275C172159 — Hc Icd Dual Chamber Lvl 59
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HC ICD DUAL CHAMBER LVL 59 (OTHER 275C172159) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/275C172159?code_type=OTHER
MLA (9th ed.)
“HC ICD DUAL CHAMBER LVL 59 (OTHER 275C172159) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/275C172159?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“HC ICD DUAL CHAMBER LVL 59 (OTHER 275C172159) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/275C172159?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $56,881–$69,099 (25th–75th percentile) across 28 hospitals · 84 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 275C172159 — 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 | $867.11 | $86,710.75 | $65,033.06 | 2026-05-18 | MRF ↗ |
| LDS HOSPITAL Inpatient | Donor Connect | Other | $1,127.24 | $86,710.75 | $65,033.06 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $1,213.95 | $86,710.75 | $65,033.06 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $1,213.95 | $86,710.75 | $65,033.06 | 2026-05-22 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Donor Connect | Other | $1,321.11 | $69,531.95 | $52,148.96 | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Donor Connect | Other | $1,560.79 | $86,710.75 | $65,033.06 | 2026-05-09 | MRF ↗ |
| PARK CITY HOSPITAL Inpatient | Donor Connect | Other | $1,877.36 | $69,531.95 | $52,148.96 | 2026-05-18 | MRF ↗ |
| PARK CITY HOSPITAL Inpatient | Donor Connect | Other | $1,877.36 | $69,531.95 | $52,148.96 | 2026-05-22 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Inpatient | Donor Connect | Other | $2,081.06 | $86,710.75 | $65,033.06 | 2026-05-14 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Donor Connect | Other | $3,121.59 | $86,710.75 | $65,033.06 | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Donor Connect | Other | $3,121.59 | $86,710.75 | $65,033.06 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Donor Connect | Other | $3,555.14 | $86,710.75 | $65,033.06 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Donor Connect | Other | $5,636.20 | $86,710.75 | $65,033.06 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Donor Connect | Other | $5,636.20 | $86,710.75 | $65,033.06 | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Donor Connect | Other | $18,469.39 | $86,710.75 | $65,033.06 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Selecthealth | Medicaid | $18,773.63 | $69,531.95 | $52,148.96 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $18,773.63 | $69,531.95 | $52,148.96 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Molina | Medicaid | $18,773.63 | $69,531.95 | $52,148.96 | 2026-05-14 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Outpatient | Donor Connect | Other | $18,912.69 | $69,531.95 | $52,148.96 | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Donor Connect | Other | $20,094.73 | $69,531.95 | $52,148.96 | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Donor Connect | Other | $20,094.73 | $69,531.95 | $52,148.96 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Kaiser Perm Ppo/Pos | Kaiser Ppo/Pos Other | $20,297.86 | $86,966.00 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Kaiser Perm Ppo/Pos | Kaiser Perm Ppo/Pos | $20,297.86 | $86,966.00 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Donor Connect | Other | $20,637.16 | $86,710.75 | $65,033.06 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Donor Connect | Other | $20,637.16 | $86,710.75 | $65,033.06 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Regence Bcbs | Medadvantage Ppo | $20,859.58 | $69,531.95 | $52,148.96 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $20,859.58 | $69,531.95 | $52,148.96 | 2026-05-14 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $20,859.58 | $69,531.95 | $52,148.96 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $20,859.58 | $69,531.95 | $52,148.96 | 2026-05-14 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Molina | Medicare Choice Care Hmo | $20,859.58 | $69,531.95 | $52,148.96 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $20,859.58 | $69,531.95 | $52,148.96 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Molina | Medicaid | $20,859.58 | $69,531.95 | $52,148.96 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $20,859.58 | $69,531.95 | $52,148.96 | 2026-05-14 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Blue Cross Of Idaho | Medicare Id True Blue | $20,859.58 | $69,531.95 | $52,148.96 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Uhc | Medicare Advantage | $20,859.58 | $69,531.95 | $52,148.96 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Molina | Medicare Advantage | $20,859.58 | $69,531.95 | $52,148.96 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Healthy U | Medicaid | $20,859.58 | $69,531.95 | $52,148.96 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $20,859.58 | $69,531.95 | $52,148.96 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $20,859.58 | $69,531.95 | $52,148.96 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $20,859.58 | $69,531.95 | $52,148.96 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $20,859.58 | $69,531.95 | $52,148.96 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $20,859.58 | $69,531.95 | $52,148.96 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Regence Bcbs | Medadvantage Ppo | $20,859.58 | $69,531.95 | $52,148.96 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Uhc | Medicare Advantage | $20,859.58 | $69,531.95 | $52,148.96 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Uhc | Medicare Advantage | $20,859.58 | $69,531.95 | $52,148.96 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $20,859.58 | $69,531.95 | $52,148.96 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $20,859.58 | $69,531.95 | $52,148.96 | 2026-05-15 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $20,859.58 | $69,531.95 | $52,148.96 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $20,859.58 | $69,531.95 | $52,148.96 | 2026-05-14 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Regence Bcbs | Idaho Ut Svc | $20,859.58 | $69,531.95 | $52,148.96 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $20,859.58 | $69,531.95 | $52,148.96 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $20,859.58 | $69,531.95 | $52,148.96 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $20,859.58 | $69,531.95 | $52,148.96 | 2026-05-14 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $20,859.58 | $69,531.95 | $52,148.96 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | St Lukes Hp | Medicare Advantage | $20,859.58 | $69,531.95 | $52,148.96 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $20,859.58 | $69,531.95 | $52,148.96 | 2026-05-15 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Selecthealth | Medicaid | $20,859.58 | $69,531.95 | $52,148.96 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $20,859.58 | $69,531.95 | $52,148.96 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $20,859.58 | $69,531.95 | $52,148.96 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Healthy U | Medicaid | $20,859.58 | $69,531.95 | $52,148.96 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $20,859.58 | $69,531.95 | $52,148.96 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $20,859.58 | $69,531.95 | $52,148.96 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Selecthealth | Medicaid | $20,859.58 | $69,531.95 | $52,148.96 | 2026-05-15 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Donor Connect | Other | $20,984.00 | $86,710.75 | $65,033.06 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Triwest | Veterans Choice | $21,659.20 | $69,531.95 | $52,148.96 | 2026-05-14 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Donor Connect | Other | $21,937.82 | $86,710.75 | $65,033.06 | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Donor Connect | Other | $21,937.82 | $86,710.75 | $65,033.06 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $22,250.22 | $69,531.95 | $52,148.96 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $22,250.22 | $69,531.95 | $52,148.96 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $22,250.22 | $69,531.95 | $52,148.96 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $22,250.22 | $69,531.95 | $52,148.96 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $22,250.22 | $69,531.95 | $52,148.96 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $22,250.22 | $69,531.95 | $52,148.96 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Uhc | Medicare Advantage | $22,250.22 | $69,531.95 | $52,148.96 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $22,250.22 | $69,531.95 | $52,148.96 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Regence Bcbs | Medadvantage Ppo | $22,250.22 | $69,531.95 | $52,148.96 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $22,250.22 | $69,531.95 | $52,148.96 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Selecthealth | Medicaid | $22,250.22 | $69,531.95 | $52,148.96 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Molina | Medicaid | $22,250.22 | $69,531.95 | $52,148.96 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Healthy U | Medicaid | $22,250.22 | $69,531.95 | $52,148.96 | 2026-05-09 | MRF ↗ |
| LDS HOSPITAL Outpatient | Donor Connect | Other | $22,458.08 | $86,710.75 | $65,033.06 | 2026-05-22 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $22,891.64 | $86,710.75 | $65,033.06 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $22,891.64 | $86,710.75 | $65,033.06 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $22,891.64 | $86,710.75 | $65,033.06 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $22,891.64 | $86,710.75 | $65,033.06 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $22,891.64 | $86,710.75 | $65,033.06 | 2026-05-22 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $22,891.64 | $86,710.75 | $65,033.06 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $22,891.64 | $86,710.75 | $65,033.06 | 2026-05-22 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $22,891.64 | $86,710.75 | $65,033.06 | 2026-05-14 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $22,891.64 | $86,710.75 | $65,033.06 | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $22,891.64 | $86,710.75 | $65,033.06 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $22,891.64 | $86,710.75 | $65,033.06 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $22,891.64 | $86,710.75 | $65,033.06 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $22,891.64 | $86,710.75 | $65,033.06 | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $22,891.64 | $86,710.75 | $65,033.06 | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $22,891.64 | $86,710.75 | $65,033.06 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $22,891.64 | $86,710.75 | $65,033.06 | 2026-05-15 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $22,891.64 | $86,710.75 | $65,033.06 | 2026-05-18 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $22,891.64 | $86,710.75 | $65,033.06 | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $22,891.64 | $86,710.75 | $65,033.06 | 2026-05-09 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $22,891.64 | $86,710.75 | $65,033.06 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $22,891.64 | $86,710.75 | $65,033.06 | 2026-05-15 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $22,891.64 | $86,710.75 | $65,033.06 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Donor Connect | Other | $23,151.77 | $86,710.75 | $65,033.06 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Donor Connect | Other | $23,411.90 | $86,710.75 | $65,033.06 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Donor Connect | Other | $23,411.90 | $86,710.75 | $65,033.06 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Triwest | Veterans Choice | $23,446.17 | $69,531.95 | $52,148.96 | 2026-05-15 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Donor Connect | Other | $24,192.30 | $86,710.75 | $65,033.06 | 2026-05-14 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Triwest | Veterans Choice | $24,336.18 | $69,531.95 | $52,148.96 | 2026-05-15 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Health Choice | Arizona | $25,726.82 | $69,531.95 | $52,148.96 | 2026-05-22 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $25,839.80 | $86,710.75 | $65,033.06 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $25,839.80 | $86,710.75 | $65,033.06 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $25,839.80 | $86,710.75 | $65,033.06 | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $25,839.80 | $86,710.75 | $65,033.06 | 2026-05-18 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $25,839.80 | $86,710.75 | $65,033.06 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $25,839.80 | $86,710.75 | $65,033.06 | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $25,839.80 | $86,710.75 | $65,033.06 | 2026-05-22 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $25,839.80 | $86,710.75 | $65,033.06 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $25,839.80 | $86,710.75 | $65,033.06 | 2026-05-15 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $25,839.80 | $86,710.75 | $65,033.06 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $25,839.80 | $86,710.75 | $65,033.06 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Medicaid | $26,013.22 | $86,710.75 | $65,033.06 | 2026-05-22 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $26,013.22 | $86,710.75 | $65,033.06 | 2026-05-14 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $26,013.22 | $86,710.75 | $65,033.06 | 2026-05-22 | MRF ↗ |
| LDS HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $26,013.22 | $86,710.75 | $65,033.06 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $26,013.22 | $86,710.75 | $65,033.06 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Medicaid | $26,013.22 | $86,710.75 | $65,033.06 | 2026-05-22 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Inpatient | Selecthealth | Medicaid | $26,013.22 | $86,710.75 | $65,033.06 | 2026-05-14 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $26,013.22 | $86,710.75 | $65,033.06 | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Medicaid | $26,013.22 | $86,710.75 | $65,033.06 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $26,013.22 | $86,710.75 | $65,033.06 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $26,013.22 | $86,710.75 | $65,033.06 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Medicaid | $26,013.22 | $86,710.75 | $65,033.06 | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Medicaid | $26,013.22 | $86,710.75 | $65,033.06 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $26,013.22 | $86,710.75 | $65,033.06 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Medicaid | $26,013.22 | $86,710.75 | $65,033.06 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Medicaid | $26,013.22 | $86,710.75 | $65,033.06 | 2026-05-15 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $26,013.22 | $86,710.75 | $65,033.06 | 2026-05-18 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Medicaid | $26,013.22 | $86,710.75 | $65,033.06 | 2026-05-18 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Medicaid | $26,013.22 | $86,710.75 | $65,033.06 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $26,013.22 | $86,710.75 | $65,033.06 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $26,422.14 | $69,531.95 | $52,148.96 | 2026-05-17 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $26,422.14 | $69,531.95 | $52,148.96 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Molina Healthcare Of Utah | Molina Healthcare Medicaid Hmo | $26,422.14 | $69,531.95 | $52,148.96 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Medicare Intermountain Healthcare Nevada | Medicare Intermountain Healthcare Nevada | $26,422.14 | $69,531.95 | $52,148.96 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Uofu | Healthy U - Medicaid | $26,422.14 | $69,531.95 | $52,148.96 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Healthy U | Medicaid | $26,422.14 | $69,531.95 | $52,148.96 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Selecthealth | Selecthealth Community Care-Medicaid | $26,422.14 | $69,531.95 | $52,148.96 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Selecthealth | Medicaid | $26,422.14 | $69,531.95 | $52,148.96 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Medicare Hmo | $26,422.14 | $69,531.95 | $52,148.96 