202663 — Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). LUTETIUM LU 177 DOTATATE 10 MCI/ML (370 MBQ/ML) INTRAVENOUS SOLUTION (OTHER 202663) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/202663?code_type=OTHER
MLA (9th ed.)
“LUTETIUM LU 177 DOTATATE 10 MCI/ML (370 MBQ/ML) INTRAVENOUS SOLUTION (OTHER 202663) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/202663?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“LUTETIUM LU 177 DOTATATE 10 MCI/ML (370 MBQ/ML) INTRAVENOUS SOLUTION (OTHER 202663) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/202663?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $115,034–$149,745 (25th–75th percentile) across 12 hospitals · 61 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 202663 — 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 | $1,911.64 | $191,164.32 | $143,373.24 | 2026-05-18 | MRF ↗ |
| LDS HOSPITAL Inpatient | Donor Connect | Other | $2,485.14 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $2,676.30 | $191,164.32 | $143,373.24 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $2,676.30 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Donor Connect | Other | $2,867.46 | $150,919.20 | $113,189.40 | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Donor Connect | Other | $3,440.96 | $191,164.32 | $143,373.24 | 2026-05-09 | MRF ↗ |
| PARK CITY HOSPITAL Inpatient | Donor Connect | Other | $4,074.82 | $150,919.20 | $113,189.40 | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Inpatient | Donor Connect | Other | $4,074.82 | $150,919.20 | $113,189.40 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Donor Connect | Other | $7,837.74 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Donor Connect | Other | $40,718.00 | $191,164.32 | $143,373.24 | 2026-05-18 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Outpatient | Donor Connect | Other | $41,050.02 | $150,919.20 | $113,189.40 | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Donor Connect | Other | $43,615.65 | $150,919.20 | $113,189.40 | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Donor Connect | Other | $43,615.65 | $150,919.20 | $113,189.40 | 2026-05-18 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Selecthealth | Medicaid | $45,275.76 | $150,919.20 | $113,189.40 | 2026-05-22 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $45,275.76 | $150,919.20 | $113,189.40 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Donor Connect | Other | $45,497.11 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Donor Connect | Other | $45,497.11 | $191,164.32 | $143,373.24 | 2026-05-18 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Donor Connect | Other | $46,261.77 | $191,164.32 | $143,373.24 | 2026-05-09 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Uhc | Medicare Advantage | $47,288.02 | $157,626.72 | $118,220.04 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $47,288.02 | $157,626.72 | $118,220.04 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Regence Bcbs | Idaho Ut Svc | $47,288.02 | $157,626.72 | $118,220.04 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Molina | Medicare Choice Care Hmo | $47,288.02 | $157,626.72 | $118,220.04 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Blue Cross Of Idaho | Medicare Id True Blue | $47,288.02 | $157,626.72 | $118,220.04 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $47,288.02 | $157,626.72 | $118,220.04 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | St Lukes Hp | Medicare Advantage | $47,288.02 | $157,626.72 | $118,220.04 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $47,288.02 | $157,626.72 | $118,220.04 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $47,288.02 | $157,626.72 | $118,220.04 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $47,288.02 | $157,626.72 | $118,220.04 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $47,288.02 | $157,626.72 | $118,220.04 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $47,288.02 | $157,626.72 | $118,220.04 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Donor Connect | Other | $49,300.27 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| LDS HOSPITAL Outpatient | Donor Connect | Other | $49,511.56 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $50,467.38 | $191,164.32 | $143,373.24 | 2026-05-09 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $50,467.38 | $191,164.32 | $143,373.24 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $50,467.38 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $50,467.38 | $191,164.32 | $143,373.24 | 2026-05-18 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $50,467.38 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $50,467.38 | $191,164.32 | $143,373.24 | 2026-05-09 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $50,467.38 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $50,467.38 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $50,467.38 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $50,467.38 | $191,164.32 | $143,373.24 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $50,467.38 | $191,164.32 | $143,373.24 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $50,467.38 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Donor Connect | Other | $51,040.87 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Donor Connect | Other | $54,504.19 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Medicaid | $54,778.08 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Triwest | Veterans Choice | $55,169.35 | $157,626.72 | $118,220.04 | 2026-05-15 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Health Choice | Arizona | $55,840.10 | $150,919.20 | $113,189.40 | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uhc | Medicare Advantage | $56,147.53 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $56,966.97 | $191,164.32 | $143,373.24 | 2026-05-09 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $56,966.97 | $191,164.32 | $143,373.24 | 2026-05-18 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $56,966.97 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $56,966.97 | $191,164.32 | $143,373.24 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $56,966.97 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $56,966.97 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $57,349.30 | $191,164.32 | $143,373.24 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Medicaid | $57,349.30 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Medicaid | $57,349.30 | $191,164.32 | $143,373.24 | 2026-05-18 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Medicaid | $57,349.30 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $57,349.30 | $191,164.32 | $143,373.24 | 2026-05-18 | MRF ↗ |
