199175 — Ocrelizumab 30 Mg/ml Intravenous Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION (OTHER 199175) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/199175?code_type=OTHER
MLA (9th ed.)
“OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION (OTHER 199175) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/199175?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION (OTHER 199175) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/199175?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $39,485–$68,653 (25th–75th percentile) across 21 hospitals · 73 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 199175 — 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 | $567.32 | $56,731.68 | $42,548.76 | 2026-05-18 | MRF ↗ |
| LDS HOSPITAL Inpatient | Donor Connect | Other | $737.51 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $794.24 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $794.24 | $56,731.68 | $42,548.76 | 2026-05-18 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Donor Connect | Other | $948.09 | $49,899.52 | $37,424.64 | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Donor Connect | Other | $1,021.17 | $56,731.68 | $42,548.76 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Donor Connect | Other | $2,326.00 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Donor Connect | Other | $3,687.56 | $56,731.68 | $42,548.76 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Donor Connect | Other | $3,687.56 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Donor Connect | Other | $12,083.85 | $56,731.68 | $42,548.76 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Donor Connect | Other | $13,502.14 | $56,731.68 | $42,548.76 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Donor Connect | Other | $13,502.14 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Outpatient | Donor Connect | Other | $13,572.67 | $49,899.52 | $37,424.64 | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Donor Connect | Other | $13,729.07 | $56,731.68 | $42,548.76 | 2026-05-09 | MRF ↗ |
| LDS HOSPITAL Outpatient | Donor Connect | Other | $14,693.51 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $14,948.18 | $49,827.28 | $37,370.46 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Regence Bcbs | Idaho Ut Svc | $14,948.18 | $49,827.28 | $37,370.46 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $14,948.18 | $49,827.28 | $37,370.46 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Uhc | Medicare Advantage | $14,948.18 | $49,827.28 | $37,370.46 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $14,948.18 | $49,827.28 | $37,370.46 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Molina | Medicare Choice Care Hmo | $14,948.18 | $49,827.28 | $37,370.46 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $14,948.18 | $49,827.28 | $37,370.46 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Blue Cross Of Idaho | Medicare Id True Blue | $14,948.18 | $49,827.28 | $37,370.46 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | St Lukes Hp | Medicare Advantage | $14,948.18 | $49,827.28 | $37,370.46 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $14,948.18 | $49,827.28 | $37,370.46 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $14,948.18 | $49,827.28 | $37,370.46 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $14,948.18 | $49,827.28 | $37,370.46 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Selecthealth | Medicaid | $14,969.86 | $49,899.52 | $37,424.64 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Healthy U | Medicaid | $14,969.86 | $49,899.52 | $37,424.64 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $14,969.86 | $49,899.52 | $37,424.64 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $14,969.86 | $49,899.52 | $37,424.64 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $14,969.86 | $49,899.52 | $37,424.64 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $14,969.86 | $49,899.52 | $37,424.64 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $14,969.86 | $49,899.52 | $37,424.64 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $14,969.86 | $49,899.52 | $37,424.64 | 2026-05-15 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Selecthealth | Medicaid | $14,969.86 | $49,899.52 | $37,424.64 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $14,969.86 | $49,899.52 | $37,424.64 | 2026-05-15 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $14,969.86 | $49,899.52 | $37,424.64 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Uhc | Medicare Advantage | $14,969.86 | $49,899.52 | $37,424.64 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Regence Bcbs | Medadvantage Ppo | $14,969.86 | $49,899.52 | $37,424.64 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $14,969.86 | $49,899.52 | $37,424.64 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Molina | Medicaid | $14,969.86 | $49,899.52 | $37,424.64 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $14,977.16 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $14,977.16 | $56,731.68 | $42,548.76 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $14,977.16 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $14,977.16 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $14,977.16 | $56,731.68 | $42,548.76 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $14,977.16 | $56,731.68 | $42,548.76 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $14,977.16 | $56,731.68 | $42,548.76 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $14,977.16 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $14,977.16 | $56,731.68 | $42,548.76 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $14,977.16 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $14,977.16 | $56,731.68 | $42,548.76 | 2026-05-09 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $14,977.16 | $56,731.68 | $42,548.76 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $14,977.16 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $14,977.16 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $14,977.16 | $56,731.68 | $42,548.76 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $14,977.16 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Donor Connect | Other | $15,147.36 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Donor Connect | Other | $15,317.55 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Donor Connect | Other | $15,317.55 | $56,731.68 | $42,548.76 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $15,944.73 | $49,827.28 | $37,370.46 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Healthy U | Medicaid | $15,944.73 | $49,827.28 | $37,370.46 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $15,944.73 | $49,827.28 | $37,370.46 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $15,944.73 | $49,827.28 | $37,370.46 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $15,944.73 | $49,827.28 | $37,370.46 