Supplies, drugs & other prices at San Juan Hospital
Monticello, UT · every code in this section with a posted price and a Medicare benchmark.
19 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2019-ncov diagnostic p (U0001) range across 2 matching MRF lines |
$62.97–$260.74 | $89.95–$372.49 | varies |
| Admin hepatitis b vaccine (G0010) | $17.78 | $25.40 | 0.4× |
| Admin influenza virus vac (G0008) | $20.34 | $29.05 | 0.4× |
| Admin pneumococcal vaccine (G0009) | $20.34 | $29.05 | 0.4× |
| Ca screen;pelvic/breast exam (G0101) | $36.30 | $51.86 | 0.4× |
| Colon ca scrn not hi rsk ind (G0121) range across 4 matching MRF lines |
$335.57–$497.79 | $479.38–$711.13 | varies |
| Colorectal scrn; hi risk ind (G0105) range across 2 matching MRF lines |
$354.08–$599.27 | $505.83–$856.10 | varies |
| Covid-19 lab test non-cdc (U0002) | $433.49 | $619.27 | 8.4× |
| Direct refer hospital observ (G0379) | $50.37 | $71.96 | 0.1× |
| Drug test def 1-7 classes (G0480) range across 3 matching MRF lines |
$59.26–$105.18 | $84.66–$150.26 | varies |
| Drug test def 8-14 classes (G0481) | $210.70 | $301 | 1.3× |
| Initial preventive exam (G0402) | $125.19 | $178.84 | 0.9× |
| Inj for sacroiliac jt anesth (G0260) | $743.72 | $1,062.46 | 1.0× |
| Ppps, initial visit (G0438) range across 2 matching MRF lines |
$174.08–$182.97 | $248.68–$261.38 | varies |
| Ppps, subseq visit (G0439) | $142.23 | $203.18 | 1.0× |
| Psa screening (G0103) | $81.48 | $116.40 | 4.2× |
| Single energy x-ray study (G0130) | $97.03 | $138.62 | 0.9× |
| Tte w or w/o contr, cont ecg (C8930) range across 2 matching MRF lines |
$1,908.93–$1,983 | $2,727.04–$2,832.86 | varies |
| Tte w or wo fol wcon,doppler (C8929) range across 4 matching MRF lines |
$432.60–$1,442.99 | $618–$2,061.42 | varies |
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.