200074 — Cerliponase Alfa 150 Mg/5 Ml Intraventricular Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CERLIPONASE ALFA 150 MG/5 ML INTRAVENTRICULAR SOLUTION (OTHER 200074) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/200074?code_type=OTHER
MLA (9th ed.)
“CERLIPONASE ALFA 150 MG/5 ML INTRAVENTRICULAR SOLUTION (OTHER 200074) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/200074?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“CERLIPONASE ALFA 150 MG/5 ML INTRAVENTRICULAR SOLUTION (OTHER 200074) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/200074?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $87–$319,071 (25th–75th percentile) across 3 hospitals · 56 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 200074 — 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 |
|---|---|---|---|---|---|---|---|
| Mary Free Bed Rehabilitation Hospital Outpatient | Priority Health | Ppo | $32.78 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Priority Health | Hmo | $32.78 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Blue Cross Blue Shield Of Michigan | Hmo | $34.09 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Blue Cross Blue Shield Of Michigan | Ffs | $34.09 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Blue Cross Blue Shield Of Michigan | Ppo | $34.09 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Midwest Health Plan | Midwest Health Plan Cshcs | $47.36 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Priority Health | Priority Health Medicaid | $47.36 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Aetna Better Health Of Michigan | All Medicaid Plans | $47.36 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Blue Cross Blue Shield Of Michigan | Blue Cross Complete | $47.36 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Mclaren Health Plan Inc | Medicaid Plans | $47.36 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Healthplus Partners | Healthplus Partners Cshcs | $47.36 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | United Healthcare | All Medicaid Plans | $47.36 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Meridian Health Plan | Medicaid Plans | $47.36 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Molina Healthcare | Molina Medicaid | $47.36 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Mclaren Health Plan Inc | Commercial Plans | $65.68 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Aetna | Cofinity Medicare Advantage | $66.46 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Aetna | All Other Commercial Plans | $66.46 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Mclaren Health Plan Inc | Commercial Plans | $67.98 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Amish Church Of Michigan | — | $68.64 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | All Other Commercial Plans | $72.28 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Cofinity Medicare Advantage | $72.28 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Aetna | Dow Chemical Employee Plans | $72.70 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Dow Chemical Employee Plans | $73.22 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Aetna | Managed Choice Pos | $78.00 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Aetna | National Advantage | $78.00 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Aetna | Select | $78.00 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Aetna | Choice Pos Ii | $78.00 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Aetna | Hmo | $78.00 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Aetna | Qpos | $78.00 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Aetna | Elect Choice | $78.00 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Aetna | Cofinity Commercial Plans | $78.00 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Aetna | Open Choice Ppo | $78.00 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Qpos | $78.62 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | National Advantage | $78.62 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Elect Choice | $78.62 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Managed Choice Pos | $78.62 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Choice Pos Ii | $78.62 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Select | $78.62 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Open Choice Ppo | $78.62 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Cofinity Commercial Plans | $78.62 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Hmo | $78.62 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | University Of Michigan Health Plan | Hmo | $81.12 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | University Of Michigan Health Plan | Ppo | $81.12 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | University Of Michigan Health Plan | Pos | $81.12 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Meridian Health Plan | Medicare Advantage Plans | $86.58 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Blue Cross Blue Shield Of Michigan | Blue Cross Medicare Plus Blue | $86.58 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Molina Healthcare | Molina Marketplace Plans | $86.58 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Blue Cross Blue Shield Of Michigan | Bcn Medicare Advantage | $86.58 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Molina Healthcare | Molina Medicare Advantage | $86.58 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Aetna | All Medicare Advantage Plans | $86.58 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Priority Health | Medicare Advantage | $86.58 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | United Healthcare | Medicare Advantage Hmo | $86.58 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | United Healthcare | Medicare Advantage Regional Ppo | $86.58 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Mclaren Health Plan Inc | Medicare Advantage | $86.58 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | United Healthcare | Medicare Advantage Ppo | $86.58 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | University Of Michigan Health Plan | Php Medicare Advantage Plans | $86.58 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | United Healthcare | Medicare Advantage Uhc Aarp Medicare Complete | $86.58 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | United Healthcare | Uhc Dual Complete | $86.58 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Health Alliance Plan (Hap) | Hap Medicare Advantage Plans | $86.58 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | United Healthcare | Uhc Dual Special Needs | $86.58 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Humana | Medicare Advantage Plans | $86.58 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Blue Cross Blue Shield Of Michigan | Blue Care Network | $91.52 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Multiplan | Multiplan Commercial Plans | $93.60 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Multiplan | Emergis | $93.60 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Christian Healthcare Centers Inc | — | $95.24 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Cigna | Commercial Plans | $95.37 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Cigna | Connecticut Life | $95.37 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Three Rivers Provider Network Trpn | All Plans | $95.68 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Multiplan | Integrated Health Plan Commercial Plans | $95.68 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Multiplan | Viant | $96.20 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Cigna | Great West Healthcare | $96.72 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Cigna | Commercial Plans | $99.53 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Cigna | Connecticut Life | $99.53 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Health Alliance Plan (Hap) | Ahlic Plans | $114.29 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Health Alliance Plan (Hap) | Pos | $114.29 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Asr | Physician'S Care | $114.29 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Health Alliance Plan (Hap) | Hmo | $114.29 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Blue Cross Blue Shield Of Michigan | Blue Care Network | $126.20 | $104.00 | $104.00 | 2026-05-14 | MRF ↗ |
| CHILDRESS REGIONAL MEDICAL CENTER Both | Firstcare | Managed Medicaid | $541.59 | $13,222.00 | $13,222.00 | 2026-05-15 | MRF ↗ |
| CHILDRESS REGIONAL MEDICAL CENTER Both | Amerigroup | Managed Medicaid | $541.59 | $13,222.00 | $13,222.00 | 2026-05-15 | MRF ↗ |
| CHILDRESS REGIONAL MEDICAL CENTER Both | Superior Healthplan Inc. | Managed Medicaid | $541.59 | $13,222.00 | $13,222.00 | 2026-05-15 | MRF ↗ |
| CHILDRESS REGIONAL MEDICAL CENTER Both | Choicecare Network | Commercial | $835.00 | $13,222.00 | $13,222.00 | 2026-05-15 | MRF ↗ |
| CHILDRESS REGIONAL MEDICAL CENTER Both | United Healthcare | Commercial | $3,849.00 | $13,222.00 | $13,222.00 | 2026-05-15 | MRF ↗ |
| CHILDRESS REGIONAL MEDICAL CENTER Both | Insurance Services Of Lubbock | Commercial | $4,400.00 | $13,222.00 | $13,222.00 | 2026-05-15 | MRF ↗ |
| CHILDRESS REGIONAL MEDICAL CENTER Both | Humana | Medicare Advantage | $4,789.74 | $13,222.00 | $13,222.00 | 2026-05-15 | MRF ↗ |
| CHILDRESS REGIONAL MEDICAL CENTER Both | Aetna Health Inc. | Medicare Advantage | $4,789.74 | $13,222.00 | $13,222.00 | 2026-05-15 | MRF ↗ |
| CHILDRESS REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield Of Texas | Bav | $5,366.80 | $13,222.00 | $13,222.00 | 2026-05-15 | MRF ↗ |
| CHILDRESS REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield Of Texas | Ppo | $6,410.35 | $13,222.00 | $13,222.00 | 2026-05-15 | MRF ↗ |
| CHILDRESS REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield Of Texas | Hmo | $6,410.35 | $13,222.00 | $13,222.00 | 2026-05-15 | MRF ↗ |
| CHILDRESS REGIONAL MEDICAL CENTER Both | Cigna Healthcare | Commercial | $9,000.00 | $13,222.00 | $13,222.00 | 2026-05-15 | MRF ↗ |
| CHILDRESS REGIONAL MEDICAL CENTER Both | Aetna Health Inc. | Commercial | $10,577.60 | $13,222.00 | $13,222.00 | 2026-05-15 | MRF ↗ |
| CHILDRESS REGIONAL MEDICAL CENTER Both | Bsa Provider Network | Commercial | $10,577.60 | $13,222.00 | $13,222.00 | 2026-05-15 | MRF ↗ |
| CHILDRESS REGIONAL MEDICAL CENTER Both | Firstcare | Commercial | $11,899.80 | $13,222.00 | $13,222.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Donor Connect | Other | $136,744.85 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Donor Connect | Other | $151,179.03 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Medicaid | $151,938.72 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uhc | Medicare Advantage | $155,737.19 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | American Health | Medicare Adv Ut Hmo I-Snp | $216,512.68 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Molina | Medicare Choice Care Hmo | $227,908.08 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Molina | Medicare Complete Care Hmo Snp | $227,908.08 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Molina | Medicare Advantage | $227,908.08 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uofu | Premier Marketplace | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Molina | Chip | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Molina | Marketplace | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Cigna | Ppo/Epo | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Cigna | Open Access Flex | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Cigna | Utah Connect/Local Plus | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Cigna | Hmo | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Humana | Commercial | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uhc | All Plans | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Aetna | Standard | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Aetna | Extended | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Aetna | Connected | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | First Choice | Commercial | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Share | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Commercial | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Fehbp | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Care | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Med Aca | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Value | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Med | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Value Aca | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Global Excel | Commercial | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | First Choice Of The Midwest | Commercial | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Pehp | All Plans | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Pehp | Summit Exclusive | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Awh