Monticello, UT
1 known revision on file.
| Revision date | Added | Payer-specific rates |
|---|---|---|
| Apr 13, 2026 | Nov 6, 2026 | Yes |
Search by billing code or procedure name (CPT, HCPCS, MS-DRG and more) to see San Juan Hospital’s price for it.
The codes San Juan Hospital has the most pricing samples for.
| Procedure | |||||||
|---|---|---|---|---|---|---|---|
| Outpatient office visit, established patientCPT 99213 | $112 | $111 | $37 | 34% | 505–532 | $66 | $168 |
| Outpatient office visit, established patient, level 4CPT 99214 | $158 | $150 | $45 | 30% | 450–459 | $97 | $225 |
| Chest X-ray, two viewsCPT 71046 | $35 | $84 | $98 | 117% | 187–214 | $11 | $287 |
| Immunization administrationCPT 90471 | $25 | $33 | $16 | 49% | 90–108 | $17 | $63 |
| Automated urinalysis with microscopic examinationCPT 81001 | $65 | $75 | $40 | 54% | 51–96 | $21 | $124 |
| Outpatient follow-up visit with established patientCPT 99212 | $77 | $71 | $27 | 37% | 62 | $35 | $109 |
| Lidocaine local anesthetic injection, preservative-free 1%HCPCS J2003 | $0 | $0 | $0 | 71% | 31–76 | $0 | $0 |
| Emergency department visitCPT 99284 | $276 | $661 | $530 | 80% | 32–50 | $116 | $1.4k |
| Therapeutic or preventive subcutaneous or intramuscular injectionCPT 96372 | $20 | $21 | $9 | 45% | 28–37 | $3 | $34 |
| Chest X-ray, single viewCPT 71045 | $27 | $54 | $71 | 132% | 5–50 | $9 | $226 |
EIN: 876000616
Last updated: Apr 13, 2026
Query San Juan Hospital’s procedure pricing directly from Claude or any MCP client — see how to connect.
Hospital ID: 8536c5e4bb6958b04854cd392605428a444f1203e8dc136785538fa81937d370