Mountain West Medical Center
Quorum Health
Hospital Overview
Facility Details
CCN
460014
NPI
1124090659
Type
Short Term Acute Care Hospital
Ownership
Proprietary
Beds
44
Contact Information
Address
2055 North Main Street
Tooele, UT 84074
Phone
(435) 843-3700
Insurance Accepted
💡
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.
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 |
|---|---|---|---|---|
Aetna | Facility | RC Labor Room/Delivery Range: 0720 - 0729 | Percentage of Bill Charged | |
Aetna | Facility | RC CT Scan Range: 0350 - 0359 | Negotiated | High |
Aetna | Facility | RC Pulmonary Function Range: 0460 - 0469 | Percentage of Bill Charged | |
Aetna | Inpatient | MS-DRG Endocrine, Nutritional & Metabolic Diseases & Disorders Range: 614 - 645 | Negotiated | Average |
Aetna | Facility | RC Room and Board Semi-private (two beds) Range: 0120 - 0129 | Negotiated | Very Low |
Aetna | Facility | RC Preventive Services Range: 0770 - 0779 | Percentage of Bill Charged | |
Aetna | Facility | RC Intensive Care Unit Range: 0200 - 0209 | Percentage of Bill Charged | |
Aetna | Facility | RC EKG/ECG Electrocardiogram Range: 0730 - 0739 | Percentage of Bill Charged | |
Aetna | Inpatient | MS-DRG Diseases & Disorders of the Digestive System Range: 321 - 399 | Negotiated | Low |
Aetna | Facility | RC Nursery Range: 0170 - 0179 | Negotiated | Very Low |
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