Physician
Family Medicine
Family Medicine
ROY, UT
INTERMOUNTAIN HEALTH LAYTON HOSPITAL
INTERMOUNTAIN MEDICAL CENTER
intermountainhealthcare.org/locations/intermountain-medical-center
Based on specialty. Actual services may vary — contact the provider's office to confirm.
Based on CMS Medicare Provider Utilization data for 2023. These represent what this physician charged Medicare, not necessarily what you would pay. Compare with other physicians
| Procedure | Avg Charge | Medicare Allowed | Medicare Paid | Services |
|---|---|---|---|---|
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $190 | $123 | $123 | 37 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $170 | $122 | $86 | 81 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $115 | $86 | $59 | 28 |
82306 Vitamin d-3 level | $62 | $29 | $29 | 30 |
82607 Cyanocobalamin (vitamin b-12) level | $40 | $15 | $15 | 28 |
84443 Blood test, thyroid stimulating hormone (tsh) | $40 | $16 | $16 | 45 |
80061 Blood test, lipids (cholesterol and triglycerides) | $37 | $13 | $13 | 58 |
84153 Psa (prostate specific antigen) measurement, total | $35 | $18 | $18 | 14 |
82728 Ferritin (blood protein) level | $28 | $13 | $13 | 26 |
83036 Hemoglobin a1c level | $27 | $10 | $10 | 62 |
80053 Blood test, comprehensive group of blood chemicals | $27 | $10 | $10 | 77 |
83721 Ldl cholesterol level | $21 | $10 | $10 | 24 |
80048 Blood test, basic group of blood chemicals (calcium, total) | $20 | $8 | $8 | 20 |
87088 Bacterial urine culture | $18 | $8 | $8 | 14 |
84439 Thyroxine (thyroid chemical), free | $18 | $9 | $9 | 41 |
83735 Magnesium level | $14 | $7 | $7 | 13 |
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $13 | $8 | $8 | 55 |
82570 Creatinine level to test for kidney function or muscle injury | $10 | $5 | $5 | 15 |
36415 Insertion of needle into vein for collection of blood sample | $10 | $8 | $8 | 123 |
81003 Automated urinalysis test | $5 | $2 | $2 | 14 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.