104 — Acetaminophen 325 Mg Rectal Suppository
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ACETAMINOPHEN 325 MG RECTAL SUPPOSITORY (OTHER 104) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/104?code_type=OTHER
MLA (9th ed.)
“ACETAMINOPHEN 325 MG RECTAL SUPPOSITORY (OTHER 104) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/104?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“ACETAMINOPHEN 325 MG RECTAL SUPPOSITORY (OTHER 104) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/104?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4–$8,985 (25th–75th percentile) across 201 hospitals · 307 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 104 — 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 |
|---|---|---|---|---|---|---|---|
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $0.09 | $6.10 | $4.58 | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Inpatient | Donor Connect | Other | $0.09 | $3.15 | $2.36 | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Inpatient | Donor Connect | Other | $0.09 | $3.15 | $2.36 | 2026-05-18 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Donor Connect | Other | $0.09 | $4.58 | $3.43 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $0.09 | $6.10 | $4.58 | 2026-05-18 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Donor Connect | Other | $0.11 | $6.11 | $4.58 | 2026-05-09 | MRF ↗ |
| PARK CITY HOSPITAL Inpatient | Donor Connect | Other | $0.12 | $4.58 | $3.43 | 2026-05-18 | MRF ↗ |
| PARK CITY HOSPITAL Inpatient | Donor Connect | Other | $0.12 | $4.58 | $3.43 | 2026-05-22 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Inpatient | Donor Connect | Other | $0.15 | $6.10 | $4.58 | 2026-05-14 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Donor Connect | Other | $0.22 | $6.10 | $4.58 | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Donor Connect | Other | $0.22 | $6.10 | $4.58 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Donor Connect | Other | $0.25 | $6.10 | $4.58 | 2026-05-22 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Blue Cross Blue Shield Medicare | — | $0.39 | $1.25 | $0.75 | 2026-05-28 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Donor Connect | Other | $0.40 | $6.10 | $4.58 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Donor Connect | Other | $0.40 | $6.10 | $4.58 | 2026-05-22 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Select Medicaid | — | $0.47 | $1.25 | $0.75 | 2026-05-28 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Molina Medicaid | — | $0.49 | $1.25 | $0.75 | 2026-05-28 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Wellcare Medicaid | — | $0.52 | $1.25 | $0.75 | 2026-05-28 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Bluechoice Medicaid | — | $0.54 | $1.25 | $0.75 | 2026-05-28 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Donor Connect | Other | $0.91 | $3.15 | $2.36 | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Donor Connect | Other | $0.91 | $3.15 | $2.36 | 2026-05-18 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Tufts | All Plans | $1.06 | $3.25 | $1.66 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Oxford | All Plans | $1.15 | $3.25 | $1.66 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Magnacare | All Plans | $1.16 | $3.25 | $1.92 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Champus | All Plans | $1.19 | $3.25 | $1.66 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Magellan | All Plans | $1.20 | $3.25 | $1.92 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | UHC | All Plans | $1.23 | $3.25 | $1.66 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Create Alliance | All Plans | $1.24 | $3.25 | $1.66 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Anthem | All Plans | $1.24 | $3.25 | $1.66 | 2025-01-10 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Outpatient | Donor Connect | Other | $1.25 | $4.58 | $3.43 | 2026-05-22 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | CtCare | All Plans | $1.27 | $3.25 | $1.92 | 2025-01-10 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Donor Connect | Other | $1.30 | $6.10 | $4.58 | 2026-05-18 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Aetna | All Plans | $1.30 | $3.25 | $1.66 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Cigna | All Plans | $1.32 | $3.25 | $1.66 | 2025-01-10 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Donor Connect | Other | $1.32 | $4.58 | $3.43 | 2026-05-18 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Donor Connect | Other | $1.32 | $4.58 | $3.43 | 2026-05-22 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Inpatient | United Healthcare | Commercial - Inpatient | $1.33 | $1.77 | $0.88 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Inpatient | United Healthcare | Commercial - Inpatient | $1.33 | $1.77 | $0.88 | 2026-05-23 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $1.37 | $4.58 | $3.43 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $1.37 | $4.58 | $3.43 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $1.37 | $4.58 | $3.43 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Regence Bcbs | Medadvantage Ppo | $1.37 | $4.58 | $3.43 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $1.37 | $4.58 | $3.43 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $1.37 | $4.58 | $3.43 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $1.37 | $4.58 | $3.43 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Healthy U | Medicaid | $1.37 | $4.58 | $3.43 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $1.37 | $4.58 | $3.43 | 2026-05-15 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Selecthealth | Medicaid | $1.37 | $4.58 | $3.43 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Selecthealth | Medicaid | $1.37 | $4.58 | $3.43 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Molina | Medicaid | $1.37 | $4.58 | $3.43 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $1.37 | $4.58 | $3.43 | 2026-05-15 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $1.37 | $4.58 | $3.43 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Uhc | Medicare Advantage | $1.37 | $4.58 | $3.43 | 2026-05-15 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Both | Uphg | Tpa | — | $4.00 | $2.28 | 2026-05-09 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Both | Healtheos | General | — | $4.00 | $2.28 | 2026-05-09 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Both | Health Alliance | General | — | $4.00 | $2.28 | 2026-05-09 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Both | Ppom | Cofinity | — | $4.00 | $2.28 | 2026-05-09 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Both | Aetna | Commercial | — | $4.00 | $2.28 | 2026-05-09 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Both | Bcbs | General | — | $4.00 | $2.28 | 2026-05-09 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Both | Priority Health | General | — | $4.00 | $2.28 | 2026-05-09 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Both | First Health | General | — | $4.00 | $2.28 | 2026-05-09 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Both | Aetna | Funding Advantage | — | $4.00 | $2.28 | 2026-05-09 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Both | United | General | — | $4.00 | $2.28 | 2026-05-09 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Both | Michigan W/C | General | — | $4.00 | $2.28 | 2026-05-09 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Both | Cigna | General | — | $4.00 | $2.28 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Donor Connect | Other | $1.45 | $6.10 | $4.58 | 2026-05-22 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $1.45 | $4.83 | $3.62 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Donor Connect | Other | $1.45 | $6.10 | $4.58 | 2026-05-18 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Molina | Medicare Choice Care Hmo | $1.45 | $4.83 | $3.62 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $1.45 | $4.83 | $3.62 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Uhc | Medicare Advantage | $1.45 | $4.83 | $3.62 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $1.45 | $4.83 | $3.62 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $1.45 | $4.83 | $3.62 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $1.45 | $4.83 | $3.62 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $1.45 | $4.83 | $3.62 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | St Lukes Hp | Medicare Advantage | $1.45 | $4.83 | $3.62 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Regence Bcbs | Idaho Ut Svc | $1.45 | $4.83 | $3.62 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $1.45 | $4.83 | $3.62 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Blue Cross Of Idaho | Medicare Id True Blue | $1.45 | $4.83 | $3.62 | 2026-05-15 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Multiplan | All Plans | $1.46 | $3.25 | $1.66 | 2025-01-10 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Donor Connect | Other | $1.47 | $4.07 | $3.05 | 2026-05-22 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Harvard Pilgrim | All Plans | $1.47 | $3.25 | $1.92 | 2025-01-10 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Donor Connect | Other | $1.47 | $4.07 | $3.05 | 2026-05-13 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Donor Connect | Other | $1.47 | $4.07 | $3.05 | 2026-05-15 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Donor Connect | Other | $1.48 | $6.11 | $4.58 | 2026-05-09 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Select Health | Medicaid | — | $4.96 | $3.47 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Humana | Medicaid | — | $4.96 | $3.47 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Absolute Total Care | Commercial | — | $4.96 | $3.47 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Bcbs Of Sc | Commercial | — | $4.96 | $3.47 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Aetna | Medicare | $1.49 | $4.96 | $3.47 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Bcbs Of Sc | Medicare | — | $4.96 | $3.47 