275C188254 — Hc Icd Biv/crt-d Lvl 54
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HC ICD BIV/CRT-D LVL 54 (OTHER 275C188254) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/275C188254?code_type=OTHER
MLA (9th ed.)
“HC ICD BIV/CRT-D LVL 54 (OTHER 275C188254) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/275C188254?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“HC ICD BIV/CRT-D LVL 54 (OTHER 275C188254) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/275C188254?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $44,568–$54,140 (25th–75th percentile) across 28 hospitals · 84 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 275C188254 — 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 | $679.40 | $67,939.95 | $50,954.96 | 2026-05-18 | MRF ↗ |
| LDS HOSPITAL Inpatient | Donor Connect | Other | $883.22 | $67,939.95 | $50,954.96 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $951.16 | $67,939.95 | $50,954.96 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $951.16 | $67,939.95 | $50,954.96 | 2026-05-22 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Donor Connect | Other | $1,035.12 | $54,479.95 | $40,859.96 | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Donor Connect | Other | $1,222.92 | $67,939.95 | $50,954.96 | 2026-05-09 | MRF ↗ |
| PARK CITY HOSPITAL Inpatient | Donor Connect | Other | $1,470.96 | $54,479.95 | $40,859.96 | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Inpatient | Donor Connect | Other | $1,470.96 | $54,479.95 | $40,859.96 | 2026-05-18 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Inpatient | Donor Connect | Other | $1,630.56 | $67,939.95 | $50,954.96 | 2026-05-14 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Donor Connect | Other | $2,445.84 | $67,939.95 | $50,954.96 | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Donor Connect | Other | $2,445.84 | $67,939.95 | $50,954.96 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Donor Connect | Other | $2,785.54 | $67,939.95 | $50,954.96 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Donor Connect | Other | $4,416.10 | $67,939.95 | $50,954.96 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Donor Connect | Other | $4,416.10 | $67,939.95 | $50,954.96 | 2026-05-15 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Donor Connect | Other | $14,471.21 | $67,939.95 | $50,954.96 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Selecthealth | Medicaid | $14,709.59 | $54,479.95 | $40,859.96 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Molina | Medicaid | $14,709.59 | $54,479.95 | $40,859.96 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $14,709.59 | $54,479.95 | $40,859.96 | 2026-05-14 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Outpatient | Donor Connect | Other | $14,818.55 | $54,479.95 | $40,859.96 | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Donor Connect | Other | $15,744.71 | $54,479.95 | $40,859.96 | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Donor Connect | Other | $15,744.71 | $54,479.95 | $40,859.96 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Kaiser Perm Ppo/Pos | Kaiser Ppo/Pos Other | $15,903.86 | $68,139.95 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Kaiser Perm Ppo/Pos | Kaiser Perm Ppo/Pos | $15,903.86 | $68,139.95 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Donor Connect | Other | $16,169.71 | $67,939.95 | $50,954.96 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Donor Connect | Other | $16,169.71 | $67,939.95 | $50,954.96 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $16,343.98 | $54,479.95 | $40,859.96 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $16,343.98 | $54,479.95 | $40,859.96 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Molina | Medicaid | $16,343.98 | $54,479.95 | $40,859.96 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $16,343.98 | $54,479.95 | $40,859.96 | 2026-05-15 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Selecthealth | Medicaid | $16,343.98 | $54,479.95 | $40,859.96 | 2026-05-22 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $16,343.98 | $54,479.95 | $40,859.96 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Uhc | Medicare Advantage | $16,343.98 | $54,479.95 | $40,859.96 | 2026-05-15 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $16,343.98 | $54,479.95 | $40,859.96 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $16,343.98 | $54,479.95 | $40,859.96 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $16,343.98 | $54,479.95 | $40,859.96 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $16,343.98 | $54,479.95 | $40,859.96 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Molina | Medicare Advantage | $16,343.98 | $54,479.95 | $40,859.96 | 2026-05-14 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $16,343.98 | $54,479.95 | $40,859.96 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $16,343.98 | $54,479.95 | $40,859.96 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Uhc | Medicare Advantage | $16,343.98 | $54,479.95 | $40,859.96 