1001005215 — Lutetium Lu-177 Dotatate Tx 1mCi
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). LUTETIUM Lu-177 DOTATATE TX 1mCi (OTHER 1001005215) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/1001005215?code_type=OTHER
MLA (9th ed.)
“LUTETIUM Lu-177 DOTATATE TX 1mCi (OTHER 1001005215) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/1001005215?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“LUTETIUM Lu-177 DOTATATE TX 1mCi (OTHER 1001005215) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/1001005215?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $86,096–$104,285 (25th–75th percentile) across 3 hospitals · 20 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 1001005215 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| PRIMARY CHILDREN'S HOSPITAL | Selecthealth Med Network - Inpatient | — | $86,096.16 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Cigna - Apwu Ppo - Inpatient | — | $86,096.16 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Selecthealth Chip - Inpatient | — | $86,096.16 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Cigna Healthcare Hmo - Inpatient | — | $86,096.16 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Selecthealth Care Network - Inpatient | — | $86,096.16 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Cigna Healthcare Localplus - Inpatient | — | $86,096.16 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Golden Rule - Uhc One - Inpatient | — | $86,096.16 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Cigna Healthcare Oap - Inpatient | — | $86,096.16 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Molina Marketplace - Inpatient | — | $86,096.16 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Cigna Healthcare Ppo - Inpatient | — | $86,096.16 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Meritain Health - Aetna Ut Connected Care Ntwk - Inpatient | — | $86,096.16 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Cigna Healthcare Utah Connect - Inpatient | — | $86,096.16 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Humana One Ppo - Inpatient | — | $86,096.16 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Humana - Inpatient | — | $86,096.16 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Healthscope Benefits - Uhc - Inpatient | — | $86,096.16 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Sierra Health And Life - Uhc - Inpatient | — | $86,096.16 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Student Resources - Uhc - Inpatient | — | $86,096.16 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Surest - Uhc Choice Plus - Inpatient | — | $86,096.16 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Uhc All Savers - Inpatient | — | $86,096.16 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Uhc Medica Choice Plus - Inpatient | — | $86,096.16 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Umr United Healthcare Choice Network - Inpatient | — | $86,096.16 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Umr United Healthcare Options Ppo - Inpatient | — | $86,096.16 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | United Healthcare - Inpatient | — | $86,096.16 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Ushealth Group Freedom Life Uhc - Inpatient | — | $86,096.16 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Great West Cigna - Inpatient | — | $86,096.16 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Aetna Global Benefits Standard Network - Inpatient | — | $86,096.16 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Selecthealth Value Network Individual - Inpatient | — | $86,096.16 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Aetna Signature Administrators Standard Network - Inpatient | — | $86,096.16 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Selecthealth Value Network - Inpatient | — | $86,096.16 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Aetna Standard Network - Inpatient | — | $86,096.16 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Selecthealth St. Luke'S Ppo - Inpatient | — | $86,096.16 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Aetna Utah Connected Care Network - Inpatient | — | $86,096.16 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Selecthealth Share Network - Inpatient | — | $86,096.16 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Cbsa Aetna Standard Network - Inpatient | — | $86,096.16 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Selecthealth Med Network Individual - Inpatient | — | $86,096.16 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Chip Molina Healthy Kids - Inpatient | — | $86,096.16 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Selecthealth