Lds Hospital

Intermountain Healthcare

Hospital Overview

Facility Details

CCN

460006

NPI

1528078581

Type

Short Term Acute Care Hospital

Ownership

Voluntary Non-Profit - Private

Beds

250

Contact Information

Address

Eighth Avenue And 'c' Street

Salt Lake City, UT 84143

Phone

(801) 408-1100

Insurance Accepted

Aspirus Health Plan

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Important Notice

Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.

Price Transparency Contract Information

The data below comes from CMS-mandated price transparency data. Learn more.

View this hospital's rates

NOTE: Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

Payer	Category	Code Type & Group	Contract Type	Rate Compared to State Average
BCBS	Facility	RC Room and Board Semi-private (two beds) Range: 0120 - 0129	Percentage of Bill Charged
BCBS	Outpatient	CPT Evaluation and Management Range: 99091 - 99499	Percentage of Bill Charged
BCBS	Facility	RC Intensive Care Unit Range: 0200 - 0209	Per Diem	Very Low
BCBS	Facility	RC Nuclear Medicine Range: 0340 - 0349	Percentage of Bill Charged
BCBS	Facility	RC Blood and Blood Products Range: 0380 - 0389	Percentage of Bill Charged
BCBS	Outpatient	HCPCS Pathology and Laboratory Services Range: P2028 - P9615	Percentage of Bill Charged
BCBS	Inpatient	MS-DRG Diseases & Disorders of the Skin, Subcutaneous Tissue & Breast Range: 570 - 607	Negotiated	Very High
BCBS	Inpatient	MS-DRG Factors Influencing Health Status & Other Contacts with Health Services Range: 939 - 951	Negotiated	Very High
BCBS	Facility	RC Room and Board Private (one bed) Range: 0110 - 0119	Per Diem	Very Low
BCBS	Facility	RC Specialty Services Range: 0760 - 0769	Percentage of Bill Charged