<?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>0002013388</cik>
                    <ccc>XXXXXXXX</ccc>
                </filerCredentials>
            </filer>
            <liveTestFlag>LIVE</liveTestFlag>



        </filerInfo>
    </headerData>
    <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>8017086800</issuerContactPhone>
            <nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>DANIEL LESUEUR</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>8th Floor</ns2:street2>
                    <ns2:city>New York</ns2:city>
                    <ns2:stateOrCountry>NY</ns2:stateOrCountry>
                    <ns2:zipCode>10004</ns2:zipCode>
                </address>
            </brokerOrMarketmakerDetails>
            <noOfUnitsSold>16902</noOfUnitsSold>
            <aggregateMarketValue>76397.04</aggregateMarketValue>
            <noOfUnitsOutstanding>70210651</noOfUnitsOutstanding>
            <approxSaleDate>03/05/2025</approxSaleDate>
            <securitiesExchangeName>NASDAQ</securitiesExchangeName>
        </securitiesInformation>
        <securitiesToBeSold>
            <securitiesClassTitle>Common</securitiesClassTitle>
            <acquiredDate>05/16/2022</acquiredDate>
            <natureOfAcquisitionTransaction>Previously Exercised Stock Options</natureOfAcquisitionTransaction>
            <nameOfPersonfromWhomAcquired>Issuer</nameOfPersonfromWhomAcquired>
            <isGiftTransaction>N</isGiftTransaction>
            <amountOfSecuritiesAcquired>5209</amountOfSecuritiesAcquired>
            <paymentDate>05/16/2022</paymentDate>
            <natureOfPayment>Cash</natureOfPayment>
        </securitiesToBeSold>
        <securitiesToBeSold>
            <securitiesClassTitle>Common</securitiesClassTitle>
            <acquiredDate>03/01/2025</acquiredDate>
            <natureOfAcquisitionTransaction>Restricted and Performance Stock Units</natureOfAcquisitionTransaction>
            <nameOfPersonfromWhomAcquired>Issuer</nameOfPersonfromWhomAcquired>
            <isGiftTransaction>N</isGiftTransaction>
            <amountOfSecuritiesAcquired>11693</amountOfSecuritiesAcquired>
            <paymentDate>03/01/2025</paymentDate>
            <natureOfPayment>N/A</natureOfPayment>
        </securitiesToBeSold>
        <nothingToReportFlagOnSecuritiesSoldInPast3Months>N</nothingToReportFlagOnSecuritiesSoldInPast3Months>
        <securitiesSoldInPast3Months>
            <sellerDetails>
                <name>DANIEL LESUEUR</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>03/03/2025</saleDate>
            <amountOfSecuritiesSold>9232</amountOfSecuritiesSold>
            <grossProceeds>42255.79</grossProceeds>
        </securitiesSoldInPast3Months>
        <securitiesSoldInPast3Months>
            <sellerDetails>
                <name>10b5-1 Sales for DANIEL LESUEUR</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>02/05/2025</saleDate>
            <amountOfSecuritiesSold>5209</amountOfSecuritiesSold>
            <grossProceeds>30007.66</grossProceeds>
        </securitiesSoldInPast3Months>
        <securitiesSoldInPast3Months>
            <sellerDetails>
                <name>10b5-1 Sales for DANIEL LESUEUR</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>01/06/2025</saleDate>
            <amountOfSecuritiesSold>5209</amountOfSecuritiesSold>
            <grossProceeds>39134.36</grossProceeds>
        </securitiesSoldInPast3Months>
        <noticeSignature>
            <noticeDate>03/05/2025</noticeDate>
            <planAdoptionDates>
                <planAdoptionDate>03/07/2024</planAdoptionDate>
            </planAdoptionDates>
            <signature>/s/ Daniel LeSueur</signature>
        </noticeSignature>
    </formData>
</edgarSubmission>
[{"type": "144", "sequence": "1", "filename": "primary_doc.xml", "secsgml_size_bytes": 6104}]
144
0002013388
XXXXXXXX
LIVE
0001636422
HEALTH CATALYST INC
001-38993
10897 South River Front Parkway, #300
South Jordan
UT
84095
8017086800
DANIEL LESUEUR
Officer
Common
Morgan Stanley Smith Barney LLC Executive Financial Services
1 New York Plaza
8th Floor
New York
NY
10004
16902
76397.04
70210651
03/05/2025
NASDAQ
Common
05/16/2022
Previously Exercised Stock Options
Issuer
N
5209
05/16/2022
Cash
Common
03/01/2025
Restricted and Performance Stock Units
Issuer
N
11693
03/01/2025
N/A
N
DANIEL LESUEUR
10897 South River Front Parkway, #300
South Jordan
UT
84095
Common
03/03/2025
9232
42255.79
10b5-1 Sales for DANIEL LESUEUR
10897 South River Front Parkway, #300
South Jordan
UT
84095
Common
02/05/2025
5209
30007.66
10b5-1 Sales for DANIEL LESUEUR
10897 South River Front Parkway, #300
South Jordan
UT
84095
Common
01/06/2025
5209
39134.36
03/05/2025
03/07/2024
/s/ Daniel LeSueur