<?xml version="1.0" encoding="UTF-8"?><edgarSubmission xmlns="http://www.sec.gov/edgar/ownership" xmlns:ns2="http://www.sec.gov/edgar/common">
    <headerData>
        <submissionType>144</submissionType>
        <filerInfo>
            <filer>
                <filerCredentials>
                    <cik>0001780878</cik>
                    <ccc>XXXXXXXX</ccc>
                </filerCredentials>
            </filer>
            <liveTestFlag>LIVE</liveTestFlag>



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    <formData>
        <issuerInfo>
            <issuerCik>0001636422</issuerCik>
            <issuerName>HEALTH CATALYST INC</issuerName>
            <secFileNumber>001-38993</secFileNumber>
            <issuerAddress>
                <ns2:street1>10897 South River Front Parkway, #300</ns2:street1>
                <ns2:city>South Jordan</ns2:city>
                <ns2:stateOrCountry>UT</ns2:stateOrCountry>
                <ns2:zipCode>84095</ns2:zipCode>
            </issuerAddress>
            <issuerContactPhone>801-708-6800</issuerContactPhone>
            <nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>LINDA LLEWELYN</nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>
            <relationshipsToIssuer>
                <relationshipToIssuer>Officer</relationshipToIssuer>
            </relationshipsToIssuer>
        </issuerInfo>
        <securitiesInformation>
            <securitiesClassTitle>Common</securitiesClassTitle>
            <brokerOrMarketmakerDetails>
                <name>Morgan Stanley Smith Barney LLC Executive Financial Services</name>
                <address>
                    <ns2:street1>1 New York Plaza</ns2:street1>
                    <ns2:street2>38th Fl.</ns2:street2>
                    <ns2:city>New York</ns2:city>
                    <ns2:stateOrCountry>NY</ns2:stateOrCountry>
                    <ns2:zipCode>10004</ns2:zipCode>
                </address>
            </brokerOrMarketmakerDetails>
            <noOfUnitsSold>1160</noOfUnitsSold>
            <aggregateMarketValue>12771.60</aggregateMarketValue>
            <noOfUnitsOutstanding>56963487</noOfUnitsOutstanding>
            <approxSaleDate>09/15/2023</approxSaleDate>
            <securitiesExchangeName>NASDAQ</securitiesExchangeName>
        </securitiesInformation>
        <securitiesToBeSold>
            <securitiesClassTitle>Common</securitiesClassTitle>
            <acquiredDate>09/01/2023</acquiredDate>
            <natureOfAcquisitionTransaction>Restricted Stock Units</natureOfAcquisitionTransaction>
            <nameOfPersonfromWhomAcquired>Issuer</nameOfPersonfromWhomAcquired>
            <isGiftTransaction>N</isGiftTransaction>
            <amountOfSecuritiesAcquired>1160</amountOfSecuritiesAcquired>
            <paymentDate>09/01/2023</paymentDate>
            <natureOfPayment>N/A</natureOfPayment>
        </securitiesToBeSold>
        <nothingToReportFlagOnSecuritiesSoldInPast3Months>N</nothingToReportFlagOnSecuritiesSoldInPast3Months>
        <securitiesSoldInPast3Months>
            <sellerDetails>
                <name>LINDA LLEWELYN</name>
                <address>
                    <ns2:street1>10897 South River Front Parkway, #300</ns2:street1>
                    <ns2:city>South Jordan</ns2:city>
                    <ns2:stateOrCountry>UT</ns2:stateOrCountry>
                    <ns2:zipCode>84095</ns2:zipCode>
                </address>
            </sellerDetails>
            <securitiesClassTitle>Common</securitiesClassTitle>
            <saleDate>09/01/2023</saleDate>
            <amountOfSecuritiesSold>1484</amountOfSecuritiesSold>
            <grossProceeds>17476.33</grossProceeds>
        </securitiesSoldInPast3Months>
        <securitiesSoldInPast3Months>
            <sellerDetails>
                <name>10b5-1 Sales for LINDA LLEWELYN</name>
                <address>
                    <ns2:street1>10897 South River Front Parkway, #300</ns2:street1>
                    <ns2:city>South Jordan</ns2:city>
                    <ns2:stateOrCountry>UT</ns2:stateOrCountry>
                    <ns2:zipCode>84095</ns2:zipCode>
                </address>
            </sellerDetails>
            <securitiesClassTitle>Common</securitiesClassTitle>
            <saleDate>08/22/2023</saleDate>
            <amountOfSecuritiesSold>737</amountOfSecuritiesSold>
            <grossProceeds>8770.30</grossProceeds>
        </securitiesSoldInPast3Months>
        <noticeSignature>
            <noticeDate>09/15/2023</noticeDate>
            <planAdoptionDates>
                <planAdoptionDate>05/23/2023</planAdoptionDate>
            </planAdoptionDates>
            <signature>/s/ Linda Llewelyn</signature>
        </noticeSignature>
    </formData>
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144
0001780878
XXXXXXXX
LIVE
0001636422
HEALTH CATALYST INC
001-38993
10897 South River Front Parkway, #300
South Jordan
UT
84095
801-708-6800
LINDA LLEWELYN
Officer
Common
Morgan Stanley Smith Barney LLC Executive Financial Services
1 New York Plaza
38th Fl.
New York
NY
10004
1160
12771.60
56963487
09/15/2023
NASDAQ
Common
09/01/2023
Restricted Stock Units
Issuer
N
1160
09/01/2023
N/A
N
LINDA LLEWELYN
10897 South River Front Parkway, #300
South Jordan
UT
84095
Common
09/01/2023
1484
17476.33
10b5-1 Sales for LINDA LLEWELYN
10897 South River Front Parkway, #300
South Jordan
UT
84095
Common
08/22/2023
737
8770.30
09/15/2023
05/23/2023
/s/ Linda Llewelyn