Monticello, UT
32
In-network payers
231
Disclosed rate categories
25
Beds
San Juan Health Services District is a 25-bed voluntary non-profit - other hospital in Monticello, UT. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 231 disclosed rate categories.
CCN (Medicare provider number)
461308
NPI
1942251459
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Other
Beds
25
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 San Juan Health Services District 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.
CT imaging
CPT 74177
$367 - $2,785
from 4 insurers · median $2,321
Typical for a hospital with this service line
CT imaging
CPT 70450
$212 - $1,539
from 4 insurers · median $1,458
Typical for a hospital with this service line
CT imaging
CPT 74176
$235 - $2,617
from 4 insurers · median $2,479
Typical for a hospital with this service line
CT imaging
CPT 71275
$415 - $2,964
from 4 insurers · median $2,808
Typical for a hospital with this service line
MRI imaging
CPT 70553
$3,661 - $3,825
from 4 insurers · median $3,661
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$264 - $1,706
from 4 insurers · median $1,616
Typical for a hospital with this service line
Mammography
CPT 77067
$313 - $330
from 4 insurers · median $313
Typical for a hospital with this service line
MRI imaging
CPT 70551
$266 - $3,061
from 4 insurers · median $2,900
Typical for a hospital with this service line
MRI imaging
CPT 72148
$475 - $2,947
from 4 insurers · median $2,792
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$33 - $297
from 4 insurers · median $281
Typical for a hospital with this service line
MRI imaging
CPT 73721
$390 - $2,984
from 4 insurers · median $2,827
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$520 - $3,031
from 4 insurers · median $2,526
Typical for a hospital with this service line
Childbirth · Inpatient
MS-DRG 788
$2,095
negotiated rate
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 neonatal nursery services to CMS
Ultrasound
CPT 76705
$100 - $561
from 4 insurers · median $531
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$13 - $140
from 4 insurers · median $133
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$608 - $642
from 4 insurers · median $608
Typical for a hospital with this service line
Ultrasound
CPT 76856
$135 - $664
from 4 insurers · median $629
Typical for a hospital with this service line
Ultrasound
CPT 76536
$128 - $672
from 4 insurers · median $636
Typical for a hospital with this service line
Ultrasound
CPT 76830
$136 - $538
from 4 insurers · median $503
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$419 - $610
from 4 insurers · median $610
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$353 - $609
from 4 insurers · median $609
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$233 - $489
from 4 insurers · median $463
Typical for a hospital with this service line
X-ray and bone density
CPT 73630
$34 - $304
from 4 insurers · median $288
Typical for a hospital with this service line
X-ray and bone density
CPT 72100
$44 - $430
from 4 insurers · median $408
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* | 23 | 570% | 18 | 3 |
| Insurer B* | 23 | 570% | 14 | 7 |
| Insurer C* | 24 | 525% | 18 | 5 |
| Insurer D* | 23 | 109% | 1 | 21 |
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 San Juan Health Services District.
380 West 100 North, Monticello, UT 84535
(435) 587-2116
The nearest hospitals of similar type and size. Their rates are compared with San Juan Health Services District for the same insurers and services above.
Blue Mountain Hospital
â–¼ Rates typically 6% lower than San Juan Health Services District (15 services)
Moab Regional Hospital
â–² Rates typically 26% higher than San Juan Health Services District (23 services)
Southwest Memorial Hospital
â–¼ Rates typically 62% lower than San Juan Health Services District (23 services)
Colorado Canyons Hospital & Medical Center
â–² Rates typically 23% higher than San Juan Health Services District (23 services)
Pagosa Springs Medical Center
â–² Rates typically 25% higher than San Juan Health Services District (22 services)
Page Hospital
â–¼ Rates typically 42% lower than San Juan Health Services District (23 services)
Gunnison Valley Hospital
Heber Valley Hospital
Beaver Valley Hospital
Central Valley Medical Center
About San Juan Health Services District's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at San Juan Health Services District range from $3,661 to $3,825 across 4 insurers. Blue Cross Blue Shield's rate is $3,661. The median at nearby comparable hospitals is $1,973. 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 San Juan Health Services District range from $367 to $2,785 across 4 insurers. Aetna's rate is $367. The median at nearby comparable hospitals is $1,924. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Diagnostic colonoscopy (CPT 45378), published negotiated rates at San Juan Health Services District range from $520 to $3,031 across 4 insurers. Aetna's rate is $520. The median at nearby comparable hospitals is $1,258. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Cesarean delivery, hospital stay (MS-DRG 788), published negotiated rates at San Juan Health Services District range from $2,095 to $2,095 across 1 insurers. UnitedHealthcare's rate is $2,095. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at San Juan Health Services District range from $313 to $330 across 4 insurers. Cigna's rate is $313. The median at nearby comparable hospitals is $239. What a patient pays depends on their plan's deductible, coinsurance and network status.
San Juan Health Services District has 25 beds. Facility type: Critical Access Hospital.
San Juan Health Services District is located at 380 West 100 North, Monticello, UT 84535. Its main phone number is (435) 587-2116.
San Juan Health Services District's CMS Certification Number (CCN), also called its Medicare provider number, is 461308.
The National Provider Identifier (NPI) on file for San Juan Health Services District is 1942251459.
San Juan Health Services District lists 32 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
231 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