216356 — Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). LUTETIUM LU-177 VIPIVOTIDE TETRAXETAN 27 MCI/ML (1,000 MBQ/ML) IV SOLN (OTHER 216356) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/216356?code_type=OTHER
MLA (9th ed.)
“LUTETIUM LU-177 VIPIVOTIDE TETRAXETAN 27 MCI/ML (1,000 MBQ/ML) IV SOLN (OTHER 216356) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/216356?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“LUTETIUM LU-177 VIPIVOTIDE TETRAXETAN 27 MCI/ML (1,000 MBQ/ML) IV SOLN (OTHER 216356) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/216356?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $103,848–$151,730 (25th–75th percentile) across 19 hospitals · 73 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 216356 — 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 | $1,556.70 | $155,669.85 | $116,752.39 | 2026-05-18 | MRF ↗ |
| LDS HOSPITAL Inpatient | Donor Connect | Other | $2,023.71 | $155,669.85 | $116,752.39 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $2,179.38 | $155,669.85 | $116,752.39 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $2,179.38 | $155,669.85 | $116,752.39 | 2026-05-18 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Donor Connect | Other | $2,335.05 | $122,897.25 | $92,172.94 | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Donor Connect | Other | $2,802.06 | $155,669.85 | $116,752.39 | 2026-05-09 | MRF ↗ |
| PARK CITY HOSPITAL Inpatient | Donor Connect | Other | $3,318.23 | $122,897.25 | $92,172.94 | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Inpatient | Donor Connect | Other | $3,318.23 | $122,897.25 | $92,172.94 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Donor Connect | Other | $6,382.46 | $155,669.85 | $116,752.39 | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Donor Connect | Other | $33,157.68 | $155,669.85 | $116,752.39 | 2026-05-18 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Outpatient | Donor Connect | Other | $33,428.05 | $122,897.25 | $92,172.94 | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Donor Connect | Other | $35,517.31 | $122,897.25 | $92,172.94 | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Donor Connect | Other | $35,517.31 | $122,897.25 | $92,172.94 | 2026-05-18 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Selecthealth | Medicaid | $36,869.17 | $122,897.25 | $92,172.94 | 2026-05-22 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $36,869.17 | $122,897.25 | $92,172.94 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Donor Connect | Other | $37,049.42 | $155,669.85 | $116,752.39 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Donor Connect | Other | $37,049.42 | $155,669.85 | $116,752.39 | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Donor Connect | Other | $37,672.10 | $155,669.85 | $116,752.39 | 2026-05-09 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $38,507.80 | $128,359.35 | $96,269.51 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Molina | Medicare Choice Care Hmo | $38,507.80 | $128,359.35 | $96,269.51 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $38,507.80 | $128,359.35 | $96,269.51 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $38,507.80 | $128,359.35 | $96,269.51 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | St Lukes Hp | Medicare Advantage | $38,507.80 | $128,359.35 | $96,269.51 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Regence Bcbs | Idaho Ut Svc | $38,507.80 | $128,359.35 | $96,269.51 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $38,507.80 | $128,359.35 | $96,269.51 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Blue Cross Of Idaho | Medicare Id True Blue | $38,507.80 | $128,359.35 | $96,269.51 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $38,507.80 | $128,359.35 | $96,269.51 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $38,507.80 | $128,359.35 | $96,269.51 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $38,507.80 | $128,359.35 | $96,269.51 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Uhc | Medicare Advantage | $38,507.80 | $128,359.35 | $96,269.51 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Donor Connect | Other | $40,146.44 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| LDS HOSPITAL Outpatient | Donor Connect | Other | $40,318.49 | $155,669.85 | $116,752.39 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $41,096.84 | $155,669.85 | $116,752.39 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $41,096.84 | $155,669.85 | $116,752.39 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $41,096.84 | $155,669.85 | $116,752.39 | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $41,096.84 | $155,669.85 | $116,752.39 | 2026-05-09 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $41,096.84 | $155,669.85 | $116,752.39 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $41,096.84 | $155,669.85 | $116,752.39 | 2026-05-22 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $41,096.84 | $155,669.85 | $116,752.39 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $41,096.84 | $155,669.85 | $116,752.39 | 2026-05-18 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $41,096.84 | $155,669.85 | $116,752.39 | 2026-05-18 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $41,096.84 | $155,669.85 | $116,752.39 | 2026-05-09 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $41,096.84 | $155,669.85 | $116,752.39 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $41,096.84 | $155,669.85 | $116,752.39 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Donor Connect | Other | $41,563.85 | $155,669.85 | $116,752.39 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Kaiser Perm Ppo/Pos | Kaiser Perm Ppo/Pos | $43,461.90 | $186,212.10 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Kaiser Perm Ppo/Pos | Kaiser Ppo/Pos Other | $43,461.90 | $186,212.10 | — | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Donor Connect | Other | $44,384.12 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Medicaid | $44,607.15 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Triwest | Veterans Choice | $44,925.77 | $128,359.35 | $96,269.51 | 2026-05-15 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Health Choice | Arizona | $45,471.98 | $122,897.25 | $92,172.94 | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uhc | Medicare Advantage | $45,722.33 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $46,389.62 | $155,669.85 | $116,752.39 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $46,389.62 | $155,669.85 | $116,752.39 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $46,389.62 | $155,669.85 | $116,752.39 | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $46,389.62 | $155,669.85 | $116,752.39 | 2026-05-18 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $46,389.62 | $155,669.85 | $116,752.39 | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $46,389.62 | $155,669.85 | $116,752.39 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Medicaid | $46,700.96 | $155,669.85 | $116,752.39 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $46,700.96 | $155,669.85 | $116,752.39 | 2026-05-22 | MRF ↗ |