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Molina | Medicaid | $26,422.14 | $69,531.95 | $52,148.96 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Medicare Ppo | $26,422.14 | $69,531.95 | $52,148.96 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Health Choice Utah | Health Choice Utah-Medicaid | $26,422.14 | $69,531.95 | $52,148.96 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Triwest | Veterans Choice | $26,477.77 | $69,531.95 | $52,148.96 | 2026-05-09 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Donor Connect | Other | $28,238.54 | $78,440.40 | $58,830.30 | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Donor Connect | Other | $28,238.54 | $78,440.40 | $58,830.30 | 2026-05-13 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Donor Connect | Other | $28,238.54 | $78,440.40 | $58,830.30 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Molina Healthcare Of Utah | Molina Medicare Complete Care Hmo Snp | $29,203.42 | $69,531.95 | $52,148.96 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Triwest | Veterans Choice | $30,114.29 | $69,531.95 | $52,148.96 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Tricare | Tricare (Hnfs) Military Program | $30,114.29 | $69,531.95 | $52,148.96 | 2026-05-17 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Triwest | Veterans Choice | $30,670.54 | $69,531.95 | $52,148.96 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Cigna Scl Employees | Cigna Sclhs Cdhp | $31,046.86 | $86,966.00 | — | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Donor Connect | Other | $31,219.28 | $78,440.40 | $58,830.30 | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Donor Connect | Other | $31,219.28 | $78,440.40 | $58,830.30 | 2026-05-13 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Donor Connect | Other | $31,219.28 | $78,440.40 | $58,830.30 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Medicaid | $31,376.16 | $78,440.40 | $58,830.30 | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Medicaid | $31,376.16 | $78,440.40 | $58,830.30 | 2026-05-13 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Medicaid | $31,376.16 | $78,440.40 | $58,830.30 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Pathway | $31,560.69 | $90,743.80 | — | 2026-05-17 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $31,984.70 | $69,531.95 | $52,148.96 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Regence Bcbs | Medadvantage Ppo | $31,984.70 | $69,531.95 | $52,148.96 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Regence Bcbs | Medadvantage | $31,984.70 | $69,531.95 | $52,148.96 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Molina | Medicaid | $31,984.70 | $69,531.95 | $52,148.96 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Selecthealth | Medicaid | $31,984.70 | $69,531.95 | $52,148.96 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $31,984.70 | $69,531.95 | $52,148.96 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $31,984.70 | $69,531.95 | $52,148.96 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Uhc | Medicare Advantage | $31,984.70 | $69,531.95 | $52,148.96 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $31,984.70 | $69,531.95 | $52,148.96 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Healthy U | Medicaid | $31,984.70 | $69,531.95 | $52,148.96 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $31,984.70 | $69,531.95 | $52,148.96 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $31,984.70 | $69,531.95 | $52,148.96 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $31,984.70 | $69,531.95 | $52,148.96 | 2026-05-09 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uhc | Medicare Advantage | $32,160.56 | $78,440.40 | $58,830.30 | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uhc | Medicare Advantage | $32,160.56 | $78,440.40 | $58,830.30 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uhc | Medicare Advantage | $32,160.56 | $78,440.40 | $58,830.30 | 2026-05-13 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Federal | $34,391.90 | $90,743.80 | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Hmo | $34,391.90 | $90,743.80 | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Ppo | $34,391.90 | $90,743.80 | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Indemnity | $34,391.90 | $90,743.80 | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Exchange Plan | $34,391.90 | $90,743.80 | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Exchange Plan | $34,603.77 | $86,966.00 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Hmo | $34,603.77 | $86,966.00 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Federal | $34,603.77 | $86,966.00 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Ppo | $34,603.77 | $86,966.00 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Inpatient | Tricare | Tricare (Hnfs) Military Program | $35,815.91 | $69,531.95 | $52,148.96 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Inpatient | Triwest | Veterans Choice | $35,815.91 | $69,531.95 | $52,148.96 | 2026-05-17 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Perm Hmo | Kp Select Hmo | $35,856.05 | $193,816.50 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Perm Hmo | Kp Select Hmo | $35,856.05 | $193,816.50 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kp Select Hmo | $35,856.05 | $193,816.50 | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kp Select Hmo | $35,856.05 | $193,816.50 | — | 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.