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Selecthealth | Medicaid | $16,343.98 | $54,479.95 | $40,859.96 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Regence Bcbs | Medadvantage Ppo | $16,343.98 | $54,479.95 | $40,859.96 | 2026-05-14 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | St Lukes Hp | Medicare Advantage | $16,343.98 | $54,479.95 | $40,859.96 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $16,343.98 | $54,479.95 | $40,859.96 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $16,343.98 | $54,479.95 | $40,859.96 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $16,343.98 | $54,479.95 | $40,859.96 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Regence Bcbs | Idaho Ut Svc | $16,343.98 | $54,479.95 | $40,859.96 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $16,343.98 | $54,479.95 | $40,859.96 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $16,343.98 | $54,479.95 | $40,859.96 | 2026-05-14 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Molina | Medicare Choice Care Hmo | $16,343.98 | $54,479.95 | $40,859.96 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $16,343.98 | $54,479.95 | $40,859.96 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Uhc | Medicare Advantage | $16,343.98 | $54,479.95 | $40,859.96 | 2026-05-14 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $16,343.98 | $54,479.95 | $40,859.96 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Regence Bcbs | Medadvantage Ppo | $16,343.98 | $54,479.95 | $40,859.96 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $16,343.98 | $54,479.95 | $40,859.96 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $16,343.98 | $54,479.95 | $40,859.96 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Healthy U | Medicaid | $16,343.98 | $54,479.95 | $40,859.96 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $16,343.98 | $54,479.95 | $40,859.96 | 2026-05-14 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Blue Cross Of Idaho | Medicare Id True Blue | $16,343.98 | $54,479.95 | $40,859.96 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $16,343.98 | $54,479.95 | $40,859.96 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Healthy U | Medicaid | $16,343.98 | $54,479.95 | $40,859.96 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $16,343.98 | $54,479.95 | $40,859.96 | 2026-05-14 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $16,343.98 | $54,479.95 | $40,859.96 | 2026-05-15 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Donor Connect | Other | $16,441.47 | $67,939.95 | $50,954.96 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Triwest | Veterans Choice | $16,970.50 | $54,479.95 | $40,859.96 | 2026-05-14 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Donor Connect | Other | $17,188.81 | $67,939.95 | $50,954.96 | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Donor Connect | Other | $17,188.81 | $67,939.95 | $50,954.96 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Selecthealth | Medicaid | $17,433.58 | $54,479.95 | $40,859.96 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Regence Bcbs | Medadvantage Ppo | $17,433.58 | $54,479.95 | $40,859.96 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $17,433.58 | $54,479.95 | $40,859.96 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $17,433.58 | $54,479.95 | $40,859.96 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Uhc | Medicare Advantage | $17,433.58 | $54,479.95 | $40,859.96 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $17,433.58 | $54,479.95 | $40,859.96 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Healthy U | Medicaid | $17,433.58 | $54,479.95 | $40,859.96 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $17,433.58 | $54,479.95 | $40,859.96 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $17,433.58 | $54,479.95 | $40,859.96 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $17,433.58 | $54,479.95 | $40,859.96 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $17,433.58 | $54,479.95 | $40,859.96 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $17,433.58 | $54,479.95 | $40,859.96 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Molina | Medicaid | $17,433.58 | $54,479.95 | $40,859.96 | 2026-05-09 | MRF ↗ |
| LDS HOSPITAL Outpatient | Donor Connect | Other | $17,596.45 | $67,939.95 | $50,954.96 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $17,936.15 | $67,939.95 | $50,954.96 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $17,936.15 | $67,939.95 | $50,954.96 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $17,936.15 | $67,939.95 | $50,954.96 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $17,936.15 | $67,939.95 | $50,954.96 | 2026-05-22 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $17,936.15 | $67,939.95 | $50,954.96 | 2026-05-14 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $17,936.15 | $67,939.95 | $50,954.96 | 2026-05-14 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $17,936.15 | $67,939.95 | $50,954.96 | 2026-05-18 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $17,936.15 | $67,939.95 | $50,954.96 | 2026-05-18 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $17,936.15 | $67,939.95 | $50,954.96 | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $17,936.15 | $67,939.95 | $50,954.96 | 2026-05-18 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $17,936.15 | $67,939.95 | $50,954.96 | 2026-05-22 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $17,936.15 | $67,939.95 | $50,954.96 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $17,936.15 | $67,939.95 | $50,954.96 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $17,936.15 | $67,939.95 | $50,954.96 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $17,936.15 | $67,939.95 | $50,954.96 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $17,936.15 | $67,939.95 | $50,954.96 | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $17,936.15 | $67,939.95 | $50,954.96 | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $17,936.15 | $67,939.95 | $50,954.96 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $17,936.15 | $67,939.95 | $50,954.96 | 2026-05-15 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $17,936.15 | $67,939.95 | $50,954.96 | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $17,936.15 | $67,939.95 | $50,954.96 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $17,936.15 | $67,939.95 | $50,954.96 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Donor Connect | Other | $18,139.97 | $67,939.95 | $50,954.96 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Donor Connect | Other | $18,343.79 | $67,939.95 | $50,954.96 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Donor Connect | Other | $18,343.79 | $67,939.95 | $50,954.96 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Triwest | Veterans Choice | $18,370.64 | $54,479.95 | $40,859.96 | 2026-05-15 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Donor Connect | Other | $18,955.25 | $67,939.95 | $50,954.96 | 2026-05-14 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Triwest | Veterans Choice | $19,067.98 | $54,479.95 | $40,859.96 | 2026-05-15 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Health Choice | Arizona | $20,157.58 | $54,479.95 | $40,859.96 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $20,246.11 | $67,939.95 | $50,954.96 | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $20,246.11 | $67,939.95 | $50,954.96 | 2026-05-18 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $20,246.11 | $67,939.95 | $50,954.96 | 2026-05-14 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $20,246.11 | $67,939.95 | $50,954.96 | 2026-05-18 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $20,246.11 | $67,939.95 | $50,954.96 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $20,246.11 | $67,939.95 | $50,954.96 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $20,246.11 | $67,939.95 | $50,954.96 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $20,246.11 | $67,939.95 | $50,954.96 | 2026-05-15 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $20,246.11 | $67,939.95 | $50,954.96 | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $20,246.11 | $67,939.95 | $50,954.96 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $20,246.11 | $67,939.95 | $50,954.96 | 2026-05-22 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $20,381.98 | $67,939.95 | $50,954.96 | 2026-05-14 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Medicaid | $20,381.98 | $67,939.95 | $50,954.96 | 2026-05-22 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Inpatient | Selecthealth | Medicaid | $20,381.98 | $67,939.95 | $50,954.96 | 2026-05-14 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $20,381.98 | $67,939.95 | $50,954.96 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $20,381.98 | $67,939.95 | $50,954.96 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Medicaid | $20,381.98 | $67,939.95 | $50,954.96 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $20,381.98 | $67,939.95 | $50,954.96 | 2026-05-18 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Medicaid | $20,381.98 | $67,939.95 | $50,954.96 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Medicaid | $20,381.98 | $67,939.95 | $50,954.96 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $20,381.98 | $67,939.95 | $50,954.96 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $20,381.98 | $67,939.95 | $50,954.96 | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Medicaid | $20,381.98 | $67,939.95 | $50,954.96 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Medicaid | $20,381.98 | $67,939.95 | $50,954.96 | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $20,381.98 | $67,939.95 | $50,954.96 | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $20,381.98 | $67,939.95 | $50,954.96 | 2026-05-18 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Medicaid | $20,381.98 | $67,939.95 | $50,954.96 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Medicaid | $20,381.98 | $67,939.95 | $50,954.96 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $20,381.98 | $67,939.95 | $50,954.96 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Medicaid | $20,381.98 | $67,939.95 | $50,954.96 | 2026-05-18 | MRF ↗ |