Connected | Connected Utah | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Byu Athletics | Commercial | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Campbell Scientific | Commercial | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Deseret Mutual | All Other | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Emi Health | Network Care | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Emi Health | Mint | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Emi | Commercial | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Franklin County | Commercial | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Hygeia Corporation | Commercial | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Juniper Systems | Commercial | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Lw Miller | Commercial | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Managed Care Admin | Commercial | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Medcare International | Commercial | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Motivhealth | Commercial | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Prodegi Corp Benefit | Commercial | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Tanner Llc | Commercial | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uofu | Healthy Premier | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uofu | Health Plus Marketplace | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uofu | Healthy Preferred | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uofu | Chip-Healthy U | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Utah Tech | Commercial | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Wise Network | Commercial | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Ifit | Commercial | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Health Utah | Commercial | $269,691.23 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | First Health | Commercial | $273,489.70 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Regence Bcbs | High Performance | $277,288.16 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Springtide | Commercial | $277,288.16 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Regence Bcbs | Valuecare | $277,288.16 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Regence Bcbs | Focal Point | $277,288.16 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Regence Bcbs | Bridgespan Realvalue | $277,288.16 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Regence Bcbs | Fehbp | $277,288.16 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Regence Bcbs | Blueoption | $277,288.16 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Regence Bcbs | Traditional | $277,288.16 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Regence Bcbs | Individual Family | $277,288.16 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Utah Behavioral Health Network | Behavioral Health | $307,675.91 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Uhc | All Plans | $319,071.31 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Prodegi Corp Benefit | Commercial | $319,071.31 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Health Utah | Commercial | $319,071.31 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Franklin County | Commercial | $319,071.31 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Hygeia Corporation | Commercial | $319,071.31 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Selecthealth | Care | $319,071.31 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Juniper Systems | Commercial | $319,071.31 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | First Choice | Commercial | $319,071.31 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Lw Miller | Commercial | $319,071.31 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Managed Care Admin | Commercial | $319,071.31 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Medcare International | Commercial | $319,071.31 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Aetna | Standard | $319,071.31 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Motivhealth | Commercial | $319,071.31 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Pehp | Summit Exclusive | $319,071.31 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Utah Tech | Commercial | $319,071.31 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Byu Athletics | Commercial | $319,071.31 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Campbell Scientific | Commercial | $319,071.31 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Wise Network | Commercial | $319,071.31 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Deseret Mutual | All Other | $319,071.31 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Ifit | Commercial | $319,071.31 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Selecthealth | Fehbp | $319,071.31 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Selecthealth | Share | $319,071.31 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Emi Health | Mint | $319,071.31 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Molina | Chip | $319,071.31 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Emi Health | Network Care | $319,071.31 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Molina | Marketplace | $319,071.31 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Emi | Commercial | $319,071.31 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Humana | Commercial | $319,071.31 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Tanner Llc | Commercial | $319,071.31 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Cigna | Open Access Flex | $319,071.31 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Cigna | Utah Connect/Local Plus | $319,071.31 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Selecthealth | Value | $319,071.31 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Selecthealth | Value Aca | $319,071.31 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Selecthealth | Med | $319,071.31 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Uofu | Premier Marketplace | $319,071.31 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Cigna | Ppo/Epo | $319,071.31 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Cigna | Hmo | $319,071.31 | $379,846.80 | $284,885.10 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Uofu | Healthy Preferred | $319,071.31 | $379,846.80 | $284,885.10 | 2026-05-15 | 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.