105 — Acetaminophen 650 Mg Rectal Suppository
Cite this view
HANK Price Transparency. (n.d.). ACETAMINOPHEN 650 MG RECTAL SUPPOSITORY (OTHER 105) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/105?code_type=OTHER
“ACETAMINOPHEN 650 MG RECTAL SUPPOSITORY (OTHER 105) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/105?code_type=OTHER. Accessed .
“ACETAMINOPHEN 650 MG RECTAL SUPPOSITORY (OTHER 105) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/105?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1–$2,060 (25th–75th percentile) across 189 hospitals · 280 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 105 — 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 |
|---|---|---|---|---|---|---|---|
| OREM COMMUNITY HOSPITAL Inpatient | Donor Connect | Other | $0.04 | $1.67 | $1.26 | 2026-05-14 | MRF ↗ |
| PARK CITY HOSPITAL Inpatient | Donor Connect | Other | $0.04 | $1.59 | $1.19 | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Inpatient | Donor Connect | Other | $0.04 | $1.59 | $1.19 | 2026-05-18 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Inpatient | Donor Connect | Other | $0.05 | $2.12 | $1.59 | 2026-05-14 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Donor Connect | Other | $0.06 | $1.67 | $1.26 | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Donor Connect | Other | $0.06 | $1.67 | $1.26 | 2026-05-18 | MRF ↗ |
| PARK CITY HOSPITAL Inpatient | Donor Connect | Other | $0.07 | $2.54 | $1.91 | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Inpatient | Donor Connect | Other | $0.07 | $2.54 | $1.91 | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Donor Connect | Other | $0.08 | $2.12 | $1.59 | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Donor Connect | Other | $0.08 | $2.12 | $1.59 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Donor Connect | Other | $0.09 | $2.12 | $1.59 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Donor Connect | Other | $0.11 | $1.67 | $1.26 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Donor Connect | Other | $0.11 | $1.67 | $1.26 | 2026-05-15 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Outpatient | Donor Connect | Other | $0.34 | $1.26 | $0.94 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $0.36 | $1.33 | $0.99 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Selecthealth | Medicaid | $0.36 | $1.33 | $0.99 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Molina | Medicaid | $0.36 | $1.33 | $0.99 | 2026-05-14 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Donor Connect | Other | $0.36 | $1.67 | $1.26 | 2026-05-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Molina Medicare | — | $0.36 | $1.98 | $1.19 | 2026-05-28 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $0.38 | $1.26 | $0.94 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Uhc | Medicare Advantage | $0.38 | $1.26 | $0.94 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Healthy U | Medicaid | $0.38 | $1.26 | $0.94 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $0.38 | $1.26 | $0.94 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Molina | Medicaid | $0.38 | $1.26 | $0.94 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Selecthealth | Medicaid | $0.38 | $1.26 | $0.94 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $0.38 | $1.26 | $0.94 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $0.38 | $1.26 | $0.94 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $0.38 | $1.26 | $0.94 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $0.38 | $1.26 | $0.94 | 2026-05-15 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Selecthealth | Medicaid | $0.38 | $1.26 | $0.94 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $0.38 | $1.26 | $0.94 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $0.38 | $1.26 | $0.94 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $0.38 | $1.26 | $0.94 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Regence Bcbs | Medadvantage Ppo | $0.38 | $1.26 | $0.94 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Healthy U | Medicaid | $0.40 | $1.33 | $0.99 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Donor Connect | Other | $0.40 | $1.67 | $1.26 | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Donor Connect | Other | $0.40 | $1.12 | $0.84 | 2026-05-13 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $0.40 | $1.33 | $0.99 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Molina | Medicare Advantage | $0.40 | $1.33 | $0.99 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $0.40 | $1.33 | $0.99 | 2026-05-14 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Molina Marketplace | — | $0.40 | $1.98 | $1.19 | 2026-05-28 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Uhc | Medicare Advantage | $0.40 | $1.33 | $0.99 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $0.40 | $1.33 | $0.99 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $0.40 | $1.33 | $0.99 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Regence Bcbs | Medadvantage Ppo | $0.40 | $1.33 | $0.99 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $0.40 | $1.33 | $0.99 | 2026-05-14 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Donor Connect | Other | $0.40 | $1.12 | $0.84 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $0.40 | $1.33 | $0.99 | 2026-05-14 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Donor Connect | Other | $0.40 | $1.12 | $0.84 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Donor Connect | Other | $0.40 | $1.67 | $1.26 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $0.40 | $1.33 | $0.99 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Triwest | Veterans Choice | $0.41 | $1.33 | $0.99 | 2026-05-14 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Donor Connect | Other | $0.41 | $1.68 | $1.26 | 2026-05-09 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Donor Connect | Other | $0.42 | $1.67 | $1.26 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Triwest | Veterans Choice | $0.42 | $1.26 | $0.94 | 2026-05-15 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Donor Connect | Other | $0.42 | $1.67 | $1.26 | 2026-05-22 | MRF ↗ |
