192637 — Flutemetamol F-18 5 Mci (185 Mbq) Intravenous Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). FLUTEMETAMOL F-18 5 MCI (185 MBQ) INTRAVENOUS SOLUTION (OTHER 192637) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/192637?code_type=OTHER
MLA (9th ed.)
“FLUTEMETAMOL F-18 5 MCI (185 MBQ) INTRAVENOUS SOLUTION (OTHER 192637) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/192637?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“FLUTEMETAMOL F-18 5 MCI (185 MBQ) INTRAVENOUS SOLUTION (OTHER 192637) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/192637?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $67,740–$212,177 (25th–75th percentile) across 19 hospitals · 73 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 192637 — 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 Inpatient | Donor Connect | Other | $902.88 | $90,288.00 | $67,716.00 | 2026-05-18 | MRF ↗ |
| LDS HOSPITAL Inpatient | Donor Connect | Other | $1,173.74 | $90,288.00 | $67,716.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $1,264.03 | $90,288.00 | $67,716.00 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $1,264.03 | $90,288.00 | $67,716.00 | 2026-05-22 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Donor Connect | Other | $1,414.51 | $74,448.00 | $55,836.00 | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Donor Connect | Other | $1,625.18 | $90,288.00 | $67,716.00 | 2026-05-09 | MRF ↗ |
| PARK CITY HOSPITAL Inpatient | Donor Connect | Other | $2,010.10 | $74,448.00 | $55,836.00 | 2026-05-18 | MRF ↗ |
| PARK CITY HOSPITAL Inpatient | Donor Connect | Other | $2,010.10 | $74,448.00 | $55,836.00 | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Donor Connect | Other | $2,708.64 | $270,864.00 | $203,148.00 | 2026-05-18 | MRF ↗ |
| LDS HOSPITAL Inpatient | Donor Connect | Other | $3,521.23 | $270,864.00 | $203,148.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Donor Connect | Other | $3,701.81 | $90,288.00 | $67,716.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $3,792.10 | $270,864.00 | $203,148.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $3,792.10 | $270,864.00 | $203,148.00 | 2026-05-18 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Donor Connect | Other | $4,243.54 | $223,344.00 | $167,508.00 | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Donor Connect | Other | $4,875.55 | $270,864.00 | $203,148.00 | 2026-05-09 | MRF ↗ |
| PARK CITY HOSPITAL Inpatient | Donor Connect | Other | $6,030.29 | $223,344.00 | $167,508.00 | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Inpatient | Donor Connect | Other | $6,030.29 | $223,344.00 | $167,508.00 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Donor Connect | Other | $11,105.42 | $270,864.00 | $203,148.00 | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Donor Connect | Other | $19,231.34 | $90,288.00 | $67,716.00 | 2026-05-18 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Outpatient | Donor Connect | Other | $20,249.86 | $74,448.00 | $55,836.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Donor Connect | Other | $21,488.54 | $90,288.00 | $67,716.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Donor Connect | Other | $21,488.54 | $90,288.00 | $67,716.00 | 2026-05-18 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Donor Connect | Other | $21,515.47 | $74,448.00 | $55,836.00 | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Donor Connect | Other | $21,515.47 | $74,448.00 | $55,836.00 | 2026-05-18 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Donor Connect | Other | $21,849.70 | $90,288.00 | $67,716.00 | 2026-05-09 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $22,334.40 | $74,448.00 | $55,836.00 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $22,334.40 | $74,448.00 | $55,836.00 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Blue Cross Of Idaho | Medicare Id True Blue | $22,334.40 | $74,448.00 | $55,836.00 | 2026-05-15 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $22,334.40 | $74,448.00 | $55,836.00 | 2026-05-22 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $22,334.40 | $74,448.00 | $55,836.00 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Uhc | Medicare Advantage | $22,334.40 | $74,448.00 | $55,836.00 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $22,334.40 | $74,448.00 | $55,836.00 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $22,334.40 | $74,448.00 | $55,836.00 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Molina | Medicare Choice Care Hmo | $22,334.40 | $74,448.00 | $55,836.00 | 2026-05-15 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Selecthealth | Medicaid | $22,334.40 | $74,448.00 | $55,836.00 | 2026-05-22 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | St Lukes Hp | Medicare Advantage | $22,334.40 | $74,448.00 | $55,836.00 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Regence Bcbs | Idaho Ut Svc | $22,334.40 | $74,448.00 | $55,836.00 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $22,334.40 | $74,448.00 | $55,836.00 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $22,334.40 | $74,448.00 | $55,836.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Donor Connect | Other | $23,284.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| LDS HOSPITAL Outpatient | Donor Connect | Other | $23,384.59 | $90,288.00 | $67,716.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $23,836.03 | $90,288.00 | $67,716.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $23,836.03 | $90,288.00 | $67,716.00 | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $23,836.03 | $90,288.00 | $67,716.00 | 2026-05-09 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $23,836.03 | $90,288.00 | $67,716.00 | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $23,836.03 | $90,288.00 | $67,716.00 | 2026-05-18 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $23,836.03 | $90,288.00 | $67,716.00 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $23,836.03 | $90,288.00 | $67,716.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $23,836.03 | $90,288.00 | $67,716.00 | 2026-05-18 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $23,836.03 | $90,288.00 | $67,716.00 | 2026-05-09 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $23,836.03 | $90,288.00 | $67,716.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $23,836.03 | $90,288.00 | $67,716.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $23,836.03 | $90,288.00 | $67,716.00 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Donor Connect | Other | $24,106.90 | $90,288.00 | $67,716.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Kaiser Perm Ppo/Pos | Kaiser Ppo/Pos Other | $25,207.76 | $108,002.40 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Kaiser Perm Ppo/Pos | Kaiser Perm Ppo/Pos | $25,207.76 | $108,002.40 | — | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Donor Connect | Other | $25,742.64 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Medicaid | $25,872.00 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Triwest | Veterans Choice | $26,056.80 | $74,448.00 | $55,836.