Sanpete Valley Hospital
Intermountain Healthcare
Hospital Overview
Facility Details
CCN
461303
NPI
1407964398
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
18
Contact Information
Address
1100 South Medical Drive
Mount Pleasant, UT 84647
Phone
(435) 462-4123
Insurance Accepted
💡
Important Notice
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.
Price Transparency Contract Information
💡 The data below comes from CMS-mandated price transparency data. Learn more.
💡 Tip: Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.
| Payer | Category | Code Type & Group | Contract Type | Rate Compared to State Average |
|---|---|---|---|---|
Aetna | Inpatient | MS-DRG Diseases & Disorders of the Kidney & Urinary Tract Range: 650 - 700 | Percentage of Bill Charged | |
Aetna | Facility | RC Coronary Care Unit Range: 0210 - 0219 | Percentage of Bill Charged | |
Aetna | Outpatient | CPT Pathology and Laboratory Procedures Range: 80047 - 89398 | Negotiated | Very Low |
Aetna | Outpatient | HCPCS Other Therapeutic Procedures Range: C1052 - C1062 | Percentage of Bill Charged | |
Aetna | Facility | RC IV Therapy Range: 0260 - 0269 | Percentage of Bill Charged | |
Aetna | Facility | RC Professional Fees Range: 0960 - 0969 | Percentage of Bill Charged | |
Aetna | Outpatient | HCPCS Medical And Surgical Supplies Range: A4206 - A8004 | Percentage of Bill Charged | |
Aetna | Facility | RC Administration, Processing and Storage for Blood and Blood Components Range: 0390 - 0399 | Percentage of Bill Charged | |
Aetna | Inpatient | MS-DRG Pre-MDC Range: 001 - 019 | Percentage of Bill Charged | |
Aetna | Facility | RC Other Diagnostic Services Range: 0920 - 0929 | Percentage of Bill Charged |
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