Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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19307 — Mast Mod Rad

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarise across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $6,274

Usually $1,718–$7,988 (25th–75th percentile) across 251 hospitals · 692 payers.

“Negotiated” is the hospital’s negotiated facility rate for this OTHER 19307 — 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
VIRGINIA MASON MEDICAL CENTER Outpatient First Choice Commercial $35.01 2026-05-27 MRF ↗
COFFEY COUNTY HOSPITAL Outpatient Standard_Charge|Ambetter| Negotiated_Percentage $38.50 $9,553.00 $2,865.90 2026-05-08 MRF ↗
ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient Arkansas Total Care Medicaid $39.94 2026-05-09 MRF ↗
ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient Caresource Medicaid $41.54 2026-05-09 MRF ↗
VIRGINIA MASON MEDICAL CENTER Outpatient Aetna Medicare Advantage Hmo $49.74 2026-05-27 MRF ↗
CROUSE HOSPITAL Outpatient United Health Medicaid $71.33 $548.50 $548.50 2026-05-22 MRF ↗
CROUSE HOSPITAL Outpatient United Health Medicaid $71.33 $548.50 $548.50 2026-05-13 MRF ↗
CROUSE HOSPITAL Outpatient United Health Essential Plans 1 -4 $71.33 $548.50 $548.50 2026-05-22 MRF ↗
CROUSE HOSPITAL Outpatient United Health Essential Plans 1 -4 $71.33 $548.50 $548.50 2026-05-13 MRF ↗
VIRGINIA MASON MEDICAL CENTER Outpatient Aetna Medicare Advantage $71.42 2026-05-27 MRF ↗
FISHER-TITUS HOSPITAL Both Claim Doc Claimdoc 2026-05-27 MRF ↗
FISHER-TITUS HOSPITAL Both Galaxy Galaxy 2026-05-27 MRF ↗
COFFEY COUNTY HOSPITAL Outpatient Standard_Charge|Aetna| Negotiated_Percentage $95.00 $9,553.00 $2,865.90 2026-05-08 MRF ↗
CROUSE HOSPITAL Outpatient Excellus Govt Programs/ Special Products $100.29 $548.50 $548.50 2026-05-22 MRF ↗
CROUSE HOSPITAL Outpatient Excellus Govt Programs/ Special Products $100.29 $548.50 $548.50 2026-05-13 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Health Alliance Commercial $112.60 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Health Alliance Commercial $112.60 2026-05-24 MRF ↗
GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient Ucare Managed Medicaid $129.66 2026-05-09 MRF ↗
JASPER MEMORIAL HOSPITAL Outpatient Amerigroup Medicaid $133.67 2026-05-06 MRF ↗
GRADY MEMORIAL HOSPITAL Outpatient Peach State Medicaid $133.67 2026-05-07 MRF ↗
JASPER MEMORIAL HOSPITAL Outpatient Peach State Medicaid $133.67 2026-05-06 MRF ↗
GRADY MEMORIAL HOSPITAL Outpatient Caresource Commercial $133.67 2026-05-07 MRF ↗
JASPER MEMORIAL HOSPITAL Outpatient Caresource Commercial $133.67 2026-05-06 MRF ↗
GRADY MEMORIAL HOSPITAL Outpatient Amerigroup Medicaid $133.67 2026-05-07 MRF ↗
JASPER MEMORIAL HOSPITAL Outpatient Peach State Medicaid $133.67 2026-05-06 MRF ↗
GRADY MEMORIAL HOSPITAL Outpatient Peach State Medicaid $133.67 2026-05-07 MRF ↗
CROUSE HOSPITAL Outpatient Aetna Commercial $157.25 $548.50 $548.50 2026-05-22 MRF ↗
CROUSE HOSPITAL Outpatient Aetna Commercial $157.25 $548.50 $548.50 2026-05-13 MRF ↗
ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient Humana Choicecare Medicare $164.01 2026-05-09 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Aetna Coventry $165.70 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Aetna Coventry $165.70 2026-05-23 MRF ↗
THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient Simpra Medicare Advantage $165.95 2026-05-06 MRF ↗
THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient Viva Medicare Advantage $165.95 2026-05-06 MRF ↗
THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient Humana Medicare Advantage $165.95 2026-05-06 MRF ↗
THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient Blue Cross Medicare Advantage $165.95 2026-05-06 MRF ↗
THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient Viva Commercial $165.95 2026-05-06 MRF ↗
THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient Cigna Commercial $165.95 2026-05-06 MRF ↗
THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient Aetna Commercial $165.95 2026-05-06 MRF ↗
THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient Viva Medicare Advantage $167.19 2026-05-23 MRF ↗
THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient Humana Medicare Advantage $167.19 2026-05-13 MRF ↗
THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient Simpra Medicare Advantage $167.19 2026-05-13 MRF ↗
THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient Simpra Medicare Advantage $167.19 2026-05-23 MRF ↗
THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient Viva Medicare Advantage $167.19 2026-05-13 MRF ↗
THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient Humana Medicare Advantage $167.19 2026-05-23 MRF ↗
ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient Bcbs Medicare $167.29 2026-05-09 MRF ↗
ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient Ambetter Commercial $167.29 2026-05-09 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Complete Blue Mcr Adv $167.39 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Community Blue Mcr Adv $167.39 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Community Blue Mcr Adv $167.39 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Complete Blue Mcr Adv $167.39 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Freedom Blue Mcr Adv $169.17 2026-05-14 MRF ↗
PENN HIGHLANDS CONNELLSVILLE Outpatient Blue Cross Freedom Blue Mcr Adv $169.17 2026-05-09 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Freedom Blue Mcr Adv $169.17 2026-05-23 MRF ↗
UNIONTOWN HOSPITAL Outpatient University Of Pittsburgh Medical Ctr Health Plan University Of Pittsburgh Medical Ctr Health Plan $171.55 $24,929.34 $12,464.67 2026-05-13 MRF ↗
PENN HIGHLANDS CONNELLSVILLE Outpatient Blue Cross Community Blue Mcr Adv $171.84 2026-05-09 MRF ↗
PENN HIGHLANDS CONNELLSVILLE Outpatient Blue Cross Complete Blue Mcr Adv $171.84 2026-05-09 MRF ↗
ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient Wellcare Medicare $172.21 2026-05-09 MRF ↗
ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient Windsor Medicare $172.21 2026-05-09 MRF ↗
ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient Cigna Healthspring Medicare $172.21 2026-05-09 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Hfn Commercial $173.04 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient United Healthcare Commercial $173.04 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient United Healthcare Commercial $173.04 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Hfn Commercial $173.04 2026-05-24 MRF ↗
ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient Arkansas Total Care Medicaid $177.24 2026-05-09 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Indemnity $178.07 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Aca $178.07 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - My Blue Access Ppo $178.07 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Traditional Medicare Traditional Medicare $178.07 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - All Social Mission $178.07 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Indemnity $178.07 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Performance Blue $178.07 2026-05-14 MRF ↗
PENN HIGHLANDS CONNELLSVILLE Outpatient Traditional Medicare Traditional Medicare $178.07 2026-05-09 MRF ↗
PENN HIGHLANDS CONNELLSVILLE Outpatient Geisinger Mcr Advantage $178.07 2026-05-09 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - My Blue Access Ppo $178.07 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - All Social Mission $178.07 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Managed Care $178.07 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Performance Blue $178.07 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Aca $178.07 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Traditional Medicare Traditional Medicare $178.07 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Managed Care $178.07 2026-05-14 MRF ↗