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uhc | Medicare Advantage | $26,518.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $26,905.82 | $90,288.00 | $67,716.00 | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $26,905.82 | $90,288.00 | $67,716.00 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $26,905.82 | $90,288.00 | $67,716.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $26,905.82 | $90,288.00 | $67,716.00 | 2026-05-18 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $26,905.82 | $90,288.00 | $67,716.00 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $26,905.82 | $90,288.00 | $67,716.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $27,086.40 | $90,288.00 | $67,716.00 | 2026-05-22 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Medicaid | $27,086.40 | $90,288.00 | $67,716.00 | 2026-05-22 | MRF ↗ |
| LDS HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $27,086.40 | $90,288.00 | $67,716.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $27,086.40 | $90,288.00 | $67,716.00 | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Medicaid | $27,086.40 | $90,288.00 | $67,716.00 | 2026-05-18 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $27,086.40 | $90,288.00 | $67,716.00 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Medicaid | $27,086.40 | $90,288.00 | $67,716.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $27,086.40 | $90,288.00 | $67,716.00 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Medicaid | $27,086.40 | $90,288.00 | $67,716.00 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Medicaid | $27,086.40 | $90,288.00 | $67,716.00 | 2026-05-22 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Health Choice | Arizona | $27,545.76 | $74,448.00 | $55,836.00 | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | American Health | Medicare Adv Ut Hmo I-Snp | $36,867.60 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Perm Hmo | Kp Select Hmo | $37,484.70 | $202,620.00 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Perm Hmo | Kp Select Hmo | $37,484.70 | $202,620.00 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kp Select Hmo | $37,484.70 | $202,620.00 | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kp Select Hmo | $37,484.70 | $202,620.00 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Selectvalue | $38,282.11 | $90,288.00 | $67,716.00 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Selectvalue | $38,282.11 | $90,288.00 | $67,716.00 | 2026-05-22 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Selectshare | $38,282.11 | $90,288.00 | $67,716.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Selectshare | $38,282.11 | $90,288.00 | $67,716.00 | 2026-05-22 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Selectvalue | $38,282.11 | $90,288.00 | $67,716.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Intermountain Caregiver Plan | Share Network | $38,282.11 | $90,288.00 | $67,716.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Fehbp | $38,282.11 | $90,288.00 | $67,716.00 | 2026-05-18 | MRF ↗ |
| LDS HOSPITAL Inpatient | Intermountain Caregiver Plan | Share Network | $38,282.11 | $90,288.00 | $67,716.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Selectshare | $38,282.11 | $90,288.00 | $67,716.00 | 2026-05-18 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Selectvalue | $38,282.11 | $90,288.00 | $67,716.00 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Selectvalue | $38,282.11 | $90,288.00 | $67,716.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Fehbp | $38,282.11 | $90,288.00 | $67,716.00 | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Fehbp | $38,282.11 | $90,288.00 | $67,716.00 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Fehbp | $38,282.11 | $90,288.00 | $67,716.00 | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Selectshare | $38,282.11 | $90,288.00 | $67,716.00 | 2026-05-09 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Fehbp | $38,282.11 | $90,288.00 | $67,716.00 | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Intermountain Caregiver Plan | Share Network | $38,282.11 | $90,288.00 | $67,716.00 | 2026-05-18 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Selectshare | $38,282.11 | $90,288.00 | $67,716.00 | 2026-05-18 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Fehbp | $38,282.11 | $90,288.00 | $67,716.00 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Intermountain Caregiver Plan | Share Network | $38,282.11 | $90,288.00 | $67,716.00 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Selectshare | $38,282.11 | $90,288.00 | $67,716.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Intermountain Caregiver Plan | Share Network | $38,282.11 | $90,288.00 | $67,716.00 | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Selectvalue | $38,282.11 | $90,288.00 | $67,716.00 | 2026-05-09 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Intermountain Caregiver Plan | Share Network | $38,282.11 | $90,288.00 | $67,716.00 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Cigna Scl Employees | Cigna Sclhs Cdhp | $38,556.86 | $108,002.40 | — | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Molina | Medicare Advantage | $38,808.00 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Molina | Medicare Choice Care Hmo | $38,808.00 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Molina | Medicare Complete Care Hmo Snp | $38,808.00 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Hmo | $42,974.15 | $108,002.40 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Ppo | $42,974.15 | $108,002.40 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Federal | $42,974.15 | $108,002.40 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Exchange Plan | $42,974.15 | $108,002.40 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Pathway | $43,191.75 | $124,185.60 | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Selectmed/Chip | $43,518.82 | $90,288.00 | $67,716.00 | 2026-05-18 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Intermountain Caregiver Plan | Med Network | $43,518.82 | $90,288.00 | $67,716.00 | 2026-05-09 | MRF ↗ |
