1624 — Chlordiazepoxide 5 Mg Capsule
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CHLORDIAZEPOXIDE 5 MG CAPSULE (OTHER 1624) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/1624?code_type=OTHER
MLA (9th ed.)
“CHLORDIAZEPOXIDE 5 MG CAPSULE (OTHER 1624) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/1624?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“CHLORDIAZEPOXIDE 5 MG CAPSULE (OTHER 1624) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/1624?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2–$46,324 (25th–75th percentile) across 101 hospitals · 254 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 1624 — 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 |
|---|---|---|---|---|---|---|---|
| MCKAY-DEE HOSPITAL Outpatient | Donor Connect | Other | $0.24 | $1.15 | $0.86 | 2026-05-18 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $0.27 | $0.91 | $0.68 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Donor Connect | Other | $0.27 | $1.15 | $0.86 | 2026-05-18 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Molina | Medicare Choice Care Hmo | $0.27 | $0.91 | $0.68 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Regence Bcbs | Idaho Ut Svc | $0.27 | $0.91 | $0.68 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $0.27 | $0.91 | $0.68 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $0.27 | $0.91 | $0.68 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $0.27 | $0.91 | $0.68 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Blue Cross Of Idaho | Medicare Id True Blue | $0.27 | $0.91 | $0.68 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $0.27 | $0.91 | $0.68 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Uhc | Medicare Advantage | $0.27 | $0.91 | $0.68 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $0.27 | $0.91 | $0.68 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Donor Connect | Other | $0.27 | $1.15 | $0.86 | 2026-05-22 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | St Lukes Hp | Medicare Advantage | $0.27 | $0.91 | $0.68 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $0.27 | $0.91 | $0.68 | 2026-05-15 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Donor Connect | Other | $0.28 | $1.15 | $0.86 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $0.30 | $1.15 | $0.86 | 2026-05-18 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $0.30 | $1.15 | $0.86 | 2026-05-09 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $0.30 | $1.15 | $0.86 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $0.30 | $1.15 | $0.86 | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $0.30 | $1.15 | $0.86 | 2026-05-18 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $0.30 | $1.15 | $0.86 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $0.30 | $1.15 | $0.86 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $0.30 | $1.15 | $0.86 | 2026-05-18 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Triwest | Veterans Choice | $0.32 | $0.91 | $0.68 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Kaiser Perm Ppo/Pos | Kaiser Perm Ppo/Pos | $0.33 | $1.41 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Kaiser Perm Ppo/Pos | Kaiser Ppo/Pos Other | $0.33 | $1.41 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $0.34 | $1.15 | $0.86 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $0.34 | $1.15 | $0.86 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Medicaid | $0.34 | $1.15 | $0.86 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $0.34 | $1.15 | $0.86 | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $0.34 | $1.15 | $0.86 | 2026-05-18 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Medicaid | $0.34 | $1.15 | $0.86 | 2026-05-18 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $0.34 | $1.15 | $0.86 | 2026-05-18 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $0.34 | $1.15 | $0.86 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $0.34 | $1.15 | $0.86 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Medicaid | $0.34 | $1.15 | $0.86 | 2026-05-22 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Molina Medicare | — | $0.46 | $2.50 | $1.50 | 2026-05-28 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Fehbp | $0.49 | $1.15 | $0.86 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Selectvalue | $0.49 | $1.15 | $0.86 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Selectvalue | $0.49 | $1.15 | $0.86 | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Fehbp | $0.49 | $1.15 | $0.86 | 2026-05-18 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Selectvalue | $0.49 | $1.15 | $0.86 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Selectshare | $0.49 | $1.15 | $0.86 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Intermountain Caregiver Plan | Share Network | $0.49 | $1.15 | $0.86 | 2026-05-18 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Intermountain Caregiver Plan | Share Network | $0.49 | $1.15 | $0.86 | 2026-05-18 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Intermountain Caregiver Plan | Share Network | $0.49 | $1.15 | $0.86 | 2026-05-09 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Selectshare | $0.49 | $1.15 | $0.86 | 2026-05-18 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Selectshare | $0.49 | $1.15 | $0.86 | 2026-05-09 