| LDS HOSPITAL Outpatient | Donor Connect | Other | $0.43 | $1.67 | $1.26 | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $0.44 | $1.67 | $1.26 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $0.44 | $1.67 | $1.26 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $0.44 | $1.67 | $1.26 | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $0.44 | $1.67 | $1.26 | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $0.44 | $1.67 | $1.26 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $0.44 | $1.67 | $1.26 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $0.44 | $1.67 | $1.26 | 2026-05-15 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $0.44 | $1.67 | $1.26 | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $0.44 | $1.68 | $1.26 | 2026-05-09 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $0.44 | $1.68 | $1.26 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $0.44 | $1.67 | $1.26 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $0.44 | $1.67 | $1.26 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $0.44 | $1.67 | $1.26 | 2026-05-18 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $0.44 | $1.67 | $1.26 | 2026-05-18 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $0.44 | $1.67 | $1.26 | 2026-05-14 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $0.44 | $1.67 | $1.26 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $0.44 | $1.67 | $1.26 | 2026-05-15 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $0.44 | $1.67 | $1.26 | 2026-05-14 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $0.44 | $1.67 | $1.26 | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $0.44 | $1.67 | $1.26 | 2026-05-18 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Donor Connect | Other | $0.45 | $1.12 | $0.84 | 2026-05-13 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Medicaid | $0.45 | $1.12 | $0.84 | 2026-05-13 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Medicaid | $0.45 | $1.12 | $0.84 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Medicaid | $0.45 | $1.12 | $0.84 | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Donor Connect | Other | $0.45 | $1.12 | $0.84 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Donor Connect | Other | $0.45 | $1.67 | $1.26 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Donor Connect | Other | $0.45 | $1.12 | $0.84 | 2026-05-15 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Blue Cross Blue Shield Marketplace | — | $0.45 | $1.98 | $1.19 | 2026-05-28 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Donor Connect | Other | $0.45 | $1.67 | $1.26 | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uhc | Medicare Advantage | $0.46 | $1.12 | $0.84 | 2026-05-13 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uhc | Medicare Advantage | $0.46 | $1.12 | $0.84 | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uhc | Medicare Advantage | $0.46 | $1.12 | $0.84 | 2026-05-15 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Donor Connect | Other | $0.46 | $1.59 | $1.19 | 2026-05-18 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Donor Connect | Other | $0.46 | $1.59 | $1.19 | 2026-05-22 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Humana Medicare | — | $0.46 | $1.98 | $1.19 | 2026-05-28 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Health Choice | Arizona | $0.47 | $1.26 | $0.94 | 2026-05-22 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Donor Connect | Other | $0.47 | $1.67 | $1.26 | 2026-05-14 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Wellcare Medicare | — | $0.47 | $1.98 | $1.19 | 2026-05-28 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Kaiser Perm Ppo/Pos | Kaiser Ppo/Pos Other | $0.48 | $2.06 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Kaiser Perm Ppo/Pos | Kaiser Perm Ppo/Pos | $0.48 | $2.06 | — | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $0.50 | $1.67 | $1.26 | 2026-05-22 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Aetna Medicare | — | $0.50 | $1.98 | $1.19 | 2026-05-28 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Donor Connect | Other | $0.50 | $2.12 | $1.59 | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Medicaid | $0.50 | $1.67 | $1.26 | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $0.50 | $1.67 | $1.26 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $0.50 | $1.67 | $1.26 | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $0.50 | $1.67 | $1.26 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Medicaid | $0.50 | $1.67 | $1.26 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $0.50 | $1.67 | $1.26 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Donor Connect | Other | $0.50 | $2.12 | $1.59 | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $0.50 | $1.68 | $1.26 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $0.50 | $1.67 | $1.26 | 2026-05-18 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $0.50 | $1.68 | $1.26 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $0.50 | $1.67 | $1.26 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Medicaid | $0.50 | $1.67 | $1.26 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $0.50 | $1.67 | $1.26 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $0.50 | $1.68 | $1.26 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $0.50 | $1.68 | $1.26 | 2026-05-15 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $0.50 | $1.67 | $1.26 | 2026-05-14 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $0.50 | $1.67 | $1.26 | 2026-05-18 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $0.50 | $1.67 | $1.26 | 2026-05-14 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Inpatient | Selecthealth | Medicaid | $0.50 | $1.67 | $1.26 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $0.50 | $1.67 | $1.26 | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $0.50 | $1.67 | $1.26 | 2026-05-18 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $0.50 | $1.67 | $1.26 | 2026-05-18 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | St Lukes Hp | Medicare Advantage | $0.50 | $1.68 | $1.26 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Blue Cross Of Idaho | Medicare Id True Blue | $0.50 | $1.68 | $1.26 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Regence Bcbs | Idaho Ut Svc | $0.50 | $1.68 | $1.26 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $0.50 | $1.68 | $1.26 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $0.50 | $1.68 | $1.26 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $0.50 | $1.67 | $1.26 | 2026-05-22 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $0.50 | $1.68 | $1.26 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $0.50 | $1.68 | $1.26 | 2026-05-15 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Medicaid | $0.50 | $1.67 | $1.26 | 2026-05-18 | MRF ↗ |
