Intermountain Healthcare · Fillmore, UT
27
In-network payers
322
Disclosed rate categories
19
Beds
Fillmore Community Hospital is a 19-bed voluntary non-profit - private hospital in Fillmore, UT, affiliated with Intermountain Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 27 in-network payers and 322 disclosed rate categories.
CCN (Medicare provider number)
461301
NPI
1154438596
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
19
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Fillmore Community Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 807
$6,936 - $9,855
from 4 insurers · median $8,515
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Childbirth · Inpatient
MS-DRG 788
$9,881 - $16,471
from 4 insurers · median $14,874
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
CT imaging
CPT 74177
$741 - $1,206
from 3 insurers · median $1,115
Typical for a hospital with this service line
Childbirth · Inpatient
MS-DRG 807
$6,936 - $9,855
from 4 insurers · median $8,515
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
CT imaging
CPT 70450
$313 - $533
from 3 insurers · median $468
Typical for a hospital with this service line
Mammography
CPT 77067
$222 - $339
from 3 insurers · median $298
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$541 - $1,036
from 3 insurers · median $857
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$935 - $1,930
from 3 insurers · median $1,574
Typical for a hospital with this service line
CT imaging
CPT 74176
$431 - $934
from 3 insurers · median $777
Typical for a hospital with this service line
Gynecology
CPT 58571
$5,963 - $13,273
from 4 insurers · median $12,054
Typical for a hospital with this service line
CT imaging
CPT 71275
$649 - $960
from 3 insurers · median $937
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$3,757 - $8,709
from 4 insurers · median $7,959
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$90 - $197
from 3 insurers · median $172
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$885 - $1,619
from 3 insurers · median $1,321
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$940 - $1,319
from 3 insurers · median $1,185
Typical for a hospital with this service line
MRI imaging
CPT 70553
$197 - $1,592
from 4 insurers · median $1,150
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$1,763 - $4,182
from 4 insurers · median $3,541
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 743
$11,811 - $23,464
from 3 insurers · median $18,804
Hospital reports inpatient surgical services to CMS
Orthopedics and pain
CPT 29888
$6,317 - $19,288
from 4 insurers · median $17,628
Typical for a hospital with this service line
Gynecology
CPT 58558
$3,149 - $6,290
from 4 insurers · median $5,712
Typical for a hospital with this service line
Medicine & Surgery
CPT 29826
$4,496 - $9,729
from 4 insurers · median $8,891
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$758 - $1,319
from 3 insurers · median $1,185
Typical for a hospital with this service line
MRI imaging
CPT 72148
$197 - $1,064
from 4 insurers · median $831
Typical for a hospital with this service line
MRI imaging
CPT 70551
$197 - $1,064
from 4 insurers · median $825
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 222% | 5 | 9 |
| Insurer B* | 24 | 194% | 3 | 10 |
| Insurer C* | 12 | 132% | 0 | 3 |
| Insurer D* | 24 | 101% | 5 | 9 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Fillmore Community Hospital.
674 South Highway 99, Fillmore, UT 84631
(435) 743-5591
The nearest hospitals of similar type and size. Their rates are compared with Fillmore Community Hospital for the same insurers and services above.
Gunnison Valley Hospital
▲ Rates typically 12% higher than Fillmore Community Hospital (13 services)
Beaver Valley Hospital
▼ Rates typically 15% lower than Fillmore Community Hospital (14 services)
Milford Valley Memorial Hospital
Too few shared services to compare rates
Central Valley Medical Center
▼ Rates typically 49% lower than Fillmore Community Hospital (14 services)
Kane County Hospital
▲ Rates typically 38% higher than Fillmore Community Hospital (16 services)
William Bee Ririe Hospital
▲ Rates typically 37% higher than Fillmore Community Hospital (19 services)
Delta Community Hospital
Heber Valley Hospital
Sanpete Valley Hospital
Garfield Memorial Hospital
About Fillmore Community Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Fillmore Community Hospital range from $197 to $1,592 across 4 insurers. Aetna's rate is $898. The median at nearby comparable hospitals is $2,025. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Fillmore Community Hospital range from $741 to $1,206 across 3 insurers. Aetna's rate is $741. The median at nearby comparable hospitals is $1,997. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Fillmore Community Hospital range from $885 to $1,619 across 3 insurers. Blue Cross Blue Shield's rate is $1,321. The median at nearby comparable hospitals is $1,281. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Fillmore Community Hospital range from $6,936 to $9,855 across 4 insurers. UnitedHealthcare's rate is $7,723. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Fillmore Community Hospital range from $222 to $339 across 3 insurers. Cigna's rate is $339. The median at nearby comparable hospitals is $213. What a patient pays depends on their plan's deductible, coinsurance and network status.
Fillmore Community Hospital has 19 beds. Facility type: Critical Access Hospital.
Fillmore Community Hospital is located at 674 South Highway 99, Fillmore, UT 84631. Its main phone number is (435) 743-5591.
Fillmore Community Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 461301.
The National Provider Identifier (NPI) on file for Fillmore Community Hospital is 1154438596.
Fillmore Community Hospital is affiliated with Intermountain Healthcare.
Fillmore Community Hospital lists 27 in-network payers, including Aetna, Aspirus Health Plan, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
322 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers