2721649601 — Hc Kit Pump Device Cardiac Ventricular Smartassist 5.5 S2
Cite this view
HANK Price Transparency. (n.d.). HC KIT PUMP DEVICE CARDIAC VENTRICULAR SMARTASSIST 5.5 S2 (OTHER 2721649601) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/2721649601?code_type=OTHER
“HC KIT PUMP DEVICE CARDIAC VENTRICULAR SMARTASSIST 5.5 S2 (OTHER 2721649601) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/2721649601?code_type=OTHER. Accessed .
“HC KIT PUMP DEVICE CARDIAC VENTRICULAR SMARTASSIST 5.5 S2 (OTHER 2721649601) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/2721649601?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $98,050–$119,109 (25th–75th percentile) across 28 hospitals · 84 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 2721649601 — 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 | $1,494.68 | $149,468.00 | $112,101.00 | 2026-05-18 | MRF ↗ |
| LDS HOSPITAL Inpatient | Donor Connect | Other | $1,943.08 | $149,468.00 | $112,101.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $2,092.55 | $149,468.00 | $112,101.00 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $2,092.55 | $149,468.00 | $112,101.00 | 2026-05-22 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Donor Connect | Other | $2,277.26 | $119,856.00 | $89,892.00 | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Donor Connect | Other | $2,690.42 | $149,468.00 | $112,101.00 | 2026-05-09 | MRF ↗ |
| PARK CITY HOSPITAL Inpatient | Donor Connect | Other | $3,236.11 | $119,856.00 | $89,892.00 | 2026-05-18 | MRF ↗ |
| PARK CITY HOSPITAL Inpatient | Donor Connect | Other | $3,236.11 | $119,856.00 | $89,892.00 | 2026-05-22 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Inpatient | Donor Connect | Other | $3,587.23 | $149,468.00 | $112,101.00 | 2026-05-14 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Donor Connect | Other | $5,380.85 | $149,468.00 | $112,101.00 | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Donor Connect | Other | $5,380.85 | $149,468.00 | $112,101.00 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Donor Connect | Other | $6,128.19 | $149,468.00 | $112,101.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Donor Connect | Other | $9,715.42 | $149,468.00 | $112,101.00 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Donor Connect | Other | $9,715.42 | $149,468.00 | $112,101.00 | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Donor Connect | Other | $31,836.68 | $149,468.00 | $112,101.00 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Selecthealth | Medicaid | $32,361.12 | $119,856.00 | $89,892.00 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $32,361.12 | $119,856.00 | $89,892.00 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Molina | Medicaid | $32,361.12 | $119,856.00 | $89,892.00 | 2026-05-14 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Outpatient | Donor Connect | Other | $32,600.83 | $119,856.00 | $89,892.00 | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Donor Connect | Other | $34,638.38 | $119,856.00 | $89,892.00 | 2026-05-18 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Donor Connect | Other | $34,638.38 | $119,856.00 | $89,892.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Kaiser Perm Ppo/Pos | Kaiser Ppo/Pos Other | $34,988.53 | $149,908.00 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Kaiser Perm Ppo/Pos | Kaiser Perm Ppo/Pos | $34,988.53 | $149,908.00 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Donor Connect | Other | $35,573.38 | $149,468.00 | $112,101.00 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Donor Connect | Other | $35,573.38 | $149,468.00 | $112,101.00 | 2026-05-22 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $35,956.80 | $119,856.00 | $89,892.00 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $35,956.80 | $119,856.00 | $89,892.00 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $35,956.80 | $119,856.00 | $89,892.00 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Molina | Medicare Advantage | $35,956.80 | $119,856.00 | $89,892.00 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $35,956.80 | $119,856.00 | $89,892.00 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $35,956.80 | $119,856.00 | $89,892.00 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Blue Cross Of Idaho | Medicare Id True Blue | $35,956.80 | $119,856.00 | $89,892.00 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $35,956.80 | $119,856.00 | $89,892.00 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $35,956.80 | $119,856.00 | $89,892.00 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Selecthealth | Medicaid | $35,956.80 | $119,856.00 | $89,892.00 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Regence Bcbs | Medadvantage Ppo | $35,956.80 | $119,856.00 | $89,892.00 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $35,956.80 | $119,856.00 | $89,892.00 | 2026-05-15 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Selecthealth | Medicaid | $35,956.80 | $119,856.00 | $89,892.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $35,956.80 | $119,856.00 | $89,892.00 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $35,956.80 | $119,856.00 | $89,892.00 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $35,956.80 | $119,856.00 | $89,892.00 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $35,956.80 | $119,856.00 | $89,892.00 | 2026-05-14 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Regence Bcbs | Idaho Ut Svc | $35,956.80 | $119,856.00 | $89,892.00 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Uhc | Medicare Advantage | $35,956.80 | $119,856.00 | $89,892.00 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $35,956.80 | $119,856.00 | $89,892.00 | 2026-05-15 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $35,956.80 | $119,856.00 | $89,892.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Uhc | Medicare Advantage | $35,956.80 | $119,856.00 | $89,892.00 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $35,956.80 | $119,856.00 | $89,892.00 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $35,956.80 | $119,856.00 | $89,892.00 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $35,956.80 | $119,856.00 | $89,892.00 | 2026-05-14 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Molina | Medicare Choice Care Hmo | $35,956.80 | $119,856.00 | $89,892.00 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $35,956.80 | $119,856.00 | $89,892.00 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Healthy U | Medicaid | $35,956.80 | $119,856.00 | $89,892.00 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $35,956.80 | $119,856.00 | $89,892.00 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Molina | Medicaid | $35,956.80 | $119,856.00 | $89,892.00 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $35,956.80 | $119,856.00 | $89,892.00 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $35,956.80 | $119,856.00 | $89,892.00 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | St Lukes Hp | Medicare Advantage | $35,956.80 | $119,856.00 | $89,892.00 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $35,956.80 | $119,856.00 | $89,892.00 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Regence Bcbs | Medadvantage Ppo | $35,956.80 | $119,856.00 | $89,892.00 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $35,956.80 | $119,856.00 | $89,892.00 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Healthy U | Medicaid | $35,956.80 | $119,856.00 | $89,892.00 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Uhc | Medicare Advantage | $35,956.80 | $119,856.00 | $89,892.00 | 2026-05-15 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Donor Connect | Other | $36,171.26 | $149,468.00 | $112,101.00 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Triwest | Veterans Choice | $37,335.14 | $119,856.00 | $89,892.00 | 2026-05-14 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Donor Connect | Other | $37,815.40 | $149,468.00 | $112,101.00 | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Donor Connect | Other | $37,815.40 | $149,468.00 | $112,101.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $38,353.92 | $119,856.00 | $89,892.00 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Regence Bcbs | Medadvantage Ppo | $38,353.92 | $119,856.00 | $89,892.00 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $38,353.92 | $119,856.00 | $89,892.00 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Uhc | Medicare Advantage | $38,353.92 | $119,856.00 | $89,892.00 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Selecthealth | Medicaid | $38,353.92 | $119,856.00 | $89,892.00 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Molina | Medicaid | $38,353.92 | $119,856.00 | $89,892.00 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $38,353.92 | $119,856.00 | $89,892.00 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $38,353.92 | $119,856.00 | $89,892.00 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $38,353.92 | $119,856.00 | $89,892.00 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $38,353.92 | $119,856.00 | $89,892.00 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $38,353.92 | $119,856.00 | $89,892.00 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Healthy U | Medicaid | $38,353.92 | $119,856.00 | $89,892.00 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $38,353.92 | $119,856.00 | $89,892.00 | 2026-05-09 | MRF ↗ |
| LDS HOSPITAL Outpatient | Donor Connect | Other | $38,712.21 | $149,468.00 | $112,101.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $39,459.55 | $149,468.00 | $112,101.00 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $39,459.55 | $149,468.00 | $112,101.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $39,459.55 | $149,468.00 | $112,101.00 | 2026-05-22 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $39,459.55 | $149,468.00 | $112,101.00 | 2026-05-22 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $39,459.55 | $149,468.00 | $112,101.00 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $39,459.55 | $149,468.00 | $112,101.00 | 2026-05-22 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $39,459.55 | $149,468.00 | $112,101.00 | 2026-05-14 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $39,459.55 | $149,468.00 | $112,101.00 | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $39,459.55 | $149,468.00 | $112,101.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $39,459.55 | $149,468.00 | $112,101.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $39,459.55 | $149,468.00 | $112,101.00 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $39,459.55 | $149,468.00 | $112,101.00 | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $39,459.55 | $149,468.00 | $112,101.00 | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $39,459.55 | $149,468.00 | $112,101.00 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $39,459.55 | $149,468.00 | $112,101.00 | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $39,459.55 | $149,468.00 | $112,101.