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Selectvalue | $0.49 | $1.15 | $0.86 | 2026-05-09 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Fehbp | $0.49 | $1.15 | $0.86 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Intermountain Caregiver Plan | Share Network | $0.49 | $1.15 | $0.86 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Selectshare | $0.49 | $1.15 | $0.86 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Fehbp | $0.49 | $1.15 | $0.86 | 2026-05-22 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Molina Marketplace | — | $0.50 | $2.50 | $1.50 | 2026-05-28 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Cigna Scl Employees | Cigna Sclhs Cdhp | $0.50 | $1.41 | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kp Select Hmo | $0.52 | $2.83 | — | 2026-05-18 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Perm Hmo | Kp Select Hmo | $0.52 | $2.83 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Perm Hmo | Kp Select Hmo | $0.52 | $2.83 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kp Select Hmo | $0.52 | $2.83 | — | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Intermountain Caregiver Plan | Med Network | $0.55 | $1.15 | $0.86 | 2026-05-09 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Commercial | $0.55 | $1.15 | $0.86 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Selectmed/Chip | $0.55 | $1.15 | $0.86 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Intermountain Caregiver Plan | Med Network | $0.55 | $1.15 | $0.86 | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Intermountain Caregiver Plan | Med Network | $0.55 | $1.15 | $0.86 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Selectmed/Chip | $0.55 | $1.15 | $0.86 | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Commercial | $0.55 | $1.15 | $0.86 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Intermountain Caregiver Plan | Med Network | $0.55 | $1.15 | $0.86 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Ppo | $0.56 | $1.41 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Exchange Plan | $0.56 | $1.41 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Federal | $0.56 | $1.41 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Hmo | $0.56 | $1.41 | — | 2026-05-22 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Blue Cross Blue Shield Marketplace | — | $0.57 | $2.50 | $1.50 | 2026-05-28 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Selectcare | $0.58 | $1.15 | $0.86 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Selectcare | $0.58 | $1.15 | $0.86 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Selectcare | $0.58 | $1.15 | $0.86 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Pathway | $0.58 | $1.66 | — | 2026-05-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Humana Medicare | — | $0.58 | $2.50 | $1.50 | 2026-05-28 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Selectcare | $0.58 | $1.15 | $0.86 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Choicecare Humana | Choicecare Humana Ppo | $0.59 | $1.41 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Choicecare Humana | Choicecare Humana Hmo Epo | $0.59 | $1.41 | — | 2026-05-22 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Wellcare Medicare | — | $0.60 | $2.50 | $1.50 | 2026-05-28 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Inpatient | Kaiser Perm Ppo/Pos | Kaiser Ppo/Pos Other | $0.61 | $1.41 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Inpatient | Kaiser Perm Ppo/Pos | Kaiser Perm Ppo/Pos | $0.61 | $1.41 | — | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Emi | Commercial | $0.62 | $1.15 | $0.86 | 2026-05-18 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Emi | Commercial | $0.62 | $1.15 | $0.86 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Emi | Commercial | $0.62 | $1.15 | $0.86 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Emi | Commercial | $0.62 | $1.15 | $0.86 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Indemnity | $0.63 | $1.66 | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Federal | $0.63 | $1.66 | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Hmo | $0.63 | $1.66 | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Ppo | $0.63 | $1.66 | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Exchange Plan | $0.63 | $1.66 | — | 2026-05-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Aetna Medicare | — | $0.64 | $2.50 | $1.50 | 2026-05-28 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Perm Hmo | Kaiser Permanente Hmo | $0.65 | $2.83 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Self Funded | Kaiser Self Funded | $0.65 | $2.83 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Perm Hmo | Kaiser Out Of State | $0.65 | $2.83 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kaiser Permanente Hmo | $0.65 | $2.83 | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Self Funded | Kaiser Self Funded | $0.65 | $2.83 | — | 2026-05-18 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Perm Hmo | Kaiser Hmo Exchange Plan | $0.65 | $2.83 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kaiser Hmo Exchange Plan | $0.65 | $2.83 | — | 2026-05-18 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Perm Hmo | Kaiser Permanente Hmo | $0.65 | $2.83 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Self