| LDS HOSPITAL Inpatient | Intermountain Caregiver Plan | Med Network | $43,518.82 | $90,288.00 | $67,716.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Intermountain Caregiver Plan | Med Network | $43,518.82 | $90,288.00 | $67,716.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Intermountain Caregiver Plan | Med Network | $43,518.82 | $90,288.00 | $67,716.00 | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Commercial | $43,518.82 | $90,288.00 | $67,716.00 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Commercial | $43,518.82 | $90,288.00 | $67,716.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Selectmed/Chip | $43,518.82 | $90,288.00 | $67,716.00 | 2026-05-22 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Commercial | $43,518.82 | $90,288.00 | $67,716.00 | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Commercial | $43,518.82 | $90,288.00 | $67,716.00 | 2026-05-18 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Intermountain Caregiver Plan | Med Network | $43,518.82 | $90,288.00 | $67,716.00 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Intermountain Caregiver Plan | Med Network | $43,518.82 | $90,288.00 | $67,716.00 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Choicecare Humana | Choicecare Humana Ppo | $45,361.01 | $108,002.40 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Choicecare Humana | Choicecare Humana Hmo Epo | $45,361.01 | $108,002.40 | — | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Selectcare | $45,685.73 | $90,288.00 | $67,716.00 | 2026-05-09 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Selectcare | $45,685.73 | $90,288.00 | $67,716.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Selectcare | $45,685.73 | $90,288.00 | $67,716.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Selectcare | $45,685.73 | $90,288.00 | $67,716.00 | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Selectcare | $45,685.73 | $90,288.00 | $67,716.00 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Selectcare | $45,685.73 | $90,288.00 | $67,716.00 | 2026-05-18 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uofu | Chip-Healthy U | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uofu | Healthy Preferred | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Molina | Chip | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Motivhealth | Commercial | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Prodegi Corp Benefit | Commercial | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uofu | Healthy Premier | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Molina | Marketplace | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Lw Miller | Commercial | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Managed Care Admin | Commercial | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Health Utah | Commercial | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Ifit | Commercial | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Hygeia Corporation | Commercial | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Juniper Systems | Commercial | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Tanner Llc | Commercial | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Franklin County | Commercial | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Emi Health | Network Care | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Utah Tech | Commercial | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Emi Health | Mint | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Wise Network | Commercial | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Medcare International | Commercial | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Deseret Mutual | All Other | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Byu Athletics | Commercial | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Pehp | Summit Exclusive | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uofu | Premier Marketplace | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Pehp | All Plans | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Awh Connected | Connected Utah | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Global Excel | Commercial | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Med | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Share | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | First Choice Of The Midwest | Commercial | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Campbell Scientific | Commercial | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Value Aca | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Med Aca | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Commercial | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Care | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Fehbp | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Value | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Emi | Commercial | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Aetna | Standard | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Aetna | Extended | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Aetna | Connected | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uhc | All Plans | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | First Choice | Commercial | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Humana | Commercial | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Cigna | Ppo/Epo | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uofu | Health Plus Marketplace | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Cigna | Hmo | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Cigna | Open Access Flex | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Cigna | Utah Connect/Local Plus | $45,922.80 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | First Health | Commercial | $46,569.60 | $64,680.00 | $48,510.00 | 2026-05-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Perm Hmo | Kaiser Permanente Hmo | $46,602.60 | $202,620.00 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Perm Hmo | Kaiser Hmo Exchange Plan | $46,602.60 | $202,620.00 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Perm Hmo | Kaiser Out Of State | $46,602.60 | $202,620.00 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Self Funded | Kaiser Self Funded | $46,602.60 | $202,620.00 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Perm Hmo | Kaiser Out Of State | $46,602.60 | $202,620.00 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Perm Hmo | Kaiser Permanente Hmo | $46,602.60 | $202,620.00 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Perm Hmo | Kaiser Hmo Exchange Plan | $46,602.60 | $202,620.00 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Self Funded | Kaiser Self Funded | $46,602.60 | $202,620.00 | — | 2026-05-22 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Self Funded | Kaiser Self Funded | $46,602.60 | $202,620.00 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kaiser Out Of State | $46,602.60 | $202,620.00 | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kaiser Permanente Hmo | $46,602.60 | $202,620.00 | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kaiser Hmo Exchange Plan | $46,602.60 | $202,620.00 | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kaiser Hmo Exchange Plan | $46,602.60 | $202,620.00 | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kaiser Permanente Hmo | $46,602.60 | $202,620.00 | — | 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.