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $39,459.55 | $149,468.00 | $112,101.00 | 2026-05-15 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $39,459.55 | $149,468.00 | $112,101.00 | 2026-05-09 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $39,459.55 | $149,468.00 | $112,101.00 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $39,459.55 | $149,468.00 | $112,101.00 | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $39,459.55 | $149,468.00 | $112,101.00 | 2026-05-18 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $39,459.55 | $149,468.00 | $112,101.00 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Donor Connect | Other | $39,907.96 | $149,468.00 | $112,101.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Donor Connect | Other | $40,356.36 | $149,468.00 | $112,101.00 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Donor Connect | Other | $40,356.36 | $149,468.00 | $112,101.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Triwest | Veterans Choice | $40,415.44 | $119,856.00 | $89,892.00 | 2026-05-15 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Donor Connect | Other | $41,701.57 | $149,468.00 | $112,101.00 | 2026-05-14 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Triwest | Veterans Choice | $41,949.60 | $119,856.00 | $89,892.00 | 2026-05-15 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Health Choice | Arizona | $44,346.72 | $119,856.00 | $89,892.00 | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $44,541.46 | $149,468.00 | $112,101.00 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $44,541.46 | $149,468.00 | $112,101.00 | 2026-05-18 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $44,541.46 | $149,468.00 | $112,101.00 | 2026-05-14 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $44,541.46 | $149,468.00 | $112,101.00 | 2026-05-18 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $44,541.46 | $149,468.00 | $112,101.00 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $44,541.46 | $149,468.00 | $112,101.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $44,541.46 | $149,468.00 | $112,101.00 | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $44,541.46 | $149,468.00 | $112,101.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $44,541.46 | $149,468.00 | $112,101.00 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $44,541.46 | $149,468.00 | $112,101.00 | 2026-05-22 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $44,541.46 | $149,468.00 | $112,101.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Medicaid | $44,840.40 | $149,468.00 | $112,101.00 | 2026-05-18 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $44,840.40 | $149,468.00 | $112,101.00 | 2026-05-14 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Inpatient | Selecthealth | Medicaid | $44,840.40 | $149,468.00 | $112,101.00 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Medicaid | $44,840.40 | $149,468.00 | $112,101.00 | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Medicaid | $44,840.40 | $149,468.00 | $112,101.00 | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $44,840.40 | $149,468.00 | $112,101.00 | 2026-05-18 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Medicaid | $44,840.40 | $149,468.00 | $112,101.00 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $44,840.40 | $149,468.00 | $112,101.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Medicaid | $44,840.40 | $149,468.00 | $112,101.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $44,840.40 | $149,468.00 | $112,101.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $44,840.40 | $149,468.00 | $112,101.00 | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Medicaid | $44,840.40 | $149,468.00 | $112,101.00 | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $44,840.40 | $149,468.00 | $112,101.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Medicaid | $44,840.40 | $149,468.00 | $112,101.00 | 2026-05-22 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Medicaid | $44,840.40 | $149,468.00 | $112,101.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $44,840.40 | $149,468.00 | $112,101.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Medicaid | $44,840.40 | $149,468.00 | $112,101.00 | 2026-05-15 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $44,840.40 | $149,468.00 | $112,101.00 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $44,840.40 | $149,468.00 | $112,101.00 | 2026-05-15 | MRF ↗ |
| LDS HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $44,840.40 | $149,468.00 | $112,101.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Selecthealth | Selecthealth Community Care-Medicaid | $45,545.28 | $119,856.00 | $89,892.00 | 2026-05-17 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $45,545.28 | $119,856.00 | $89,892.00 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Medicare Intermountain Healthcare Nevada | Medicare Intermountain Healthcare Nevada | $45,545.28 | $119,856.00 | $89,892.00 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Healthy U | Medicaid | $45,545.28 | $119,856.00 | $89,892.00 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Selecthealth | Medicaid | $45,545.28 | $119,856.00 | $89,892.00 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Molina Healthcare Of Utah | Molina Healthcare Medicaid Hmo | $45,545.28 | $119,856.00 | $89,892.00 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $45,545.28 | $119,856.00 | $89,892.00 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Uofu | Healthy U - Medicaid | $45,545.28 | $119,856.00 | $89,892.00 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Medicare Ppo | $45,545.28 | $119,856.00 | $89,892.00 