Funded | Kaiser Self Funded | $0.65 | $2.83 | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kaiser Out Of State | $0.65 | $2.83 | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kaiser Permanente Hmo | $0.65 | $2.83 | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kaiser Hmo Exchange Plan | $0.65 | $2.83 | — | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Perm Hmo | Kaiser Hmo Exchange Plan | $0.65 | $2.83 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kaiser Out Of State | $0.65 | $2.83 | — | 2026-05-18 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Perm Hmo | Kaiser Out Of State | $0.65 | $2.83 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Self Funded | Kaiser Self Funded | $0.65 | $2.83 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Deseret Mutual | Commercial | $0.66 | $1.15 | $0.86 | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Perm Ppo/Pos | Kaiser Perm Ppo/Pos | $0.66 | $2.83 | — | 2026-05-14 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Deseret Mutual | Select | $0.66 | $1.15 | $0.86 | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Ppo/Pos | Kaiser Perm Ppo/Pos | $0.66 | $2.83 | — | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Deseret Mutual | Select | $0.66 | $1.15 | $0.86 | 2026-05-09 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Deseret Mutual | All Other | $0.66 | $1.15 | $0.86 | 2026-05-18 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Deseret Mutual | All Other | $0.66 | $1.15 | $0.86 | 2026-05-09 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Perm Ppo/Pos | Kaiser Perm Ppo/Pos | $0.66 | $2.83 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Inpatient | United Healthcare | Uhc Rocky Mountain Hmo | $0.66 | $1.66 | — | 2026-05-17 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Ppo/Pos | Kaiser Perm Ppo/Pos | $0.66 | $2.83 | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Deseret Mutual | Commercial | $0.66 | $1.15 | $0.86 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Inpatient | United Healthcare | Uhc Rocky Mountain Hmo | $0.67 | $1.67 | — | 2026-05-17 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Inpatient | Blue Cross Of Idaho | Exchange | $0.69 | $0.91 | $0.68 | 2026-05-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Inpatient | Kaiser Mrp | Kaiser Mrp Out Of State | $0.71 | $2.83 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Inpatient | Kaiser Snp | Kaiser Snp | $0.71 | $2.83 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Allegiance | Cigna Sclhs Employees | $0.71 | $2.83 | — | 2026-05-18 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna Scl Employees | Cigna Sclhs Cdhp | $0.71 | $2.83 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Inpatient | Kaiser Mrp | Kaiser Permanente Mcr | $0.71 | $2.83 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Allegiance | Cigna Sclhs Employees | $0.71 | $2.83 | — | 2026-05-14 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Atc Medicare | — | $0.71 | $2.50 | $1.50 | 2026-05-28 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Regence Bcbs | Blueoption | $0.71 | $1.15 | $0.86 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Regence Bcbs | Blueoption | $0.71 | $1.15 | $0.86 | 2026-05-18 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Regence Bcbs | Blueoption | $0.71 | $1.15 | $0.86 | 2026-05-09 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna Scl Employees | Cigna Sclhs Cdhp | $0.71 | $2.83 | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Allegiance | Cigna Sclhs Employees | $0.71 | $2.83 | — | 2026-05-22 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Cigna Scl Employees | Cigna Sclhs Cdhp | $0.71 | $2.83 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Allegiance | Cigna Sclhs Employees | $0.71 | $2.83 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna Scl Employees | Cigna Sclhs Cdhp | $0.71 | $2.83 | — | 2026-05-18 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Regence Bcbs | Blueoption | $0.72 | $1.15 | $0.86 | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Surefit | $0.72 | $2.83 | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Connect Exchange | $0.72 | $2.83 | — | 2026-05-18 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Cigna | Cigna Connect Exchange | $0.72 | $2.83 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Co Public Option | $0.72 | $2.83 | — | 2026-05-18 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Cigna | Open Access Flex | $0.72 | $1.15 | $0.86 | 2026-05-18 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Cigna | Open Access Flex | $0.72 | $1.15 | $0.86 | 2026-05-09 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Cigna | Cigna Surefit | $0.72 | $2.83 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna | Cigna Co Public Option | $0.72 | $2.83 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna | Cigna Connect Exchange | $0.72 | $2.83 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Co Public Option | $0.72 | $2.83 | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Connect Exchange | $0.72 | $2.83 | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Surefit | $0.72 | $2.83 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Cigna | Open Access Flex | $0.72 | $1.15 | $0.86 | 2026-05-22 