FISHER-TITUS HOSPITAL Outpatient Optum Vaccnoptum $179.49 2026-05-27 MRF ↗
FISHER-TITUS HOSPITAL Outpatient Perennial Advantage Perennial Advantage $179.49 2026-05-27 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Mcr Advantage $181.64 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Hmo Epo $181.64 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Mcr Advantage $181.64 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Hmo Epo $181.64 2026-05-23 MRF ↗
INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient Aetna Medicare Adv Ppo $183.24 2026-05-15 MRF ↗
SEVIER VALLEY HOSPITAL Outpatient Uhc Medicare Advantage $183.24 2026-05-14 MRF ↗
INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient American Health Medicare Adv Ut Hmo I-Snp $183.24 2026-05-15 MRF ↗
SEVIER VALLEY HOSPITAL Outpatient Aetna Medicare Adv Ppo $183.24 2026-05-14 MRF ↗
CEDAR CITY HOSPITAL Outpatient Aetna Medicare Adv Hmo $183.24 2026-05-09 MRF ↗
INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient Humana Medicare Choice Ppo $183.24 2026-05-14 MRF ↗
INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient Selecthealth Medicare Advantage $183.24 2026-05-15 MRF ↗
CABELL HUNTINGTON HOSPITAL, INC Outpatient Highmark Blue Cross Medicare $183.24 2026-05-14 MRF ↗
CEDAR CITY HOSPITAL Outpatient Selecthealth Med Individual Aca $183.24 2026-05-09 MRF ↗
INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient Uhc Medicare Advantage $183.24 2026-05-15 MRF ↗
INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient Molina Medicare Advantage $183.24 2026-05-14 MRF ↗
CEDAR CITY HOSPITAL Outpatient Healthy U Medicaid $183.24 2026-05-09 MRF ↗
SEVIER VALLEY HOSPITAL Outpatient Molina Medicare Complete Care Hmo Snp $183.24 2026-05-14 MRF ↗
INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient Aetna Medicare Adv Hmo $183.24 2026-05-15 MRF ↗
INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient Selecthealth Medicaid $183.24 2026-05-15 MRF ↗
INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient Molina Medicare Advantage $183.24 2026-05-15 MRF ↗
INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient Molina Medicare Complete Care Hmo Snp $183.24 2026-05-09 MRF ↗
SEVIER VALLEY HOSPITAL Outpatient Humana Medicare Choice Ppo $183.24 2026-05-14 MRF ↗
INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient Selecthealth Signature Individual Aca $183.24 2026-05-15 MRF ↗
INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient Humana Medicare Choice Ppo $183.24 2026-05-09 MRF ↗
INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient Uhc Medicare Advantage $183.24 2026-05-09 MRF ↗
CEDAR CITY HOSPITAL Outpatient Health Partners Of Nevada Medicare Advantage $183.24 2026-05-09 MRF ↗
INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient Molina Medicaid $183.24 2026-05-09 MRF ↗
CEDAR CITY HOSPITAL Outpatient Southwest Behavioral Health Behavioral Health $183.24 2026-05-09 MRF ↗
INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient Molina Medicare Complete Care Hmo Snp $183.24 2026-05-14 MRF ↗
CEDAR CITY HOSPITAL Outpatient Health Plan Of Nevada Medicaid $183.24 2026-05-09 MRF ↗
CEDAR CITY HOSPITAL Outpatient Regence Bcbs Medadvantage Ppo $183.24 2026-05-09 MRF ↗
CEDAR CITY HOSPITAL Outpatient Selecthealth Medicaid $183.24 2026-05-09 MRF ↗
INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient Aetna Medicare Adv Ppo $183.24 2026-05-09 MRF ↗
CEDAR CITY HOSPITAL Outpatient Health Choice Medicaid $183.24 2026-05-09 MRF ↗
CEDAR CITY HOSPITAL Outpatient American Health Medicare Adv Ut Hmo I-Snp $183.24 2026-05-09 MRF ↗
CEDAR CITY HOSPITAL Outpatient Aetna Medicare Adv Ppo $183.24 2026-05-09 MRF ↗
INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient Aetna Medicare Adv Hmo $183.24 2026-05-09 MRF ↗