| LDS HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $0.50 | $1.67 | $1.26 | 2026-05-22 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $0.50 | $1.67 | $1.26 | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Medicaid | $0.50 | $1.67 | $1.26 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Medicaid | $0.50 | $1.67 | $1.26 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $0.50 | $1.67 | $1.26 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Molina | Medicare Choice Care Hmo | $0.50 | $1.68 | $1.26 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Medicaid | $0.50 | $1.67 | $1.26 | 2026-05-15 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Medicaid | $0.50 | $1.67 | $1.26 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Medicare Hmo | $0.51 | $1.33 | $0.99 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Molina | Medicaid | $0.51 | $1.33 | $0.99 | 2026-05-17 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $0.51 | $1.33 | $0.99 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Medicare Intermountain Healthcare Nevada | Medicare Intermountain Healthcare Nevada | $0.51 | $1.33 | $0.99 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Uofu | Healthy U - Medicaid | $0.51 | $1.33 | $0.99 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Selecthealth | Selecthealth Community Care-Medicaid | $0.51 | $1.33 | $0.99 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Healthy U | Medicaid | $0.51 | $1.33 | $0.99 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Selecthealth | Medicaid | $0.51 | $1.33 | $0.99 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $0.51 | $1.33 | $0.99 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Medicare Ppo | $0.51 | $1.33 | $0.99 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Molina Healthcare Of Utah | Molina Healthcare Medicaid Hmo | $0.51 | $1.33 | $0.99 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Health Choice Utah | Health Choice Utah-Medicaid | $0.51 | $1.33 | $0.99 | 2026-05-17 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Donor Connect | Other | $0.54 | $2.12 | $1.59 | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Donor Connect | Other | $0.54 | $2.12 | $1.59 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $0.56 | $2.12 | $1.59 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $0.56 | $2.12 | $1.59 | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kp Select Hmo | $0.56 | $3.03 | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kp Select Hmo | $0.56 | $3.03 | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $0.56 | $2.12 | $1.59 | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $0.56 | $2.12 | $1.59 | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $0.56 | $2.12 | $1.59 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $0.56 | $2.12 | $1.59 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $0.56 | $2.12 | $1.59 | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $0.56 | $2.12 | $1.59 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $0.56 | $2.12 | $1.59 | 2026-05-22 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $0.56 | $2.12 | $1.59 | 2026-05-14 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $0.56 | $2.12 | $1.59 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Molina Healthcare Of Utah | Molina Medicare Complete Care Hmo Snp | $0.56 | $1.33 | $0.99 | 2026-05-17 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $0.56 | $2.12 | $1.59 | 2026-05-18 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Perm Hmo | Kp Select Hmo | $0.56 | $3.03 | — | 2026-05-14 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Atc Medicare | — | $0.56 | $1.98 | $1.19 | 2026-05-28 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Donor Connect | Other | $0.57 | $2.12 | $1.59 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Triwest | Veterans Choice | $0.58 | $1.33 | $0.99 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Tricare | Tricare (Hnfs) Military Program | $0.58 | $1.33 | $0.99 | 2026-05-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Molina Healthy Connection Prime | — | $0.58 | $1.98 | $1.19 | 2026-05-28 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Select Health | Medicaid | — | $1.98 | $1.39 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Aetna | Medicare | $0.59 | $1.98 | $1.39 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Absolute Total Care | Medicaid | — | $1.98 | $1.39 | 2026-05-08 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Triwest | Veterans Choice | $0.59 | $1.33 | $0.99 | 2026-05-09 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Absolute Total Care | Commercial | — | $1.98 | $1.39 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Bcbs Of Sc | Commercial | — | $1.98 | $1.39 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Bcbs Of Sc | Medicare | — | $1.98 | $1.39 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Blue Choice Of Sc | Medicaid | — | $1.98 | $1.39 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Molina | Medicaid | — | $1.98 | $1.39 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Molina | Commercial | — | $1.98 | $1.39 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Devoted Health | Medicare | — | $1.98 | $1.39 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Humana | Medicare | — | $1.98 | $1.39 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Humana | Medicaid | — | $1.98 | $1.39 | 2026-05-08 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Donor Connect | Other | $0.59 | $2.12 | $1.59 | 2026-05-14 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Triwest | Veterans Choice | $0.59 | $1.68 | $1.26 | 2026-05-15 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Atc Medicaid | — | $0.60 | $1.98 | $1.19 | 2026-05-28 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Selecthealth | Medicaid | $0.61 | $1.33 | $0.99 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $0.61 | $1.33 | $0.99 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $0.61 | $1.33 | $0.99 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $0.61 | $1.33 | $0.99 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Uhc | Medicare Advantage | $0.61 | $1.33 | $0.99 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $0.61 | $1.33 | $0.99 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $0.61 | $1.33 | $0.99 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Kaiser Perm Ppo/Pos | Kaiser Ppo/Pos Other | $0.61 | $2.62 | — | 2026-05-22 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Molina | Medicaid | $0.61 | $1.33 | $0.99 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Regence Bcbs | Medadvantage Ppo | $0.61 | $1.33 | $0.99 | 2026-05-09 | 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.