| LDS HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $57,349.30 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Medicaid | $57,349.30 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Medicaid | $57,349.30 | $191,164.32 | $143,373.24 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $57,349.30 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $57,349.30 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | American Health | Medicare Adv Ut Hmo I-Snp | $78,058.76 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Perm Hmo | Kp Select Hmo | $79,365.33 | $429,001.80 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Selectvalue | $81,053.67 | $191,164.32 | $143,373.24 | 2026-05-18 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Fehbp | $81,053.67 | $191,164.32 | $143,373.24 | 2026-05-18 | MRF ↗ |
| LDS HOSPITAL Inpatient | Intermountain Caregiver Plan | Share Network | $81,053.67 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Selectvalue | $81,053.67 | $191,164.32 | $143,373.24 | 2026-05-18 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Fehbp | $81,053.67 | $191,164.32 | $143,373.24 | 2026-05-09 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Fehbp | $81,053.67 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Selectvalue | $81,053.67 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Fehbp | $81,053.67 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Intermountain Caregiver Plan | Share Network | $81,053.67 | $191,164.32 | $143,373.24 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Intermountain Caregiver Plan | Share Network | $81,053.67 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Intermountain Caregiver Plan | Share Network | $81,053.67 | $191,164.32 | $143,373.24 | 2026-05-18 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Selectshare | $81,053.67 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Fehbp | $81,053.67 | $191,164.32 | $143,373.24 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Intermountain Caregiver Plan | Share Network | $81,053.67 | $191,164.32 | $143,373.24 | 2026-05-18 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Selectvalue | $81,053.67 | $191,164.32 | $143,373.24 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Intermountain Caregiver Plan | Share Network | $81,053.67 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Selectshare | $81,053.67 | $191,164.32 | $143,373.24 | 2026-05-18 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Selectshare | $81,053.67 | $191,164.32 | $143,373.24 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Selectshare | $81,053.67 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Selectvalue | $81,053.67 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Selectvalue | $81,053.67 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Selectshare | $81,053.67 | $191,164.32 | $143,373.24 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Selectshare | $81,053.67 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Fehbp | $81,053.67 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Molina | Medicare Choice Care Hmo | $82,167.12 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Molina | Medicare Advantage | $82,167.12 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Molina | Medicare Complete Care Hmo Snp | $82,167.12 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| LDS HOSPITAL Inpatient | Intermountain Caregiver Plan | Med Network | $92,141.20 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Intermountain Caregiver Plan | Med Network | $92,141.20 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Commercial | $92,141.20 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Commercial | $92,141.20 | $191,164.32 | $143,373.24 | 2026-05-09 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Intermountain Caregiver Plan | Med Network | $92,141.20 | $191,164.32 | $143,373.24 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Intermountain Caregiver Plan | Med Network | $92,141.20 | $191,164.32 | $143,373.24 | 2026-05-18 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Commercial | $92,141.20 | $191,164.32 | $143,373.24 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Intermountain Caregiver Plan | Med Network | $92,141.20 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Selectmed/Chip | $92,141.20 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Commercial | $92,141.20 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Selectmed/Chip | $92,141.20 | $191,164.32 | $143,373.24 | 2026-05-18 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Intermountain Caregiver Plan | Med Network | $92,141.20 | $191,164.32 | $143,373.24 | 2026-05-09 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Selectcare | $96,729.15 | $191,164.32 | $143,373.24 | 2026-05-09 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Selectcare | $96,729.15 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Selectcare | $96,729.15 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Selectcare | $96,729.15 | $191,164.32 | $143,373.24 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Selectcare | $96,729.15 | $191,164.32 | $143,373.24 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Selectcare | $96,729.15 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Utah Tech | Commercial | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uofu | Healthy Preferred | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Wise Network | Commercial | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uofu | Premier Marketplace | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uofu | Health Plus Marketplace | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Cigna | Hmo | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uofu | Healthy Premier | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Cigna | Ppo/Epo | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Cigna | Utah Connect/Local Plus | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Humana | Commercial | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Aetna | Extended | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Ifit | Commercial | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Health Utah | Commercial | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Aetna | Connected | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | First Choice | Commercial | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uofu | Chip-Healthy U | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Cigna | Open Access Flex | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Molina | Chip | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uhc | All Plans | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Molina | Marketplace | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Prodegi Corp Benefit | Commercial | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Motivhealth | Commercial | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Managed Care Admin | Commercial | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Medcare International | Commercial | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Lw Miller | Commercial | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Hygeia Corporation | Commercial | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Juniper Systems | Commercial | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Emi Health | Mint | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Emi | Commercial | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Emi Health | Network Care | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Campbell Scientific | Commercial | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Deseret Mutual | All Other | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Awh Connected | Connected Utah | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Pehp | Summit Exclusive | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Byu Athletics | Commercial | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Franklin County | Commercial | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | First Choice Of The Midwest | Commercial | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Pehp | All Plans | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Value | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Value Aca | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Global Excel | Commercial | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Share | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Commercial | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Fehbp | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Care | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Med | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Med Aca | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Aetna | Standard | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Tanner Llc | Commercial | $97,231.09 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | First Health | Commercial | $98,600.54 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Perm Hmo | Kaiser Permanente Hmo | $98,670.41 | $429,001.80 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Perm Hmo | Kaiser Out Of State | $98,670.41 | $429,001.80 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Perm Hmo | Kaiser Hmo Exchange Plan | $98,670.41 | $429,001.80 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Self Funded | Kaiser Self Funded | $98,670.41 | $429,001.80 | — | 2026-05-14 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Regence Bcbs | Blueoption | $99,970.00 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Regence Bcbs | Bridgespan Realvalue | $99,970.00 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Regence Bcbs | Fehbp | $99,970.00 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Springtide | Commercial | $99,970.00 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Regence Bcbs | Traditional | $99,970.00 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Regence Bcbs | Valuecare | $99,970.00 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Regence Bcbs | Individual Family | $99,970.00 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Regence Bcbs | High Performance | $99,970.00 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Regence Bcbs | Focal Point | $99,970.00 | $136,945.20 | $102,708.90 | 2026-05-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Perm Ppo/Pos | Kaiser Perm Ppo/Pos | $100,129.02 | $429,001.80 | — | 2026-05-14 | MRF ↗ |
| LDS HOSPITAL Inpatient | Emi | Commercial | $103,228.73 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Emi | Commercial | $103,228.73 | $191,164.32 | $143,373.24 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Emi | Commercial | $103,228.73 | $191,164.32 | $143,373.24 | 2026-05-18 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Emi | Commercial | $103,228.73 | $191,164.32 | $143,373.24 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Emi | Commercial | $103,228.73 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Emi | Commercial | $103,228.73 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna Scl Employees | Cigna Sclhs Cdhp | $107,250.45 | $429,001.80 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Allegiance | Cigna Sclhs Employees | $107,250.45 | $429,001.80 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna | Cigna Connect Exchange | $109,180.96 | $429,001.80 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna | Cigna Surefit | $109,180.96 | $429,001.80 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna | Cigna Co Public Option | $109,180.96 | $429,001.80 | — | 2026-05-14 | MRF ↗ |
| LDS HOSPITAL Inpatient | Deseret Mutual | All Other | $109,919.48 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Deseret Mutual | Commercial | $109,919.48 | $191,164.32 | $143,373.24 | 2026-05-18 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Deseret Mutual | Select | $109,919.48 | $191,164.32 | $143,373.24 | 2026-05-09 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Deseret Mutual | All Other | $109,919.48 | $191,164.32 | $143,373.24 | 2026-05-18 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Deseret Mutual | Select | $109,919.48 | $191,164.32 | $143,373.24 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Deseret Mutual | Commercial | $109,919.48 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Deseret Mutual | All Other | $109,919.48 | $191,164.32 | $143,373.24 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Deseret Mutual | Select | $109,919.48 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Deseret Mutual | All Other | $109,919.48 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| LDS HOSPITAL Inpatient | Deseret Mutual | Select | $110,875.31 | $191,164.32 | $143,373.24 | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Utah Behavioral Health Network | Behavioral Health | $110,925.61 | $136,945.20 | $102,708.90 | 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.