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Molina | Medicaid | $45,545.28 | $119,856.00 | $89,892.00 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Medicare Hmo | $45,545.28 | $119,856.00 | $89,892.00 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Health Choice Utah | Health Choice Utah-Medicaid | $45,545.28 | $119,856.00 | $89,892.00 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Triwest | Veterans Choice | $45,641.16 | $119,856.00 | $89,892.00 | 2026-05-09 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Donor Connect | Other | $48,676.32 | $135,212.00 | $101,409.00 | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Donor Connect | Other | $48,676.32 | $135,212.00 | $101,409.00 | 2026-05-13 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Donor Connect | Other | $48,676.32 | $135,212.00 | $101,409.00 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Molina Healthcare Of Utah | Molina Medicare Complete Care Hmo Snp | $50,339.52 | $119,856.00 | $89,892.00 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Tricare | Tricare (Hnfs) Military Program | $51,909.63 | $119,856.00 | $89,892.00 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Triwest | Veterans Choice | $51,909.63 | $119,856.00 | $89,892.00 | 2026-05-17 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Triwest | Veterans Choice | $52,868.48 | $119,856.00 | $89,892.00 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Cigna Scl Employees | Cigna Sclhs Cdhp | $53,517.16 | $149,908.00 | — | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Donor Connect | Other | $53,814.38 | $135,212.00 | $101,409.00 | 2026-05-13 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Donor Connect | Other | $53,814.38 | $135,212.00 | $101,409.00 | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Donor Connect | Other | $53,814.38 | $135,212.00 | $101,409.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Medicaid | $54,084.80 | $135,212.00 | $101,409.00 | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Medicaid | $54,084.80 | $135,212.00 | $101,409.00 | 2026-05-13 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Medicaid | $54,084.80 | $135,212.00 | $101,409.00 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Pathway | $54,402.88 | $156,420.00 | — | 2026-05-17 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Uhc | Medicare Advantage | $55,133.76 | $119,856.00 | $89,892.00 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $55,133.76 | $119,856.00 | $89,892.00 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Molina | Medicaid | $55,133.76 | $119,856.00 | $89,892.00 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $55,133.76 | $119,856.00 | $89,892.00 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Regence Bcbs | Medadvantage | $55,133.76 | $119,856.00 | $89,892.00 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Regence Bcbs | Medadvantage Ppo | $55,133.76 | $119,856.00 | $89,892.00 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $55,133.76 | $119,856.00 | $89,892.00 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $55,133.76 | $119,856.00 | $89,892.00 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $55,133.76 | $119,856.00 | $89,892.00 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $55,133.76 | $119,856.00 | $89,892.00 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $55,133.76 | $119,856.00 | $89,892.00 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Healthy U | Medicaid | $55,133.76 | $119,856.00 | $89,892.00 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Selecthealth | Medicaid | $55,133.76 | $119,856.00 | $89,892.00 | 2026-05-09 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uhc | Medicare Advantage | $55,436.92 | $135,212.00 | $101,409.00 | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uhc | Medicare Advantage | $55,436.92 | $135,212.00 | $101,409.00 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uhc | Medicare Advantage | $55,436.92 | $135,212.00 | $101,409.00 | 2026-05-13 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Exchange Plan | $59,283.18 | $156,420.00 | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Hmo | $59,283.18 | $156,420.00 | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Indemnity | $59,283.18 | $156,420.00 | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Ppo | $59,283.18 | $156,420.00 | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Federal | $59,283.18 | $156,420.00 | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Exchange Plan | $59,648.39 | $149,908.00 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Hmo | $59,648.39 | $149,908.00 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Federal | $59,648.39 | $149,908.00 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Ppo | $59,648.39 | $149,908.00 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Inpatient | Triwest | Veterans Choice | $61,737.83 | $119,856.00 | $89,892.00 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Inpatient | Tricare | Tricare (Hnfs) Military Program | $61,737.83 | $119,856.00 | $89,892.00 | 2026-05-17 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kp Select Hmo | $61,807.02 | $334,092.00 | — | 2026-05-18 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Perm Hmo | Kp Select Hmo | $61,807.02 | $334,092.00 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Perm Hmo | Kp Select Hmo | $61,807.02 | $334,092.00 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kp Select Hmo | $61,807.02 | $334,092.00 | — | 2026-05-22 | 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.