198597 — Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). NUSINERSEN (PF) 12 MG/5 ML INTRATHECAL SOLUTION (OTHER 198597) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/198597?code_type=OTHER
MLA (9th ed.)
“NUSINERSEN (PF) 12 MG/5 ML INTRATHECAL SOLUTION (OTHER 198597) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/198597?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“NUSINERSEN (PF) 12 MG/5 ML INTRATHECAL SOLUTION (OTHER 198597) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/198597?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $217,829–$257,713 (25th–75th percentile) across 1 hospital · 36 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 198597 — 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 |
|---|---|---|---|---|---|---|---|
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Donor Connect | Other | $110,448.62 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Donor Connect | Other | $122,107.08 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Medicaid | $122,720.68 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uhc | Medicare Advantage | $125,788.70 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | American Health | Medicare Adv Ut Hmo I-Snp | $174,876.97 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Molina | Medicare Choice Care Hmo | $184,081.03 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Molina | Medicare Advantage | $184,081.03 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Molina | Medicare Complete Care Hmo Snp | $184,081.03 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Share | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Juniper Systems | Commercial | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Lw Miller | Commercial | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Cigna | Utah Connect/Local Plus | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Value Aca | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Managed Care Admin | Commercial | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Medcare International | Commercial | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Motivhealth | Commercial | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Med | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Prodegi Corp Benefit | Commercial | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Utah Tech | Commercial | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uofu | Health Plus Marketplace | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uofu | Healthy Premier | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uofu | Chip-Healthy U | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uofu | Premier Marketplace | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Molina | Chip | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Care | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Aetna | Extended | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | First Choice | Commercial | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Emi | Commercial | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Cigna | Hmo | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Franklin County | Commercial | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Hygeia Corporation | Commercial | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Emi Health | Mint | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Pehp | Summit Exclusive | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Health Utah | Commercial | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Aetna | Connected | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Wise Network | Commercial | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Awh Connected | Connected Utah | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Byu Athletics | Commercial | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Aetna | Standard | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Campbell Scientific | Commercial | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Ifit | Commercial | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Deseret Mutual | All Other | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Emi Health | Network Care | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uofu | Healthy Preferred | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Tanner Llc | Commercial | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Molina | Marketplace | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Value | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Cigna | Open Access Flex | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Fehbp | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Commercial | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Med Aca | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Cigna | Ppo/Epo | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Humana | Commercial | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uhc | All Plans | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Global Excel | Commercial | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | First Choice Of The Midwest | Commercial | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Pehp | All Plans | $217,829.21 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | First Health | Commercial | $220,897.23 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Regence Bcbs | Valuecare | $223,965.25 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Regence Bcbs | Fehbp | $223,965.25 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Regence Bcbs | Individual Family | $223,965.25 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Regence Bcbs | Bridgespan Realvalue | $223,965.25 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Springtide | Commercial | $223,965.25 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Regence Bcbs | High Performance | $223,965.25 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Regence Bcbs | Blueoption | $223,965.25 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Regence Bcbs | Focal Point | $223,965.25 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Regence Bcbs | Traditional | $223,965.25 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Utah Behavioral Health Network | Behavioral Health | $248,509.39 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Uofu | Healthy Preferred | $257,713.44 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Molina | Chip | $257,713.44 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Molina | Marketplace | $257,713.44 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Cigna | Open Access Flex | $257,713.44 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Cigna | Ppo/Epo | $257,713.44 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Cigna | Hmo | $257,713.44 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Cigna | Utah Connect/Local Plus | $257,713.44 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Humana | Commercial | $257,713.44 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Uhc | All Plans | $257,713.44 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Aetna | Standard | $257,713.44 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | First Choice | Commercial | $257,713.44 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Selecthealth | Signature Individual Aca | $257,713.44 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Selecthealth | Share | $257,713.44 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Selecthealth | Fehbp | $257,713.44 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Selecthealth | Commercial | $257,713.44 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Selecthealth | Med | $257,713.44 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Selecthealth | Value Aca | $257,713.44 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Selecthealth | Value | $257,713.44 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Selecthealth | Med Aca | $257,713.44 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Selecthealth | Care | $257,713.44 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Global Excel | Commercial | $257,713.44 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | First Choice Of The Midwest | Commercial | $257,713.44 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Pehp | Summit Exclusive | $257,713.44 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Pehp | All Plans | $257,713.44 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Byu Athletics | Commercial | $257,713.44 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Campbell Scientific | Commercial | $257,713.44 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Deseret Mutual | All Other | $257,713.44 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Emi Health | Mint | $257,713.44 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Emi Health | Network Care | $257,713.44 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Emi | Commercial | $257,713.44 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Franklin County | Commercial | $257,713.44 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Hygeia Corporation | Commercial | $257,713.44 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Juniper Systems | Commercial | $257,713.44 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Lw Miller | Commercial | $257,713.44 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Managed Care Admin | Commercial | $257,713.44 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Medcare International | Commercial | $257,713.44 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Motivhealth | Commercial | $257,713.44 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Prodegi Corp Benefit | Commercial | $257,713.44 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Tanner Llc | Commercial | $257,713.44 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Uofu | Health Plus Marketplace | $257,713.44 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Uofu | Healthy Premier | $257,713.44 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Uofu | Premier Marketplace | $257,713.44 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Uofu | Chip-Healthy U | $257,713.44 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Utah Tech | Commercial | $257,713.44 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Wise Network | Commercial | $257,713.44 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Ifit | Commercial | $257,713.44 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Health Utah | Commercial | $257,713.44 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Awh Connected | Connected Utah | $260,781.45 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | First Health | Commercial | $260,781.45 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Aetna | Extended | $260,781.45 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Aetna | Connected | $260,781.45 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Springtide | Commercial | $263,849.47 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Regence Bcbs | Bridgespan Realvalue | $263,849.47 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Regence Bcbs | Valuecare | $263,849.47 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Regence Bcbs | Blueoption | $263,849.47 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Regence Bcbs | High Performance | $263,849.47 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Regence Bcbs | Traditional | $263,849.47 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Regence Bcbs | Focal Point | $263,849.47 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Regence Bcbs | Individual Family | $263,849.47 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Regence Bcbs | Fehbp | $263,849.47 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Altius Mhnet Behavioral Health | Behavioral Health | $269,985.50 | $306,801.71 | $230,101.28 | 2026-05-15 | MRF ↗ |