Medical Procedure Costs in Utah

Utah medical procedure costs are generally below the national average. Utah has a single Medicare pricing locality.

Cost vs National Avg
-4.0%
Lower than average
Pricing Localities
1
Medicare pricing regions
Procedures Covered
7,500+
CPT codes with pricing

Procedure Costs in Utah

ProcedureUtah
Incision & Drainage of Abscess$123
Skin Biopsy (Tangential)$91
Skin Biopsy (Punch)$115
Destruction of Skin Lesion$64
Partial Mastectomy$611
Total Hip Replacement$1,125
Total Knee Replacement$1,122
Knee Arthroscopy$497
Upper Endoscopy (EGD)$307
Upper Endoscopy (EGD) With Biopsy$398
Colonoscopy (Diagnostic)$361
Colonoscopy With Biopsy$458
Colonoscopy With Polyp Removal$478
Laparoscopic Cholecystectomy$611
Laparoscopic Inguinal Hernia Repair$409
Laparoscopic Removal of Ovarian Cyst$570
Vaginal Delivery (Global)$2,141
Cesarean Delivery (Global)$2,389
Lumbar Discectomy$862
Cataract Surgery$448
MRI Brain Without Contrast$186
MRI Brain With Contrast$256
MRI Brain$302
Chest X-Ray$31
CT Chest Without Contrast$127
CT Chest With Contrast$159
MRI Cervical Spine$182
MRI Lumbar Spine$183
Shoulder X-Ray$34
MRI Shoulder$195
Knee X-Ray$33
MRI Knee$195
CT Abdomen & Pelvis Without Contrast$175
CT Abdomen & Pelvis With Contrast$286
Ultrasound Abdomen$109
Ultrasound Transvaginal$112
Ultrasound Pelvis$100
Diagnostic Mammogram$149
Screening Mammogram$120
Nuclear Stress Test$405
Psychiatric Evaluation$171
Psychiatric Evaluation With Medical Services$198
Psychotherapy (45 min)$112
Psychotherapy (60 min)$165
ECG/EKG$15
Echocardiogram$188
Stress Echocardiogram$177
Carotid Ultrasound$179
Laser Treatment for Skin$131
Physical Therapy (Therapeutic Exercise)$28
Physical Therapy (Manual Therapy)$27
PT Evaluation (Low Complexity)$95
PT Evaluation (Moderate Complexity)$95
Office Visit (New, Low)$114
Office Visit (New, Moderate-High)$172
Office Visit (New, High)$229
Office Visit (Established, Moderate)$92
Office Visit (Established, Moderate-High)$131
Office Visit (Established, High)$186

Prices shown are Medicare office (non-facility) rates. Click any procedure for full details including hospital rates and savings tips.

Understanding Medical Costs in Utah

Medical procedure costs in Utah are determined by Medicare's Geographic Practice Cost Indices (GPCIs), which account for differences in physician work, practice expenses, and malpractice insurance across regions.

The prices listed above represent Medicare reimbursement rates, which serve as a baseline for what healthcare costs in Utah. Private insurance companies typically negotiate rates between 130% and 200% of these Medicare amounts. If you are paying out of pocket, many providers in Utah offer cash discounts of 20% to 40% off their standard charges.

For the most accurate pricing, enter your ZIP code on any procedure page to see costs adjusted for your specific locality within Utah.

Ways to Save on Medical Costs in Utah

Compare Insurance Plans

Comparing marketplace plans in Utah could save you thousands on procedures.

Compare plans on eHealth

Try Telehealth First

Many consultations can be done virtually for $50-100, saving hundreds vs an in-person visit.

Book on Sesame Care

Save on Prescriptions

If a procedure leads to a prescription, discount cards can save up to 80% at pharmacies.

Check prices on GoodRx

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Medical Costs in Utah: Frequently Asked Questions

How much do medical procedures cost in Utah?

Medicare procedure costs in Utah are generally below the national average by about 4%. For example: incision & drainage of abscess around $123, skin biopsy (tangential) around $91, skin biopsy (punch) around $115. Private insurance typically pays 130-200% of these Medicare rates and self-pay cash prices vary by provider.

Why do procedure costs vary within Utah?

Utah has a single Medicare pricing locality, so Medicare rates are consistent statewide. Actual charges still vary by provider and setting (office vs hospital).

What do Medicare patients pay for procedures in Utah?

Medicare patients in Utah typically pay 20% of the Medicare-approved amount after meeting their Part B deductible, with Medicare covering the other 80%. Supplemental (Medigap) plans can cover most of that 20% coinsurance.

How can I save on medical procedures in Utah?

Ask each provider for a self-pay or cash price before scheduling, as many in Utah discount 20-40% for upfront payment. If you are uninsured, compare marketplace insurance plans, use telehealth for consultations, and check prescription discount cards.

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts and may not reflect actual charges. Private insurance and self-pay estimates are approximations.