Blue Mountain Hospital
802 South 200 West, Blanding, UT 84511 · 68 Priced Procedures · 67% Patient Recommendation
Typical commercial prices here are +173% above the fair benchmark (2.73×) even after accounting for local nurse/doctor wages and patient complexity.
4-Star CMS clinical quality rating paired with 2.73× fair market pricing.
Wide Procedure Spread · Upper-Quartile Skew Pricer
Blue Mountain Hospital prices routine shoppable procedures at 4.3× Medicare (median 2.53× Fair BaseRate) while upper-quartile commercial rates jump +48% to 3.74× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.42× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 1% of shoppable procedures (25/100 Cash Honesty)
- 4-Star CMS clinical rating with 67% patient recommendation (70/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (65.1% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.3× markup over Medicare rates
- Commercial insurance median sits at 2.53× Fair BaseRate (4.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 3.74×) jump +48% above the median procedure ratio (Q50 2.53×)
- Unnegotiated chargemaster list prices average 8.3× Medicare (26¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Blue Mountain Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 68 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $12,719 | 0.7× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $3,554 | unverified |
| Total knee replacement CPT Code: 27447 | $3,159 | 0.2× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $2,915 | 2.9× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $2,623 | 5.1× |
| MRI, lower back (no contrast) CPT Code: 72148 | $2,349 | unverified |
| CT scan, pelvis CPT Code: 72192 | $1,896 | unverified |
| MRI, brain (no contrast) CPT Code: 70551 | $1,785 | 5.2× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,801 | unverified |
| MRI, knee or other leg joint CPT Code: 73721 | $1,824 | unverified |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,682 | 5.6× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,591 | 1.3× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $1,429 | 1.5× |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,404 | 1.4× |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,297 | unverified |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,131 | 1.9× |
| CT scan, head (no contrast) CPT Code: 70450 | $1,101 | unverified |
| CT scan, sinuses CPT Code: 70486 | $1,033 | 6.2× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $968 | 5.8× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $914 | 6.8× |
| Blood transfusion CPT Code: 36430 | $939 | 1.9× |
| Ultrasound, pelvis CPT Code: 76856 | $793 | 6.1× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $687 | 2.5× |
| X-ray, neck (cervical spine) CPT Code: 72040 | $411 | 4.4× |
| X-ray, lower back CPT Code: 72110 | $419 | unverified |
Audit a Bill or Quote at Blue Mountain Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $8,285
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (65.1% of gross = $8,285).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Blue Mountain Hospital's published 45 CFR § 180 self-pay cash rate is $12,734 (vs. $12,719 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)
Your entered amount is at or below the modeled Fair BaseRate benchmark ($19,087).
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (65.1% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Blue Mountain Hospital. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-11-07·administrative_or_closure
Closure Notice
Recorded - 2025-09-11·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare (129 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Blue Mountain Hospital.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.