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Devoted Health | Medicare | — | $4.96 | $3.47 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Molina | Medicaid | — | $4.96 | $3.47 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Molina | Commercial | — | $4.96 | $3.47 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Blue Choice Of Sc | Medicaid | — | $4.96 | $3.47 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Humana | Medicare | — | $4.96 | $3.47 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Absolute Total Care | Medicaid | — | $4.96 | $3.47 | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Inpatient | Phcs | Commercial | $1.50 | $1.77 | $0.88 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Inpatient | Hrgi | Commercial | $1.50 | $1.77 | $0.88 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Inpatient | Excellus - Rmsco | Commercial | $1.50 | $1.77 | $0.88 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Inpatient | Beech Street | Commercial | $1.50 | $1.77 | $0.88 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Inpatient | Beech Street | Commercial | $1.50 | $1.77 | $0.88 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Inpatient | Excellus - Rmsco | Commercial | $1.50 | $1.77 | $0.88 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Inpatient | Phcs | Commercial | $1.50 | $1.77 | $0.88 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Inpatient | Hrgi | Commercial | $1.50 | $1.77 | $0.88 | 2026-05-14 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Donor Connect | Other | $1.54 | $6.10 | $4.58 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Triwest | Veterans Choice | $1.54 | $4.58 | $3.43 | 2026-05-15 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Donor Connect | Other | $1.54 | $6.10 | $4.58 | 2026-05-18 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Oxford | All Plans | $1.55 | $3.25 | $1.92 | 2025-01-10 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $1.55 | $4.83 | $3.62 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $1.55 | $4.83 | $3.62 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Molina | Medicaid | $1.55 | $4.83 | $3.62 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $1.55 | $4.83 | $3.62 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Healthy U | Medicaid | $1.55 | $4.83 | $3.62 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $1.55 | $4.83 | $3.62 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Regence Bcbs | Medadvantage Ppo | $1.55 | $4.83 | $3.62 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $1.55 | $4.83 | $3.62 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $1.55 | $4.83 | $3.62 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $1.55 | $4.83 | $3.62 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Uhc | Medicare Advantage | $1.55 | $4.83 | $3.62 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $1.55 | $4.83 | $3.62 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Selecthealth | Medicaid | $1.55 | $4.83 | $3.62 | 2026-05-09 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Cigna | All Plans | $1.57 | $3.25 | $1.92 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Aetna | All Plans | $1.57 | $3.25 | $1.92 | 2025-01-10 | MRF ↗ |
| LDS HOSPITAL Outpatient | Donor Connect | Other | $1.58 | $6.10 | $4.58 | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $1.61 | $6.10 | $4.58 | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $1.61 | $6.10 | $4.58 | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $1.61 | $6.10 | $4.58 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $1.61 | $6.10 | $4.58 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $1.61 | $6.10 | $4.58 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $1.61 | $6.10 | $4.58 | 2026-05-22 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $1.61 | $6.10 | $4.58 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $1.61 | $6.10 | $4.58 | 2026-05-22 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $1.61 | $6.10 | $4.58 | 2026-05-22 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $1.61 | $6.10 | $4.58 | 2026-05-14 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $1.61 | $6.10 | $4.58 | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $1.61 | $6.10 | $4.58 | 2026-05-18 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $1.61 | $6.10 | $4.58 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $1.61 | $6.10 | $4.58 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $1.61 | $6.10 | $4.58 | 2026-05-18 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $1.61 | $6.11 | $4.58 | 2026-05-09 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $1.61 | $6.11 | $4.58 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $1.61 | $6.10 | $4.58 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $1.61 | $6.10 | $4.58 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $1.61 | $6.10 | $4.58 | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $1.61 | $6.10 | $4.58 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $1.61 | $6.10 | $4.58 | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Donor Connect | Other | $1.62 | $4.07 | $3.05 | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Donor Connect | Other | $1.62 | $4.07 | $3.05 | 2026-05-13 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Donor Connect | Other | $1.62 | $4.07 | $3.05 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Donor Connect | Other | $1.63 | $6.10 | $4.58 | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Medicaid | $1.63 | $4.07 | $3.05 | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Medicaid | $1.63 | $4.07 | $3.05 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Medicaid | $1.63 | $4.07 | $3.05 | 2026-05-13 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | UHC | All Plans | $1.63 | $3.25 | $1.92 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Anthem | All Plans | $1.64 | $3.25 | $1.92 | 2025-01-10 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | United Healthcare | Medicare | $1.64 | $4.96 | $3.47 | 2026-05-08 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Donor Connect | Other | $1.65 | $6.10 | $4.58 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Donor Connect | Other | $1.65 | $6.10 | $4.58 | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uhc | Medicare Advantage | $1.67 | $4.07 | $3.05 | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uhc | Medicare Advantage | $1.67 | $4.07 | $3.05 | 2026-05-13 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uhc | Medicare Advantage | $1.67 | $4.07 | $3.05 | 2026-05-15 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Health Choice | Arizona | $1.69 | $4.58 | $3.43 | 2026-05-22 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Triwest | Veterans Choice | $1.69 | $4.83 | $3.62 | 2026-05-15 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Donor Connect | Other | $1.70 | $6.10 | $4.58 | 2026-05-14 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | AMPS | All Plans | $1.70 | $3.25 | $1.66 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Claimdoc | All Plans | $1.70 | $3.25 | $1.66 | 2025-01-10 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Kaiser Perm Ppo/Pos | Kaiser Ppo/Pos Other | $1.75 | $7.51 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Kaiser Perm Ppo/Pos | Kaiser Perm Ppo/Pos | $1.75 | $7.51 | — | 2026-05-22 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Multiplan | All Plans | $1.79 | $3.25 | $1.92 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Create | All Plans | $1.79 | $3.25 | $1.92 | 2025-01-10 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $1.82 | $6.10 | $4.58 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $1.82 | $6.10 | $4.58 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $1.82 | $6.10 | $4.58 | 2026-05-22 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $1.82 | $6.10 | $4.58 | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $1.82 | $6.10 | $4.58 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $1.82 | $6.10 | $4.58 | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $1.82 | $6.10 | $4.58 | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $1.82 | $6.10 | $4.58 | 2026-05-18 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $1.82 | $6.10 | $4.58 | 2026-05-14 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $1.82 | $6.11 | $4.58 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $1.82 | $6.10 | $4.58 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Medicaid | $1.83 | $6.10 | $4.58 | 2026-05-18 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Medicaid | $1.83 | $6.10 | $4.58 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Medicaid | $1.83 | $6.10 | $4.58 | 2026-05-22 | MRF ↗ |
| LDS HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $1.83 | $6.10 | $4.58 | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $1.83 | $6.10 | $4.58 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $1.83 | $6.10 | $4.58 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $1.83 | $6.10 | $4.58 | 2026-05-22 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Medicaid | $1.83 | $6.10 | $4.58 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Medicaid | $1.83 | $6.10 | $4.58 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Medicaid | $1.83 | $6.10 | $4.58 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Medicaid | $1.83 | $6.10 | $4.58 | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $1.83 | $6.10 | $4.58 | 2026-05-22 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $1.83 | $6.10 | $4.58 | 2026-05-14 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $1.83 | $6.10 | $4.58 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $1.83 | $6.10 | $4.58 | 2026-05-22 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Inpatient | Selecthealth | Medicaid | $1.83 | $6.10 | $4.58 | 2026-05-14 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Medicaid | $1.83 | $6.10 | $4.58 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $1.83 | $6.10 | $4.58 | 2026-05-22 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.