Brigham City Community Hospital

NPI Number:

1245282227

Address:

950 Medical Dr, Brigham City, Utah, 84302

Chargemaster Source:

URL

Database Statistics:

Total Codes: 2,597

Total Prices: 2,597

Price Range: $5.61 - $999,999,999.00

Average Price: $1,961.35

Last Updated: November 3, 2025

Oldest Price Date: November 3, 2025

Code	Description	Price	Last Updated ↕
77080	Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)	$977 [source]	1 day ago
33268	Exclusion of left atrial appendage, open, performed at the time of other sternotomy or thoracotomy procedure(s), any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip	$999,999,999 [source]	1 day ago
V2632	LENS IOL +22.0 DIOP	$3,450 [source]	1 day ago
96375	Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary pro	$268 [source]	1 day ago
82785	Gammaglobulin (immunoglobulin); IgE	$216 [source]	1 day ago
J1171	Injection, hydromorphone, 0.1 mg	$34 [source]	1 day ago
90371	Hepatitis B immune globulin (HBIg), human, for intramuscular use	$884 [source]	1 day ago
C1769	DEVICE OCC .018IN 165CM	$17,162 [source]	1 day ago
A9575	GADOTERATE MEG 20 ML	$999,999,999 [source]	1 day ago
85240	Clotting; factor VIII (AHG), 1-stage	$815 [source]	1 day ago
J1650	ENOXAPARIN 100 MG INJ Other Outpatient	$977 [source]	1 day ago
J1643	Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units	$12 [source]	1 day ago
J2597	Injection, desmopressin acetate, per 1 mcg	$403 [source]	1 day ago
74177	Computed tomography, abdomen and pelvis; with contrast material(s)	$9,055 [source]	1 day ago
J7999	Compounded drug, not otherwise classified	$2,283 [source]	1 day ago
C1776	STEM HUM 180MM 11MM PVRS	$108,000 [source]	1 day ago
J2997	Injection, alteplase recombinant, 1 mg	$40,982 [source]	1 day ago
J2247	Injection, micafungin sodium (par pharm) not thereapeutically equivalent to j2248, 1 mg	$6 [source]	1 day ago
86611	Antibody; Bartonella	$171 [source]	1 day ago
82657	Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen	$353 [source]	1 day ago

Code

Description

Price

Last Updated ↕

77080

Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)

$977 [source]

1 day ago

33268

Exclusion of left atrial appendage, open, performed at the time of other sternotomy or thoracotomy procedure(s), any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip

$999,999,999 [source]

1 day ago