| LDS HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $46,700.96 | $155,669.85 | $116,752.39 | 2026-05-22 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Medicaid | $46,700.96 | $155,669.85 | $116,752.39 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $46,700.96 | $155,669.85 | $116,752.39 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Medicaid | $46,700.96 | $155,669.85 | $116,752.39 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Medicaid | $46,700.96 | $155,669.85 | $116,752.39 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $46,700.96 | $155,669.85 | $116,752.39 | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $46,700.96 | $155,669.85 | $116,752.39 | 2026-05-18 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Medicaid | $46,700.96 | $155,669.85 | $116,752.39 | 2026-05-18 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | American Health | Medicare Adv Ut Hmo I-Snp | $63,565.19 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Perm Hmo | Kp Select Hmo | $64,629.16 | $349,346.82 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kp Select Hmo | $64,629.16 | $349,346.82 | — | 2026-05-18 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Perm Hmo | Kp Select Hmo | $64,629.16 | $349,346.82 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kp Select Hmo | $64,629.16 | $349,346.82 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Selectshare | $66,004.02 | $155,669.85 | $116,752.39 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Intermountain Caregiver Plan | Share Network | $66,004.02 | $155,669.85 | $116,752.39 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Selectshare | $66,004.02 | $155,669.85 | $116,752.39 | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Selectvalue | $66,004.02 | $155,669.85 | $116,752.39 | 2026-05-09 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Intermountain Caregiver Plan | Share Network | $66,004.02 | $155,669.85 | $116,752.39 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Fehbp | $66,004.02 | $155,669.85 | $116,752.39 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Selectshare | $66,004.02 | $155,669.85 | $116,752.39 | 2026-05-22 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Selectvalue | $66,004.02 | $155,669.85 | $116,752.39 | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Selectshare | $66,004.02 | $155,669.85 | $116,752.39 | 2026-05-09 | MRF ↗ |
| LDS HOSPITAL Inpatient | Intermountain Caregiver Plan | Share Network | $66,004.02 | $155,669.85 | $116,752.39 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Fehbp | $66,004.02 | $155,669.85 | $116,752.39 | 2026-05-22 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Selectshare | $66,004.02 | $155,669.85 | $116,752.39 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Intermountain Caregiver Plan | Share Network | $66,004.02 | $155,669.85 | $116,752.39 | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Selectvalue | $66,004.02 | $155,669.85 | $116,752.39 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Selectvalue | $66,004.02 | $155,669.85 | $116,752.39 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Selectvalue | $66,004.02 | $155,669.85 | $116,752.39 | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Selectshare | $66,004.02 | $155,669.85 | $116,752.39 | 2026-05-18 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Fehbp | $66,004.02 | $155,669.85 | $116,752.39 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Selectvalue | $66,004.02 | $155,669.85 | $116,752.39 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Intermountain Caregiver Plan | Share Network | $66,004.02 | $155,669.85 | $116,752.39 | 2026-05-18 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Intermountain Caregiver Plan | Share Network | $66,004.02 | $155,669.85 | $116,752.39 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Fehbp | $66,004.02 | $155,669.85 | $116,752.39 | 2026-05-18 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Fehbp | $66,004.02 | $155,669.85 | $116,752.39 | 2026-05-09 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Fehbp | $66,004.02 | $155,669.85 | $116,752.39 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Cigna Scl Employees | Cigna Sclhs Cdhp | $66,477.72 | $186,212.10 | — | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Molina | Medicare Complete Care Hmo Snp | $66,910.73 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Molina | Medicare Choice Care Hmo | $66,910.73 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Molina | Medicare Advantage | $66,910.73 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Federal | $74,093.79 | $186,212.10 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Exchange Plan | $74,093.79 | $186,212.10 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Hmo | $74,093.79 | $186,212.10 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Ppo | $74,093.79 | $186,212.10 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Pathway | $74,468.96 | $214,114.32 | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Selectmed/Chip | $75,032.87 | $155,669.85 | $116,752.39 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Intermountain Caregiver Plan | Med Network | $75,032.87 | $155,669.85 | $116,752.39 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Intermountain Caregiver Plan | Med Network | $75,032.87 | $155,669.85 | $116,752.39 | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Commercial | $75,032.87 | $155,669.85 | $116,752.39 | 2026-05-09 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Intermountain Caregiver Plan | Med Network | $75,032.87 | $155,669.85 | $116,752.39 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Selectmed/Chip | $75,032.87 | $155,669.85 | $116,752.39 | 2026-05-22 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Commercial | $75,032.87 | $155,669.85 | $116,752.39 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Commercial | $75,032.87 | $155,669.85 | $116,752.39 | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Commercial | $75,032.87 | $155,669.85 | $116,752.39 | 2026-05-18 | MRF ↗ |