Med Network Federal Employee - Inpatient | — | $86,096.16 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Cigna - Apwu Oap - Inpatient | — | $86,096.16 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Regence Blue Cross Valuecare Ppo - Inpatient | — | $88,521.41 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Regence Blue Cross Federal - Inpatient | — | $88,521.41 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Regence Blue Cross Out Of State - Inpatient | — | $88,521.41 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Regence Blue Cross Out Of State Ppo - Inpatient | — | $88,521.41 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Regence Blue Cross Traditional - Inpatient | — | $88,521.41 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Regence Blue Shield Idaho - Ut Services - Inpatient | — | $88,521.41 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Regence Group Administrators - Inpatient | — | $88,521.41 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Regence Preferred Blue Option - Inpatient | — | $88,521.41 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Regence Blue Cross Valuecare Ppo - Inpatient/Outpatient | — | $94,315.06 | $134,735.80 | $101,051.85 | 2026-07-31 | MRF ↗ |
| MCKAY-DEE HOSPITAL | Regence Blue Cross Valuecare Ppo - Inpatient/Outpatient | — | $94,315.06 | $134,735.80 | $101,051.85 | 2026-07-30 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Uhc Medica Choice Plus - Inpatient | — | $95,662.42 | $134,735.80 | $101,051.85 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Uhc All Savers - Inpatient | — | $95,662.42 | $134,735.80 | $101,051.85 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Surest - Uhc Choice Plus - Inpatient | — | $95,662.42 | $134,735.80 | $101,051.85 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Student Resources - Uhc - Inpatient | — | $95,662.42 | $134,735.80 | $101,051.85 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Sierra Health And Life - Uhc - Inpatient | — | $95,662.42 | $134,735.80 | $101,051.85 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Healthscope Benefits - Uhc - Inpatient | — | $95,662.42 | $134,735.80 | $101,051.85 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Golden Rule - Uhc One - Inpatient | — | $95,662.42 | $134,735.80 | $101,051.85 | 2026-07-31 | MRF ↗ |
| MCKAY-DEE HOSPITAL | Ushealth Group Freedom Life Uhc - Inpatient | — | $95,662.42 | $134,735.80 | $101,051.85 | 2026-07-30 | MRF ↗ |
| MCKAY-DEE HOSPITAL | United Healthcare - Inpatient | — | $95,662.42 | $134,735.80 | $101,051.85 | 2026-07-30 | MRF ↗ |
| MCKAY-DEE HOSPITAL | Umr United Healthcare Options Ppo - Inpatient | — | $95,662.42 | $134,735.80 | $101,051.85 | 2026-07-30 | MRF ↗ |
| MCKAY-DEE HOSPITAL | Golden Rule - Uhc One - Inpatient | — | $95,662.42 | $134,735.80 | $101,051.85 | 2026-07-30 | MRF ↗ |
| MCKAY-DEE HOSPITAL | Healthscope Benefits - Uhc - Inpatient | — | $95,662.42 | $134,735.80 | $101,051.85 | 2026-07-30 | MRF ↗ |
| MCKAY-DEE HOSPITAL | Sierra Health And Life - Uhc - Inpatient | — | $95,662.42 | $134,735.80 | $101,051.85 | 2026-07-30 | MRF ↗ |
| MCKAY-DEE HOSPITAL | Student Resources - Uhc - Inpatient | — | $95,662.42 | $134,735.80 | $101,051.85 | 2026-07-30 | MRF ↗ |
| MCKAY-DEE HOSPITAL | Surest - Uhc Choice Plus - Inpatient | — | $95,662.42 | $134,735.80 | $101,051.85 | 2026-07-30 | MRF ↗ |
| MCKAY-DEE HOSPITAL | Uhc All Savers - Inpatient | — | $95,662.42 | $134,735.80 | $101,051.85 | 2026-07-30 | MRF ↗ |
| MCKAY-DEE HOSPITAL | Uhc Medica Choice Plus - Inpatient | — | $95,662.42 | $134,735.80 | $101,051.85 | 2026-07-30 | MRF ↗ |
| MCKAY-DEE HOSPITAL | Umr United Healthcare Choice Network - Inpatient | — | $95,662.42 | $134,735.80 | $101,051.85 | 2026-07-30 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Ushealth Group Freedom Life Uhc - Inpatient | — | $95,662.42 | $134,735.80 | $101,051.85 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Umr United Healthcare Options Ppo - Inpatient | — | $95,662.42 | $134,735.80 | $101,051.85 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | United Healthcare - Inpatient | — | $95,662.42 | $134,735.80 | $101,051.85 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Umr United Healthcare Choice Network - Inpatient | — | $95,662.42 | $134,735.80 | $101,051.85 | 2026-07-31 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Golden Rule - Uhc One - Outpatient | — | $101,860.25 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Cigna Healthcare Ppo - Outpatient | — | $101,860.25 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Cigna Healthcare Oap - Outpatient | — | $101,860.25 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Molina Marketplace - Outpatient | — | $101,860.25 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Surest - Uhc Choice Plus - Outpatient | — | $101,860.25 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Aetna Global Benefits Standard Network - Outpatient | — | $101,860.25 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Selecthealth Value Network Individual - Outpatient | — | $101,860.25 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Sierra Health And Life - Uhc - Outpatient | — | $101,860.25 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Student Resources - Uhc - Outpatient | — | $101,860.25 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Great West Cigna - Outpatient | — | $101,860.25 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Healthscope Benefits - Uhc - Outpatient | — | $101,860.25 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Humana - Outpatient | — | $101,860.25 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Cigna Healthcare Utah Connect - Outpatient | — | $101,860.25 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Humana One Ppo - Outpatient | — | $101,860.25 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Uhc All Savers - Outpatient | — | $101,860.25 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Uhc Medica Choice Plus - Outpatient | — | $101,860.25 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Umr United Healthcare Choice Network - Outpatient | — | $101,860.25 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Cigna Healthcare Localplus - Outpatient | — | $101,860.25 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Umr United Healthcare Options Ppo - Outpatient | — | $101,860.25 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | United Healthcare - Outpatient | — | $101,860.25 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Ushealth Group Freedom Life Uhc - Outpatient | — | $101,860.25 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Cigna Healthcare Hmo - Outpatient | — | $101,860.25 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Selecthealth Care Network - Outpatient | — | $101,860.25 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Cigna - Apwu Ppo - Outpatient | — | $101,860.25 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Selecthealth Chip - Outpatient | — | $101,860.25 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Cigna - Apwu Oap - Outpatient | — | $101,860.25 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Selecthealth Med Network - Outpatient | — | $101,860.25 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Chip Molina Healthy Kids - Outpatient | — | $101,860.25 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Selecthealth Med Network Federal Employee - Outpatient | — | $101,860.25 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Cbsa Aetna Standard Network - Outpatient | — | $101,860.25 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Selecthealth Med Network Individual - Outpatient | — | $101,860.25 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Selecthealth Share Network - Outpatient | — | $101,860.25 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Aetna Standard Network - Outpatient | — | $101,860.25 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Selecthealth St. Luke'S Ppo - Outpatient | — | $101,860.25 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Aetna Signature Administrators Standard Network - Outpatient | — | $101,860.25 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Selecthealth Value Network - Outpatient | — | $101,860.25 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Meritain Health - Aetna Ut Connected Care Ntwk - Outpatient | — | $103,072.87 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Aetna Utah Connected Care Network - Outpatient | — | $103,072.87 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Regence Preferred Blue Option - Outpatient | — | $104,285.49 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Regence Blue Cross Federal - Outpatient | — | $104,285.49 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Regence Blue Cross Valuecare Ppo - Outpatient | — | $104,285.49 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Regence Blue Shield Idaho - Ut Services - Outpatient | — | $104,285.49 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Regence Blue Cross Out Of State Ppo - Outpatient | — | $104,285.49 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Regence Blue Cross Out Of State - Outpatient | — | $104,285.49 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Regence Blue Cross Traditional - Outpatient | — | $104,285.49 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL | Regence Group Administrators - Outpatient | — | $104,285.49 | $121,262.20 | $90,946.65 | 2026-07-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Chip Molina Healthy Kids - Inpatient/Outpatient | — | $110,483.36 | $134,735.80 | $101,051.85 | 2026-07-31 | MRF ↗ |