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Cigna | Cigna Co Public Option | $0.72 | $2.83 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna | Cigna Surefit | $0.72 | $2.83 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Cigna | Open Access Flex | $0.72 | $1.15 | $0.86 | 2026-05-18 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Awh Connected | Connected Utah | $0.73 | $1.15 | $0.86 | 2026-05-18 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Molina Healthy Connection Prime | — | $0.73 | $2.50 | $1.50 | 2026-05-28 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Awh Connected | Connected Utah | $0.73 | $1.15 | $0.86 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Awh Connected | Connected Utah | $0.73 | $1.15 | $0.86 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Awh Connected | Connected Utah | $0.73 | $1.15 | $0.86 | 2026-05-22 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Inpatient | Blue Cross Of Idaho | Traditional/Ppo | $0.73 | $0.91 | $0.68 | 2026-05-15 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Awh Connected | Connected Utah | $0.74 | $1.15 | $0.86 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Awh Connected | Connected Utah | $0.74 | $1.15 | $0.86 | 2026-05-18 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Awh Connected | Connected Utah | $0.74 | $1.15 | $0.86 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Awh Connected | Connected Utah | $0.74 | $1.15 | $0.86 | 2026-05-22 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Humana | Medicaid | — | $2.50 | $1.75 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Devoted Health | Medicare | — | $2.50 | $1.75 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Molina | Medicaid | — | $2.50 | $1.75 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Molina | Commercial | — | $2.50 | $1.75 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Blue Choice Of Sc | Medicaid | — | $2.50 | $1.75 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Bcbs Of Sc | Medicare | — | $2.50 | $1.75 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Absolute Total Care | Commercial | — | $2.50 | $1.75 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Absolute Total Care | Medicaid | — | $2.50 | $1.75 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Aetna | Medicare | $0.75 | $2.50 | $1.75 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Select Health | Medicaid | — | $2.50 | $1.75 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Humana | Medicare | — | $2.50 | $1.75 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Bcbs Of Sc | Commercial | — | $2.50 | $1.75 | 2026-05-08 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Tire Rama | Tire Rama | $0.76 | $1.66 | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Allegiance Mmia | $0.76 | $1.66 | — | 2026-05-09 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Atc Medicaid | — | $0.76 | $2.50 | $1.50 | 2026-05-28 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Inpatient | Wcf Insurance | Workers Comp | $0.77 | $0.91 | $0.68 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Inpatient | Corporation Of The President | Workers Comp | $0.77 | $0.91 | $0.68 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Inpatient | Corvel Corporation | Workers Comp | $0.77 | $0.91 | $0.68 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Inpatient | Moda Health | Commercial | $0.77 | $0.91 | $0.68 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Selectcolorado | $0.78 | $1.41 | — | 2026-05-22 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Outpatient | Donor Connect | Other | $0.79 | $2.89 | $2.17 | 2026-05-22 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Blue Cross Blue Shield Medicare | — | $0.79 | $2.50 | $1.50 | 2026-05-28 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Byu Risk Management | Workers Comp | $0.80 | $1.15 | $0.86 | 2026-05-18 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Emi Health | Mint | $0.80 | $1.15 | $0.86 | 2026-05-09 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Corporation Of The President | Workers Comp | $0.80 | $1.15 | $0.86 | 2026-05-18 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Emi Health | Network Care | $0.80 | $1.15 | $0.86 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Corporation Of The President | Workers Comp | $0.80 | $1.15 | $0.86 | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Pehp | Advantage State | $0.80 | $1.15 | $0.86 | 2026-05-09 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Pehp | Advantage State | $0.80 | $1.15 | $0.86 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Wcf Insurance | Workers Comp | $0.80 | $1.15 | $0.86 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Inpatient | Umr United Med Resources | Umr Mesa Cnty Valley School Dist 51 | $0.80 | $1.66 | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Byu Risk Management | Workers Comp | $0.80 | $1.15 | $0.86 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Emi Health | Network Care | $0.80 | $1.15 | $0.86 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Pehp | Advantage State | $0.80 | $1.15 | $0.86 | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Emi Health | Network Care | $0.80 | $1.15 | $0.86 | 2026-05-18 | 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.