| LDS HOSPITAL Inpatient | Intermountain Caregiver Plan | Med Network | $75,032.87 | $155,669.85 | $116,752.39 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Intermountain Caregiver Plan | Med Network | $75,032.87 | $155,669.85 | $116,752.39 | 2026-05-18 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Intermountain Caregiver Plan | Med Network | $75,032.87 | $155,669.85 | $116,752.39 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Choicecare Humana | Choicecare Humana Hmo Epo | $78,209.08 | $186,212.10 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Choicecare Humana | Choicecare Humana Ppo | $78,209.08 | $186,212.10 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Selectcare | $78,768.94 | $155,669.85 | $116,752.39 | 2026-05-18 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Selectcare | $78,768.94 | $155,669.85 | $116,752.39 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Selectcare | $78,768.94 | $155,669.85 | $116,752.39 | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Selectcare | $78,768.94 | $155,669.85 | $116,752.39 | 2026-05-18 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Selectcare | $78,768.94 | $155,669.85 | $116,752.39 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Selectcare | $78,768.94 | $155,669.85 | $116,752.39 | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Deseret Mutual | All Other | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Molina | Chip | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Molina | Marketplace | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uofu | Health Plus Marketplace | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uofu | Chip-Healthy U | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Prodegi Corp Benefit | Commercial | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Medcare International | Commercial | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Managed Care Admin | Commercial | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Cigna | Open Access Flex | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Lw Miller | Commercial | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uofu | Healthy Preferred | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Motivhealth | Commercial | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Emi | Commercial | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Franklin County | Commercial | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Emi Health | Network Care | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Emi Health | Mint | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Health Utah | Commercial | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Byu Athletics | Commercial | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Ifit | Commercial | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Campbell Scientific | Commercial | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Hygeia Corporation | Commercial | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Tanner Llc | Commercial | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Juniper Systems | Commercial | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uofu | Premier Marketplace | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Pehp | All Plans | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Awh Connected | Connected Utah | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Wise Network | Commercial | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Pehp | Summit Exclusive | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | First Choice Of The Midwest | Commercial | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uofu | Healthy Premier | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Utah Tech | Commercial | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Commercial | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Fehbp | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Care | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Share | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Value Aca | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Med Aca | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Value | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Aetna | Extended | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Aetna | Connected | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | First Choice | Commercial | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Aetna | Standard | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uhc | All Plans | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Humana | Commercial | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Med | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Cigna | Utah Connect/Local Plus | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Global Excel | Commercial | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Cigna | Ppo/Epo | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Cigna | Hmo | $79,177.69 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | First Health | Commercial | $80,292.87 | $111,517.88 | $83,638.41 | 2026-05-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Perm Hmo | Kaiser Hmo Exchange Plan | $80,349.77 | $349,346.82 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Self Funded | Kaiser Self Funded | $80,349.77 | $349,346.82 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Perm Hmo | Kaiser Permanente Hmo | $80,349.77 | $349,346.82 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Perm Hmo | Kaiser Out Of State | $80,349.77 | $349,346.82 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kaiser Hmo Exchange Plan | $80,349.77 | $349,346.82 | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kaiser Permanente Hmo | $80,349.77 | $349,346.82 | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Self Funded | Kaiser Self Funded | $80,349.77 | $349,346.82 | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kaiser Permanente Hmo | $80,349.77 | $349,346.82 | — | 2026-05-18 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Perm Hmo | Kaiser Permanente Hmo | $80,349.77 | $349,346.82 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Perm Hmo | Kaiser Hmo Exchange Plan | $80,349.77 | $349,346.82 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Self Funded | Kaiser Self Funded | $80,349.77 | $349,346.82 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kaiser Hmo Exchange Plan | $80,349.77 | $349,346.82 | — | 2026-05-22 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Perm Hmo | Kaiser Out Of State | $80,349.77 | $349,346.82 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kaiser Out Of State | $80,349.77 | $349,346.82 | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Self Funded | Kaiser Self Funded | $80,349.77 | $349,346.82 | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kaiser Out Of State | $80,349.77 | $349,346.82 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Inpatient | Kaiser Perm Ppo/Pos | Kaiser Ppo/Pos Other | $80,834.67 | $186,212.10 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Inpatient | Kaiser Perm Ppo/Pos | Kaiser Perm Ppo/Pos | $80,834.67 | $186,212.10 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Federal | $81,149.33 | $214,114.32 | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Indemnity | $81,149.33 | $214,114.32 | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Exchange Plan | $81,149.33 | $214,114.32 | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Hmo | $81,149.33 | $214,114.32 | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Ppo | $81,149.33 | $214,114.32 | — | 2026-05-17 | 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.