0.00 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee Health Choice Utah Health Choice Utah-Medicaid $11.82 $11.35 $15.35 $14.03 $11.82 $11.35 $15.51 $0.00 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee Health Choice Utah Health Choice Utah-Medicaid $12.12 $11.35 $15.35 $14.38 $12.12 $11.35 $15.51 $0.00 $16.16
1001000091 1379881 00103 Anesthesia Time - Profee Global Excel Global Excel $11.82 $11.35 $15.35 $14.97 $11.82 $11.35 $15.51 $14.97 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee Global Excel Global Excel $12.12 $11.35 $15.35 $15.35 $12.12 $11.35 $15.51 $15.35 $16.16
1001000091 1379881 00103 Anesthesia Time - Profee Franklin County Medical Center Franklin County Medical Center $11.82 $11.35 $15.35 $14.97 $11.82 $11.35 $15.51 $14.97 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee Franklin County Medical Center Franklin County Medical Center $12.12 $11.35 $15.35 $15.35 $12.12 $11.35 $15.51 $15.35 $16.16
1001000091 1379881 00103 Anesthesia Time - Profee Franklin County Franklin County $12.12 $11.35 $15.35 $15.35 $12.12 $11.35 $15.51 $15.35 $16.16
1001000091 1379881 00103 Anesthesia Time - Profee Franklin County Franklin County $11.82 $11.35 $15.35 $14.97 $11.82 $11.35 $15.51 $14.97 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee EMI Health EMI Health Network Care $12.12 $11.35 $15.35 $15.35 $12.12 $11.35 $15.51 $15.35 $16.16
1001000091 1379881 00103 Anesthesia Time - Profee EMI Health EMI Health Network Care $11.82 $11.35 $15.35 $14.97 $11.82 $11.35 $15.51 $14.97 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee EMI Health EMI Health $11.82 $11.35 $15.35 $14.97 $11.82 $11.35 $15.51 $14.97 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee EMI Health EMI Health Choice $12.12 $11.35 $15.35 $15.35 $12.12 $11.35 $15.51 $15.35 $16.16
1001000091 1379881 00103 Anesthesia Time - Profee EMI Health EMI Health Choice $11.82 $11.35 $15.35 $14.97 $11.82 $11.35 $15.51 $14.97 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee EMI Health EMI Health $12.12 $11.35 $15.35 $15.35 $12.12 $11.35 $15.51 $15.35 $16.16
1001000091 1379881 00103 Anesthesia Time - Profee Dixie State University Dixie State University $12.12 $11.35 $15.35 $11.64 $12.12 $11.35 $15.51 $11.64 $16.16
1001000091 1379881 00103 Anesthesia Time - Profee Dixie State University Dixie State University $11.82 $11.35 $15.35 $11.35 $11.82 $11.35 $15.51 $11.35 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee Deseret Mutual DMBA Deseret Premier $12.12 $11.35 $15.35 $15.35 $12.12 $11.35 $15.51 $15.35 $16.16
1001000091 1379881 00103 Anesthesia Time - Profee Deseret Mutual DMBA Deseret Premier $11.82 $11.35 $15.35 $14.97 $11.82 $11.35 $15.51 $14.97 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee Deseret Mutual DMBA Deseret Select $12.12 $11.35 $15.35 $15.35 $12.12 $11.35 $15.51 $15.35 $16.16
1001000091 1379881 00103 Anesthesia Time - Profee Deseret Mutual DMBA Deseret Select $11.82 $11.35 $15.35 $14.97 $11.82 $11.35 $15.51 $14.97 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee Deseret Mutual DMBA Deseret Value $11.82 $11.35 $15.35 $14.97 $11.82 $11.35 $15.51 $14.97 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee Deseret Mutual DMBA Deseret Value $12.12 $11.35 $15.35 $15.35 $12.12 $11.35 $15.51 $15.35 $16.16
1001000091 1379881 00103 Anesthesia Time - Profee Corporation of the President Corporation of the President $11.82 $11.35 $15.35 $11.82 $11.82 $11.35 $15.51 $11.82 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee Corporation of the President Corporation of the President $12.12 $11.35 $15.35 $12.12 $12.12 $11.35 $15.51 $12.12 $16.16
