206895 — Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ONASEMNOGENE ABEPARVOVEC-XIOI 2 X 10EXP13 VG/ML IV SUSPENSION,KIT (OTHER 206895) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/206895?code_type=OTHER
MLA (9th ed.)
“ONASEMNOGENE ABEPARVOVEC-XIOI 2 X 10EXP13 VG/ML IV SUSPENSION,KIT (OTHER 206895) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/206895?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“ONASEMNOGENE ABEPARVOVEC-XIOI 2 X 10EXP13 VG/ML IV SUSPENSION,KIT (OTHER 206895) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/206895?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,821,362–$3,337,950 (25th–75th percentile) across 1 hospital · 36 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 206895 — 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 | $1,430,550.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Donor Connect | Other | $1,581,552.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Medicaid | $1,589,500.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uhc | Medicare Advantage | $1,629,237.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | American Health | Medicare Adv Ut Hmo I-Snp | $2,265,037.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Molina | Medicare Complete Care Hmo Snp | $2,384,250.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Molina | Medicare Choice Care Hmo | $2,384,250.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Molina | Medicare Advantage | $2,384,250.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Utah Tech | Commercial | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Cigna | Hmo | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Cigna | Utah Connect/Local Plus | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uofu | Chip-Healthy U | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uofu | Healthy Preferred | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Humana | Commercial | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uofu | Health Plus Marketplace | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uofu | Premier Marketplace | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uhc | All Plans | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uofu | Healthy Premier | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Tanner Llc | Commercial | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Aetna | Connected | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Aetna | Standard | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Aetna | Extended | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | First Choice | Commercial | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Fehbp | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Emi Health | Mint | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Molina | Chip | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Molina | Marketplace | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Health Utah | Commercial | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Ifit | Commercial | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Cigna | Ppo/Epo | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Wise Network | Commercial | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Cigna | Open Access Flex | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Pehp | All Plans | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Juniper Systems | Commercial | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Awh Connected | Connected Utah | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Hygeia Corporation | Commercial | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Byu Athletics | Commercial | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Franklin County | Commercial | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Campbell Scientific | Commercial | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Emi | Commercial | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Emi Health | Network Care | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Deseret Mutual | All Other | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Commercial | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Value Aca | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Value | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Med Aca | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Prodegi Corp Benefit | Commercial | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Med | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Motivhealth | Commercial | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Care | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Share | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Medcare International | Commercial | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Global Excel | Commercial | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | First Choice Of The Midwest | Commercial | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Managed Care Admin | Commercial | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Lw Miller | Commercial | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Pehp | Summit Exclusive | $2,821,362.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | First Health | Commercial | $2,861,100.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Regence Bcbs | Fehbp | $2,900,837.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Regence Bcbs | Bridgespan Realvalue | $2,900,837.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Regence Bcbs | Blueoption | $2,900,837.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Regence Bcbs | Traditional | $2,900,837.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Springtide | Commercial | $2,900,837.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Regence Bcbs | High Performance | $2,900,837.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Regence Bcbs | Individual Family | $2,900,837.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Regence Bcbs | Focal Point | $2,900,837.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Regence Bcbs | Valuecare | $2,900,837.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Utah Behavioral Health Network | Behavioral Health | $3,218,737.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Managed Care Admin | Commercial | $3,337,950.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Deseret Mutual | All Other | $3,337,950.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Emi Health | Network Care | $3,337,950.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Campbell Scientific | Commercial | $3,337,950.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Emi | Commercial | $3,337,950.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Franklin County | Commercial | $3,337,950.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Byu Athletics | Commercial | $3,337,950.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Hygeia Corporation | Commercial | $3,337,950.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Uofu | Chip-Healthy U | $3,337,950.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Humana | Commercial | $3,337,950.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Uofu | Premier Marketplace | $3,337,950.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Cigna | Utah Connect/Local Plus | $3,337,950.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Cigna | Hmo | $3,337,950.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Uofu | Healthy Preferred | $3,337,950.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Cigna | Ppo/Epo | $3,337,950.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Utah Tech | Commercial | $3,337,950.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Cigna | Open Access Flex | $3,337,950.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Wise Network | Commercial | $3,337,950.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Ifit | Commercial | $3,337,950.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Molina | Chip | $3,337,950.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Health Utah | Commercial | $3,337,950.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Molina | Marketplace | $3,337,950.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Pehp | All Plans | $3,337,950.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Juniper Systems | Commercial | $3,337,950.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Pehp | Summit Exclusive | $3,337,950.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Lw Miller | Commercial | $3,337,950.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | First Choice Of The Midwest | Commercial | $3,337,950.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Emi Health | Mint | $3,337,950.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Medcare International | Commercial | $3,337,950.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Global Excel | Commercial | $3,337,950.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Motivhealth | Commercial | $3,337,950.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Selecthealth | Med | $3,337,950.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Selecthealth | Value Aca | $3,337,950.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Prodegi Corp Benefit | Commercial | $3,337,950.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Selecthealth | Value | $3,337,950.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Selecthealth | Signature Individual Aca | $3,337,950.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Selecthealth | Share | $3,337,950.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Selecthealth | Med Aca | $3,337,950.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Selecthealth | Commercial | $3,337,950.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Selecthealth | Care | $3,337,950.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Selecthealth | Fehbp | $3,337,950.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | First Choice | Commercial | $3,337,950.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Tanner Llc | Commercial | $3,337,950.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Aetna | Standard | $3,337,950.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Uofu | Health Plus Marketplace | $3,337,950.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Uhc | All Plans | $3,337,950.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Uofu | Healthy Premier | $3,337,950.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Awh Connected | Connected Utah | $3,377,687.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Aetna | Connected | $3,377,687.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Aetna | Extended | $3,377,687.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | First Health | Commercial | $3,377,687.50 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Regence Bcbs | Traditional | $3,417,425.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Regence Bcbs | Individual Family | $3,417,425.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Springtide | Commercial | $3,417,425.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Regence Bcbs | Focal Point | $3,417,425.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Regence Bcbs | Fehbp | $3,417,425.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Regence Bcbs | Bridgespan Realvalue | $3,417,425.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Regence Bcbs | High Performance | $3,417,425.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Regence Bcbs | Blueoption | $3,417,425.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Regence Bcbs | Valuecare | $3,417,425.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Altius Mhnet Behavioral Health | Behavioral Health | $3,496,900.00 | $3,973,750.00 | $2,980,312.50 | 2026-05-15 | MRF ↗ |