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Uhc | Medicare Advantage | $15,944.73 | $49,827.28 | $37,370.46 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $15,944.73 | $49,827.28 | $37,370.46 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Regence Bcbs | Medadvantage Ppo | $15,944.73 | $49,827.28 | $37,370.46 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Molina | Medicaid | $15,944.73 | $49,827.28 | $37,370.46 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $15,944.73 | $49,827.28 | $37,370.46 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $15,944.73 | $49,827.28 | $37,370.46 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Selecthealth | Medicaid | $15,944.73 | $49,827.28 | $37,370.46 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $15,944.73 | $49,827.28 | $37,370.46 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Triwest | Veterans Choice | $16,826.12 | $49,899.52 | $37,424.64 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $16,906.04 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $16,906.04 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $16,906.04 | $56,731.68 | $42,548.76 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $16,906.04 | $56,731.68 | $42,548.76 | 2026-05-18 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $16,906.04 | $56,731.68 | $42,548.76 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $16,906.04 | $56,731.68 | $42,548.76 | 2026-05-15 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $16,906.04 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $16,906.04 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $17,019.50 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Medicaid | $17,019.50 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Medicaid | $17,019.50 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $17,019.50 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| LDS HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $17,019.50 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Medicaid | $17,019.50 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Medicaid | $17,019.50 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $17,019.50 | $56,731.68 | $42,548.76 | 2026-05-18 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Medicaid | $17,019.50 | $56,731.68 | $42,548.76 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Medicaid | $17,019.50 | $56,731.68 | $42,548.76 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $17,019.50 | $56,731.68 | $42,548.76 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Medicaid | $17,019.50 | $56,731.68 | $42,548.76 | 2026-05-18 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $17,019.50 | $56,731.68 | $42,548.76 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $17,019.50 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Triwest | Veterans Choice | $17,439.55 | $49,827.28 | $37,370.46 | 2026-05-15 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Health Choice | Arizona | $18,462.82 | $49,899.52 | $37,424.64 | 2026-05-22 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $18,934.37 | $49,827.28 | $37,370.46 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Triwest | Veterans Choice | $18,974.23 | $49,827.28 | $37,370.46 | 2026-05-09 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Donor Connect | Other | $19,468.56 | $54,079.32 | $40,559.49 | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Donor Connect | Other | $19,468.56 | $54,079.32 | $40,559.49 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Donor Connect | Other | $19,468.56 | $54,079.32 | $40,559.49 | 2026-05-13 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Kaiser Perm Ppo/Pos | Kaiser Ppo/Pos Other | $21,361.24 | $91,522.02 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Kaiser Perm Ppo/Pos | Kaiser Perm Ppo/Pos | $21,361.24 | $91,522.02 | — | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Donor Connect | Other | $21,523.57 | $54,079.32 | $40,559.49 | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Donor Connect | Other | $21,523.57 | $54,079.32 | $40,559.49 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Donor Connect | Other | $21,523.57 | $54,079.32 | $40,559.49 | 2026-05-13 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Medicaid | $21,631.73 | $54,079.32 | $40,559.49 | 2026-05-13 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Medicaid | $21,631.73 | $54,079.32 | $40,559.49 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Medicaid | $21,631.73 | $54,079.32 | $40,559.49 | 2026-05-22 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Triwest | Veterans Choice | $21,978.81 | $49,827.28 | $37,370.46 | 2026-05-09 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uhc | Medicare Advantage | $22,172.52 | $54,079.32 | $40,559.49 | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uhc | Medicare Advantage | $22,172.52 | $54,079.32 | $40,559.49 | 2026-05-13 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uhc | Medicare Advantage | $22,172.52 | $54,079.32 | $40,559.49 | 2026-05-15 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $22,920.55 | $49,827.28 | $37,370.46 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $22,920.55 | $49,827.28 | $37,370.46 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Healthy U | Medicaid | $22,920.55 | $49,827.28 | $37,370.46 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $22,920.55 | $49,827.28 | $37,370.46 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Regence Bcbs | Medadvantage Ppo | $22,920.55 | $49,827.28 | $37,370.46 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $22,920.55 | $49,827.28 | $37,370.46 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $22,920.55 | $49,827.28 | $37,370.46 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Uhc | Medicare Advantage | $22,920.55 | $49,827.28 | $37,370.46 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $22,920.55 | $49,827.28 | $37,370.46 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $22,920.55 | $49,827.28 | $37,370.46 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Regence Bcbs | Medadvantage | $22,920.55 | $49,827.28 | $37,370.46 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Selecthealth | Medicaid | $22,920.55 | $49,827.28 | $37,370.46 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Molina | Medicaid | $22,920.55 | $49,827.28 | $37,370.46 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Selectshare | $24,054.23 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Fehbp | $24,054.23 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Selectshare | $24,054.23 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Intermountain Caregiver Plan | Share Network | $24,054.23 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Selectvalue | $24,054.23 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Selectvalue | $24,054.23 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Selectshare | $24,054.23 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Fehbp | $24,054.23 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Selectvalue | $24,054.23 | $56,731.68 | $42,548.76 | 2026-05-15 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Fehbp | $24,054.23 | $56,731.68 | $42,548.76 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Fehbp | $24,054.23 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Fehbp | $24,054.23 | $56,731.68 | $42,548.76 | 2026-05-18 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Selectshare | $24,054.23 | $56,731.68 | $42,548.76 | 2026-05-18 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Selectvalue | $24,054.23 | $56,731.68 | $42,548.76 | 2026-05-18 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Selectvalue | $24,054.23 | $56,731.68 | $42,548.76 | 2026-05-09 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Fehbp | $24,054.23 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Intermountain Caregiver Plan | Share Network | $24,054.23 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Intermountain Caregiver Plan | Share Network | $24,054.23 | $56,731.68 | $42,548.76 | 2026-05-18 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Intermountain Caregiver Plan | Share Network | $24,054.23 | $56,731.68 | $42,548.76 | 2026-05-18 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Selectshare | $24,054.23 | $56,731.68 | $42,548.76 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Intermountain Caregiver Plan | Share Network | $24,054.23 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Selectvalue | $24,054.23 | $56,731.68 | $42,548.76 | 2026-05-18 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Intermountain Caregiver Plan | Share Network | $24,054.23 | $56,731.68 | $42,548.76 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Fehbp | $24,054.23 | $56,731.68 | $42,548.76 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Fehbp | $24,054.23 | $56,731.68 | $42,548.76 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Selectshare | $24,054.23 | $56,731.68 | $42,548.76 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Selectshare | $24,054.23 | $56,731.68 | $42,548.76 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Selectvalue | $24,054.23 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Intermountain Caregiver Plan | Share Network | $24,054.23 | $56,731.68 | $42,548.76 | 2026-05-15 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Selectvalue | $24,054.23 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Selectshare | $24,054.23 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| LDS HOSPITAL Inpatient | Intermountain Caregiver Plan | Share Network | $24,054.23 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Selectmed/Chip | $27,344.67 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Selectmed/Chip | $27,344.67 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Commercial | $27,344.67 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Intermountain Caregiver Plan | Med Network | $27,344.67 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Commercial | $27,344.67 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Intermountain Caregiver Plan | Med Network | $27,344.67 | $56,731.68 | $42,548.76 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Selectmed/Chip | $27,344.67 | $56,731.68 | $42,548.76 | 2026-05-15 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Commercial | $27,344.67 | $56,731.68 | $42,548.76 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Intermountain Caregiver Plan | Med Network | $27,344.67 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Commercial | $27,344.67 | $56,731.68 | $42,548.76 | 2026-05-18 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Intermountain Caregiver Plan | Med Network | $27,344.67 | $56,731.68 | $42,548.76 | 2026-05-09 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Intermountain Caregiver Plan | Med Network | $27,344.67 | $56,731.68 | $42,548.76 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Intermountain Caregiver Plan | Med Network | $27,344.67 | $56,731.68 | $42,548.76 | 2026-05-18 | MRF ↗ |
| LDS HOSPITAL Inpatient | Intermountain Caregiver Plan | Med Network | $27,344.67 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Intermountain Caregiver Plan | Med Network | $27,344.67 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Selectmed/Chip | $27,344.67 | $56,731.68 | $42,548.76 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Selectcare | $28,706.23 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Selectcare | $28,706.23 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Selectcare | $28,706.23 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Selectcare | $28,706.23 | $56,731.68 | $42,548.76 | 2026-05-18 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Selectcare | $28,706.23 | $56,731.68 | $42,548.76 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Selectcare | $28,706.23 | $56,731.68 | $42,548.76 | 2026-05-15 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Selectcare | $28,706.23 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Selectcare | $28,706.23 | $56,731.68 | $42,548.76 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Emi | Commercial | $30,635.11 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Emi | Commercial | $30,635.11 | $56,731.68 | $42,548.76 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Emi | Commercial | $30,635.11 | $56,731.68 | $42,548.76 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Emi | Commercial | $30,635.11 | $56,731.68 | $42,548.76 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Emi | Commercial | $30,635.11 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Emi | Commercial | $30,635.11 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| LDS HOSPITAL Inpatient | Emi | Commercial | $30,635.11 | $56,731.68 | $42,548.76 | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Emi | Commercial | $30,635.11 | $56,731.68 | $42,548.76 | 2026-05-09 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | American Health | Medicare Adv Ut Hmo I-Snp | $30,825.21 | $54,079.32 | $40,559.49 | 2026-05-13 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | American Health | Medicare Adv Ut Hmo I-Snp | $30,825.21 | $54,079.32 | $40,559.49 | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | American Health | Medicare Adv Ut Hmo I-Snp | $30,825.21 | $54,079.32 | $40,559.49 | 2026-05-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kp Select Hmo | $32,140.97 | $173,734.97 | — | 2026-05-22 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Perm Hmo | Kp Select Hmo | $32,140.97 | $173,734.97 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Perm Hmo | Kp Select Hmo | $32,140.97 | $173,734.97 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kp Select Hmo | $32,140.97 | $173,734.97 | — | 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.