1001000091 1379881 00103 Anesthesia Time - Profee CorVel Corporation CorVel Corporation $11.82 $11.35 $15.35 $11.82 $11.82 $11.35 $15.51 $11.82 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee CorVel Corporation CorVel Corporation $12.12 $11.35 $15.35 $12.12 $12.12 $11.35 $15.51 $12.12 $16.16
1001000091 1379881 00103 Anesthesia Time - Profee Cigna Healthcare CIGNA Managed Care (HMO or Open Access Plus aka OAP) $11.82 $11.35 $15.35 $14.97 $11.82 $11.35 $15.51 $14.97 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee Cigna Healthcare CIGNA PPO and EPO $12.12 $11.35 $15.35 $15.35 $12.12 $11.35 $15.51 $15.35 $16.16
1001000091 1379881 00103 Anesthesia Time - Profee Cigna Healthcare CIGNA PPO and EPO $11.82 $11.35 $15.35 $14.97 $11.82 $11.35 $15.51 $14.97 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee Cigna Healthcare CIGNA Utah Connect $12.12 $11.35 $15.35 $15.35 $12.12 $11.35 $15.51 $15.35 $16.16
1001000091 1379881 00103 Anesthesia Time - Profee BCBS OOS - PPO BCBS Association-Blue Card PPO Plan $12.12 $11.35 $15.35 $15.35 $12.12 $11.35 $15.51 $15.35 $16.16
1001000091 1379881 00103 Anesthesia Time - Profee BCBS OOS - PPO BCBS Association-Blue Card PPO Plan $11.82 $11.35 $15.35 $14.97 $11.82 $11.35 $15.51 $14.97 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee Altius Altius (Coventry) Limited Facility $12.12 $11.35 $15.35 $15.35 $12.12 $11.35 $15.51 $15.35 $16.16
1001000091 1379881 00103 Anesthesia Time - Profee Altius Altius (Coventry) Limited Facility $11.82 $11.35 $15.35 $14.97 $11.82 $11.35 $15.51 $14.97 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee Aetna Aetna Utah Connected Network $11.82 $11.35 $15.35 $14.97 $11.82 $11.35 $15.51 $15.13 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee Aetna Aetna Standard Network AKA Aetna Health Plan Network for Utah $12.12 $11.35 $15.35 $15.35 $12.12 $11.35 $15.51 $15.35 $16.16
1001000091 1379881 00103 Anesthesia Time - Profee Aetna Aetna Standard Network AKA Aetna Health Plan Network for Utah $11.82 $11.35 $15.35 $14.97 $11.82 $11.35 $15.51 $14.97 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee Aetna Aetna Utah Connected Network $12.12 $11.35 $15.35 $15.35 $12.12 $11.35 $15.51 $15.51 $16.16
1001000091 1379881 00103 Anesthesia Time - Profee 1-800 Contacts 1-800 Contacts $11.82 $11.35 $15.35 $14.97 $11.82 $11.35 $15.51 $14.97 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee 1-800 Contacts 1-800 Contacts $12.12 $11.35 $15.35 $15.35 $12.12 $11.35 $15.51 $15.35 $16.16
1001000091 1379881 00103 Anesthesia Time - Profee Cigna Healthcare CIGNA Utah Connect $11.82 $11.35 $15.35 $14.97 $11.82 $11.35 $15.51 $14.97 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee Cigna Healthcare CIGNA Managed Care (HMO or Open Access Plus aka OAP) $12.12 $11.35 $15.35 $15.35 $12.12 $11.35 $15.51 $15.35 $16.16
1001000091 1379881 00103 Anesthesia Time - Profee Campbell Scientific Campbell Scientific $11.82 $11.35 $15.35 $14.97 $11.82 $11.35 $15.51 $14.97 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee Campbell Scientific Campbell Scientific $12.12 $11.35 $15.35 $15.35 $12.12 $11.35 $15.51 $15.35 $16.16
1001000091 1379881 00103 Anesthesia Time - Profee Big-D Construction Big-D Construction $11.82 $11.35 $15.35 $14.97 $11.82 $11.35 $15.51 $14.97 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee Big-D Construction Big-D Construction $12.12 $11.35 $15.35 $15.35 $12.12 $11.35 $15.51 $15.35 $16.16
1001000091 1379881 00103 Anesthesia Time - Profee BYU Risk Management BYU Risk Management $11.82 $11.35 $15.35 $13.40 $11.82 $11.35 $15.51 $13.40 $15.76
1001000091 1379881 00103 Anesthesia Time - Profee BYU Risk Management BYU Risk Management $12.12 $11.35 $15.35 $13.74 $12.12 $11.35 $15.51 $13.74 $16.16