San Juan Hospital
Monticello, UT · Critical Access Hospital
Posts prices for 54 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-04.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Breast lesion removal (open) (19120) | $1,390.40 | $1,986.29 | 0.4× |
| Shoulder arthroscopy with decompression (29826) | $277.04 | $395.77 | — |
| Knee arthroscopy with meniscectomy (29881) range across 3 matching MRF lines |
$857.79–$1,060.76 | $1,225.42–$1,515.37 | varies |
| Tonsillectomy and adenoidectomy (under age 12) (42820) likely a partial charge, not the full procedure |
$691.12 | $987.32 | 0.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) | $218.52 | $312.17 | 0.2× |
| Upper GI endoscopy (EGD) with biopsy (43239) | $371.12 | $530.17 | 0.4× |
| Diagnostic colonoscopy (45378) | $2,428.20 | $3,468.85 | 2.6× |
| Colonoscopy with biopsy (45380) range across 2 matching MRF lines |
$411.86–$564.46 | $588.37–$806.37 | varies |
| Colonoscopy with lesion removal (45385) | $502.97 | $718.53 | 0.4× |
| Laparoscopic gallbladder removal (47562) unusually low: confirm this is the full procedure |
$1,885.97 | $2,694.24 | 0.3× |
| Inguinal hernia repair (age 5+) (49505) | $801.50 | $1,145 | 0.2× |
| Obstetric care, vaginal delivery (global) (59400) | $1,708.92 | $2,441.32 | — |
| Obstetric care, cesarean delivery (global) (59510) | $1,893.37 | $2,704.82 | — |
| Epidural injection, lumbar/sacral (with imaging) (62322) range across 2 matching MRF lines |
$118.52–$526.67 | $169.32–$752.39 | varies |
| Transforaminal epidural injection, lumbar/sacral (64483) | $740.01 | $1,057.16 | 0.8× |
| CT head/brain without contrast (70450) | $1,168.17 | $1,668.82 | 11.0× |
| MRI brain without contrast (70551) | $2,323.01 | $3,318.58 | 9.6× |
| MRI brain with contrast (70552) | $2,323.01 | $3,318.58 | 6.6× |
| MRI brain without and with contrast (70553) range across 4 matching MRF lines |
$2,872.65–$2,932.65 | $4,103.78–$4,189.50 | varies |
| X-ray lower spine, 4+ views (72110) | $434.08 | $620.12 | 4.1× |
| MRI lumbar spine without contrast (72148) | $2,236.34 | $3,194.77 | 9.3× |
| CT pelvis with contrast (72193) | $1,755.59 | $2,507.99 | 9.9× |
| MRI lower-extremity joint without contrast (73721) range across 8 matching MRF lines |
$1,695.59–$2,264.49 | $2,422.27–$3,234.99 | varies |
| CT abdomen and pelvis with contrast (74177) | $2,231.16 | $3,187.37 | 6.3× |
| Ultrasound, abdomen complete (76700) | $630.38 | $900.54 | 6.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $334.82 | $478.32 | 3.2× |
| Ultrasound, transvaginal (76830) range across 2 matching MRF lines |
$406.68–$454.82 | $580.97–$649.74 | varies |
| Mammography, one breast (diagnostic) (77065) | $147.41 | $210.58 | 1.7× |
| Mammography, both breasts (diagnostic) (77066) | $315.57 | $450.81 | 2.9× |
| Mammography, screening (bilateral) (77067) | $250.38 | $357.68 | 2.7× |
| Basic metabolic panel (80048) | $62.97 | $89.95 | 7.4× |
| Comprehensive metabolic panel (80053) range across 3 matching MRF lines |
$109.76–$221.49 | $156.80–$316.41 | varies |
| Obstetric panel (80055) | $225.19 | $321.70 | 4.7× |
| Lipid panel (80061) range across 4 matching MRF lines |
$77.04–$200.25 | $110.06–$286.07 | varies |
| Renal function panel (80069) | $71.11 | $101.59 | 8.2× |
| Hepatic function panel (80076) | $68.89 | $98.42 | 8.4× |
| Urinalysis, non-automated, with microscopy (81000) | $53.94 | $77.06 | 13.4× |
| Urinalysis, non-automated, without microscopy (81002) | $11.11 | $15.87 | 3.2× |
| PSA, total (84153) range across 4 matching MRF lines |
$31.18–$120.74 | $44.54–$172.49 | varies |
| Thyroid stimulating hormone (TSH) (84443) range across 4 matching MRF lines |
$43.02–$82.13 | $61.45–$117.33 | varies |
| CBC with automated differential (85025) range across 4 matching MRF lines |
$34.07–$80.75 | $48.67–$115.35 | varies |
| CBC, automated (85027) range across 3 matching MRF lines |
$39.26–$59.26 | $56.09–$84.66 | varies |
| Prothrombin time (PT) (85610) range across 6 matching MRF lines |
$7.91–$313.34 | $11.30–$447.63 | varies |
| Partial thromboplastin time (PTT) (85730) range across 5 matching MRF lines |
$15.71–$124.36 | $22.44–$177.66 | varies |
| Electrocardiogram (ECG), complete (93000) range across 3 matching MRF lines |
$27.41–$70.37 | $39.16–$100.53 | varies |
| Sleep study (attended polysomnography) (95810) | $1,721.52 | $2,459.31 | 2.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $62.97 | $89.95 | 2.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 3 matching MRF lines |
$135.83–$196.62 | $194.04–$280.89 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 3 matching MRF lines |
$191.11–$242.42 | $273.01–$346.32 | varies |
| Office visit, new patient (high complexity, ~60 min) (99205) range across 2 matching MRF lines |
$240.86–$277.97 | $344.08–$397.10 | varies |
| Office consultation (low complexity, ~30 min) (99243) | $101.49 | $144.98 | 0.8× |
| Office consultation (moderate complexity, ~40 min) (99244) | $158.52 | $226.45 | 1.2× |
| Preventive visit, new patient (age 18–39) (99385) | $127.94 | $182.77 | — |
| Preventive visit, new patient (age 40–64) (99386) | $144.51 | $206.44 | — |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
More prices at this hospital
- Imaging: 189 codes with posted prices and Medicare benchmarks
- Lab & pathology: 378 codes with posted prices and Medicare benchmarks
- Visits & medical services: 124 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 903 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 19 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 178.0 MB) ↓ — captured 2026-09-04
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.