CEDAR CITY HOSPITAL Outpatient Uhc Medicare Advantage $183.24 2026-05-09 MRF ↗
CEDAR CITY HOSPITAL Outpatient Humana Medicare Choice Ppo $183.24 2026-05-09 MRF ↗
BEAR RIVER VALLEY HOSPITAL Outpatient Molina Medicare Choice Care Hmo $183.24 2026-05-09 MRF ↗
BEAR RIVER VALLEY HOSPITAL Outpatient Molina Medicare Complete Care Hmo Snp $183.24 2026-05-09 MRF ↗
BEAR RIVER VALLEY HOSPITAL Outpatient Molina Medicaid $183.24 2026-05-09 MRF ↗
BEAR RIVER VALLEY HOSPITAL Outpatient Humana Medicare Choice Ppo $183.24 2026-05-09 MRF ↗
BEAR RIVER VALLEY HOSPITAL Outpatient Uhc Medicare Advantage $183.24 2026-05-09 MRF ↗
INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient Molina Medicare Complete Care Hmo Snp $183.24 2026-05-15 MRF ↗
PRIMARY CHILDREN'S HOSPITAL Outpatient Molina Medicaid $183.24 2026-05-15 MRF ↗
INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient American Health Medicare Adv Ut Hmo I-Snp $183.24 2026-05-09 MRF ↗
INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient Selecthealth Medicare Advantage $183.24 2026-05-09 MRF ↗
SEVIER VALLEY HOSPITAL Outpatient Healthy U Medicaid $183.24 2026-05-14 MRF ↗
INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient Selecthealth Medicaid $183.24 2026-05-09 MRF ↗
INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient Health Plan Of Nevada Medicaid $183.24 2026-05-09 MRF ↗
SEVIER VALLEY HOSPITAL Outpatient Molina Medicare Choice Care Hmo $183.24 2026-05-14 MRF ↗
INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient Health Partners Of Nevada Medicare Advantage $183.24 2026-05-09 MRF ↗
AMERICAN FORK HOSPITAL Outpatient Health Partners Of Nevada Medicare Advantage $183.24 2026-05-09 MRF ↗
CABELL HUNTINGTON HOSPITAL, INC Outpatient Peia Other Governmental $183.24 2026-05-14 MRF ↗
INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient Healthy U Medicaid $183.24 2026-05-09 MRF ↗
AMERICAN FORK HOSPITAL Outpatient Healthy U Medicaid $183.24 2026-05-09 MRF ↗
INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient Molina Medicaid $183.24 2026-05-14 MRF ↗
INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient Humana Medicare Choice Ppo $183.24 2026-05-15 MRF ↗
PRIMARY CHILDREN'S HOSPITAL Outpatient Uhc Medicare Advantage $183.24 2026-05-15 MRF ↗
PRIMARY CHILDREN'S HOSPITAL Outpatient American Health Medicare Adv Ut Hmo I-Snp $183.24 2026-05-15 MRF ↗
AMERICAN FORK HOSPITAL Outpatient Regence Bcbs Medadvantage Ppo $183.24 2026-05-09 MRF ↗
AMERICAN FORK HOSPITAL Outpatient Health Plan Of Nevada Medicaid $183.24 2026-05-09 MRF ↗
CABELL HUNTINGTON HOSPITAL, INC Outpatient United Healthcare Medicare $183.24 2026-05-14 MRF ↗
AMERICAN FORK HOSPITAL Outpatient Selecthealth Signature Individual Aca $183.24 2026-05-09 MRF ↗
AMERICAN FORK HOSPITAL Outpatient American Health Medicare Adv Ut Hmo I-Snp $183.24 2026-05-09 MRF ↗
CABELL HUNTINGTON HOSPITAL, INC Outpatient Humana Medicare $183.24 2026-05-14 MRF ↗
AMERICAN FORK HOSPITAL Outpatient Selecthealth Value Individual Aca $183.24 2026-05-09 MRF ↗
AMERICAN FORK HOSPITAL Outpatient Selecthealth Medicaid $183.24 2026-05-09 MRF ↗
AMERICAN FORK HOSPITAL Outpatient American Health Medicare Adv Ut Hmo I-Snp $183.24 2026-05-09 MRF ↗
AMERICAN FORK HOSPITAL Outpatient Aetna Medicare Adv Ppo $183.24 2026-05-09 MRF ↗
INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient Health Partners Of Nevada Medicare Advantage $183.24 2026-05-14 MRF ↗
CABELL HUNTINGTON HOSPITAL, INC Outpatient Aetna Medicare $183.24 2026-05-14 MRF ↗
AMERICAN FORK HOSPITAL Outpatient Selecthealth Med Individual Aca $183.24 2026-05-09 MRF ↗
AMERICAN FORK HOSPITAL Outpatient Aetna Medicare Adv Hmo $183.24 2026-05-09 MRF ↗
INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient Aetna Medicare Adv Hmo $183.24 2026-05-14 MRF ↗
AMERICAN FORK HOSPITAL Outpatient Selecthealth Medicare Advantage $183.24 2026-05-09 MRF ↗
AMERICAN FORK HOSPITAL Outpatient Uhc Medicare Advantage $183.24 2026-05-09 MRF ↗
INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient Regence Bcbs Medadvantage Ppo $183.24 2026-05-14 MRF ↗
AMERICAN FORK HOSPITAL Outpatient Humana Medicare Choice Ppo $183.24 2026-05-09 MRF ↗
INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient Regence Bcbs Medadvantage Ppo $183.24 2026-05-09 MRF ↗
AMERICAN FORK HOSPITAL Outpatient Humana Medicare Choice Ppo $183.24 2026-05-09 MRF ↗
PRIMARY CHILDREN'S HOSPITAL Outpatient Molina Medicare Choice Care Hmo $183.24 2026-05-13 MRF ↗
AMERICAN FORK HOSPITAL Outpatient Molina Medicare Advantage $183.24 2026-05-09 MRF ↗
PRIMARY CHILDREN'S HOSPITAL Outpatient Molina Medicare Advantage $183.24 2026-05-13 MRF ↗
PRIMARY CHILDREN'S HOSPITAL Outpatient Molina Medicare Complete Care Hmo Snp $183.24 2026-05-13 MRF ↗
AMERICAN FORK HOSPITAL Outpatient Molina Medicare Choice Care Hmo $183.24 2026-05-09 MRF ↗
INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient Healthy U Medicaid $183.24 2026-05-14 MRF ↗
SEVIER VALLEY HOSPITAL Outpatient Health Partners Of Nevada Medicare Advantage $183.24 2026-05-14 MRF ↗
PRIMARY CHILDREN'S HOSPITAL Outpatient Molina Medicaid $183.24 2026-05-13 MRF ↗
PRIMARY CHILDREN'S HOSPITAL Outpatient Uhc Medicare Advantage $183.24 2026-05-13 MRF ↗
AMERICAN FORK HOSPITAL Outpatient Molina Medicare Complete Care Hmo Snp $183.24 2026-05-09 MRF ↗
PRIMARY CHILDREN'S HOSPITAL Outpatient American Health Medicare Adv Ut Hmo I-Snp $183.24 2026-05-13 MRF ↗
PRIMARY CHILDREN'S HOSPITAL Outpatient Selecthealth Medicaid $183.24 2026-05-13 MRF ↗
SEVIER VALLEY HOSPITAL Outpatient Molina Medicaid $183.24 2026-05-14 MRF ↗
INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient Healthy U Medicaid $183.24 2026-05-15 MRF ↗
PRIMARY CHILDREN'S HOSPITAL Outpatient Health Plan Of Nevada Medicaid $183.24 2026-05-13 MRF ↗
PRIMARY CHILDREN'S HOSPITAL Outpatient Healthy U Medicaid $183.24 2026-05-13 MRF ↗
INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient Uhc Medicare Advantage $183.24 2026-05-14 MRF ↗
PRIMARY CHILDREN'S HOSPITAL Outpatient Southwest Behavioral Health Behavioral Health $183.24 2026-05-13 MRF ↗
FILLMORE COMMUNITY HOSPITAL Outpatient Health Partners Of Nevada Medicare Advantage $183.24 2026-05-09 MRF ↗
INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient Regence Bcbs Medadvantage Ppo $183.24 2026-05-15 MRF ↗
INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient Health Partners Of Nevada Medicare Advantage $183.24 2026-05-15 MRF ↗
FILLMORE COMMUNITY HOSPITAL Outpatient Regence Bcbs Medadvantage Ppo $183.24 2026-05-09 MRF ↗
FILLMORE COMMUNITY HOSPITAL Outpatient Regence Bcbs Medadvantage $183.24 2026-05-09 MRF ↗
SEVIER VALLEY HOSPITAL Outpatient Selecthealth Medicaid $183.24 2026-05-14 MRF ↗
FILLMORE COMMUNITY HOSPITAL Outpatient Health Plan Of Nevada Medicaid $183.24 2026-05-09 MRF ↗
FILLMORE COMMUNITY HOSPITAL Outpatient Selecthealth Medicaid $183.24 2026-05-09 MRF ↗
INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient Selecthealth Value Individual Aca $183.24 2026-05-15 MRF ↗
FILLMORE COMMUNITY HOSPITAL Outpatient Selecthealth Medicare Advantage $183.24 2026-05-09 MRF ↗
FILLMORE COMMUNITY HOSPITAL Outpatient American Health Medicare Adv Ut Hmo I-Snp $183.24 2026-05-09 MRF ↗
INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient Aetna Medicare Adv Ppo $183.24 2026-05-14 MRF ↗
FILLMORE COMMUNITY HOSPITAL Outpatient Aetna Medicare Adv Ppo $183.24 2026-05-09 MRF ↗
FILLMORE COMMUNITY HOSPITAL Outpatient Uhc Medicare Advantage $183.24 2026-05-09 MRF ↗
INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient American Health Medicare Adv Ut Hmo I-Snp $183.24 2026-05-14 MRF ↗
INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient Health Plan Of Nevada Medicaid $183.24 2026-05-15 MRF ↗
PRIMARY CHILDREN'S HOSPITAL Outpatient Molina Medicare Choice Care Hmo $183.24 2026-05-15 MRF ↗
BEAR RIVER VALLEY HOSPITAL Outpatient Regence Bcbs Medadvantage Ppo $183.24 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.