| MCKAY-DEE HOSPITAL | Chip Molina Healthy Kids - Inpatient/Outpatient | — | $110,483.36 | $134,735.80 | $101,051.85 | 2026-07-30 | MRF ↗ |
| MCKAY-DEE HOSPITAL | Great West Cigna - Inpatient/Outpatient | — | $114,525.43 | $134,735.80 | $101,051.85 | 2026-07-30 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Humana - Inpatient/Outpatient | — | $114,525.43 | $134,735.80 | $101,051.85 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Humana One Ppo - Inpatient/Outpatient | — | $114,525.43 | $134,735.80 | $101,051.85 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Cigna Healthcare Localplus - Inpatient/Outpatient | — | $114,525.43 | $134,735.80 | $101,051.85 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Cigna Healthcare Utah Connect - Inpatient/Outpatient | — | $114,525.43 | $134,735.80 | $101,051.85 | 2026-07-31 | MRF ↗ |
| MCKAY-DEE HOSPITAL | Humana - Inpatient/Outpatient | — | $114,525.43 | $134,735.80 | $101,051.85 | 2026-07-30 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Aetna Global Benefits Standard Network - Inpatient/Outpatient | — | $114,525.43 | $134,735.80 | $101,051.85 | 2026-07-31 | MRF ↗ |
| MCKAY-DEE HOSPITAL | Cigna Healthcare Localplus - Inpatient/Outpatient | — | $114,525.43 | $134,735.80 | $101,051.85 | 2026-07-30 | MRF ↗ |
| MCKAY-DEE HOSPITAL | Humana One Ppo - Inpatient/Outpatient | — | $114,525.43 | $134,735.80 | $101,051.85 | 2026-07-30 | MRF ↗ |
| MCKAY-DEE HOSPITAL | Aetna Global Benefits Standard Network - Inpatient/Outpatient | — | $114,525.43 | $134,735.80 | $101,051.85 | 2026-07-30 | MRF ↗ |
| MCKAY-DEE HOSPITAL | Aetna Signature Administrators Standard Network - Inpatient/Outpatient | — | $114,525.43 | $134,735.80 | $101,051.85 | 2026-07-30 | MRF ↗ |
| MCKAY-DEE HOSPITAL | Aetna Standard Network - Inpatient/Outpatient | — | $114,525.43 | $134,735.80 | $101,051.85 | 2026-07-30 | MRF ↗ |
| MCKAY-DEE HOSPITAL | Cbsa Aetna Standard Network - Inpatient/Outpatient | — | $114,525.43 | $134,735.80 | $101,051.85 | 2026-07-30 | MRF ↗ |
| MCKAY-DEE HOSPITAL | Cigna - Apwu Oap - Inpatient/Outpatient | — | $114,525.43 | $134,735.80 | $101,051.85 | 2026-07-30 | MRF ↗ |
| MCKAY-DEE HOSPITAL | Cigna - Apwu Ppo - Inpatient/Outpatient | — | $114,525.43 | $134,735.80 | $101,051.85 | 2026-07-30 | MRF ↗ |
| MCKAY-DEE HOSPITAL | Cigna Healthcare Hmo - Inpatient/Outpatient | — | $114,525.43 | $134,735.80 | $101,051.85 | 2026-07-30 | MRF ↗ |
| MCKAY-DEE HOSPITAL | Cigna Healthcare Oap - Inpatient/Outpatient | — | $114,525.43 | $134,735.80 | $101,051.85 | 2026-07-30 | MRF ↗ |
| MCKAY-DEE HOSPITAL | Cigna Healthcare Ppo - Inpatient/Outpatient | — | $114,525.43 | $134,735.80 | $101,051.85 | 2026-07-30 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Cigna Healthcare Ppo - Inpatient/Outpatient | — | $114,525.43 | $134,735.80 | $101,051.85 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Great West Cigna - Inpatient/Outpatient | — | $114,525.43 | $134,735.80 | $101,051.85 | 2026-07-31 | MRF ↗ |
| MCKAY-DEE HOSPITAL | Cigna Healthcare Utah Connect - Inpatient/Outpatient | — | $114,525.43 | $134,735.80 | $101,051.85 | 2026-07-30 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Aetna Signature Administrators Standard Network - Inpatient/Outpatient | — | $114,525.43 | $134,735.80 | $101,051.85 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Aetna Standard Network - Inpatient/Outpatient | — | $114,525.43 | $134,735.80 | $101,051.85 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Cbsa Aetna Standard Network - Inpatient/Outpatient | — | $114,525.43 | $134,735.80 | $101,051.85 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Cigna - Apwu Oap - Inpatient/Outpatient | — | $114,525.43 | $134,735.80 | $101,051.85 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Cigna - Apwu Ppo - Inpatient/Outpatient | — | $114,525.43 | $134,735.80 | $101,051.85 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Cigna Healthcare Hmo - Inpatient/Outpatient | — | $114,525.43 | $134,735.80 | $101,051.85 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Cigna Healthcare Oap - Inpatient/Outpatient | — | $114,525.43 | $134,735.80 | $101,051.85 | 2026-07-31 | MRF ↗ |
| MCKAY-DEE HOSPITAL | Independence Blue Cross - Comcast - Inpatient/Outpatient | — | $119,914.86 | $134,735.80 | $101,051.85 | 2026-07-30 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Independence Blue Cross - Comcast - Inpatient/Outpatient | — | $119,914.86 | $134,735.80 | $101,051.85 | 2026-07-31 | MRF ↗ |