| LDS HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $20,381.98 | $67,939.95 | $50,954.96 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Selecthealth | Medicaid | $20,702.38 | $54,479.95 | $40,859.96 | 2026-05-17 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $20,702.38 | $54,479.95 | $40,859.96 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Medicare Intermountain Healthcare Nevada | Medicare Intermountain Healthcare Nevada | $20,702.38 | $54,479.95 | $40,859.96 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Healthy U | Medicaid | $20,702.38 | $54,479.95 | $40,859.96 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $20,702.38 | $54,479.95 | $40,859.96 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Molina Healthcare Of Utah | Molina Healthcare Medicaid Hmo | $20,702.38 | $54,479.95 | $40,859.96 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Selecthealth | Selecthealth Community Care-Medicaid | $20,702.38 | $54,479.95 | $40,859.96 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Uofu | Healthy U - Medicaid | $20,702.38 | $54,479.95 | $40,859.96 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Medicare Hmo | $20,702.38 | $54,479.95 | $40,859.96 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Molina | Medicaid | $20,702.38 | $54,479.95 | $40,859.96 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Medicare Ppo | $20,702.38 | $54,479.95 | $40,859.96 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Health Choice Utah | Health Choice Utah-Medicaid | $20,702.38 | $54,479.95 | $40,859.96 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Triwest | Veterans Choice | $20,745.96 | $54,479.95 | $40,859.96 | 2026-05-09 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Donor Connect | Other | $22,125.58 | $61,459.95 | $46,094.96 | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Donor Connect | Other | $22,125.58 | $61,459.95 | $46,094.96 | 2026-05-13 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Donor Connect | Other | $22,125.58 | $61,459.95 | $46,094.96 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Molina Healthcare Of Utah | Molina Medicare Complete Care Hmo Snp | $22,881.58 | $54,479.95 | $40,859.96 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Tricare | Tricare (Hnfs) Military Program | $23,595.27 | $54,479.95 | $40,859.96 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Triwest | Veterans Choice | $23,595.27 | $54,479.95 | $40,859.96 | 2026-05-17 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Triwest | Veterans Choice | $24,031.11 | $54,479.95 | $40,859.96 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Cigna Scl Employees | Cigna Sclhs Cdhp | $24,325.96 | $68,139.95 | — | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Donor Connect | Other | $24,461.06 | $61,459.95 | $46,094.96 | 2026-05-13 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Donor Connect | Other | $24,461.06 | $61,459.95 | $46,094.96 | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Donor Connect | Other | $24,461.06 | $61,459.95 | $46,094.96 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Medicaid | $24,583.98 | $61,459.95 | $46,094.96 | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Medicaid | $24,583.98 | $61,459.95 | $46,094.96 | 2026-05-13 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Medicaid | $24,583.98 | $61,459.95 | $46,094.96 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Pathway | $24,728.56 | $71,099.95 | — | 2026-05-17 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $25,060.78 | $54,479.95 | $40,859.96 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $25,060.78 | $54,479.95 | $40,859.96 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Molina | Medicaid | $25,060.78 | $54,479.95 | $40,859.96 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Uhc | Medicare Advantage | $25,060.78 | $54,479.95 | $40,859.96 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $25,060.78 | $54,479.95 | $40,859.96 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $25,060.78 | $54,479.95 | $40,859.96 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Regence Bcbs | Medadvantage | $25,060.78 | $54,479.95 | $40,859.96 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Selecthealth | Medicaid | $25,060.78 | $54,479.95 | $40,859.96 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Regence Bcbs | Medadvantage Ppo | $25,060.78 | $54,479.95 | $40,859.96 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $25,060.78 | $54,479.95 | $40,859.96 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $25,060.78 | $54,479.95 | $40,859.96 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $25,060.78 | $54,479.95 | $40,859.96 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Healthy U | Medicaid | $25,060.78 | $54,479.95 | $40,859.96 | 2026-05-09 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uhc | Medicare Advantage | $25,198.58 | $61,459.95 | $46,094.96 | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uhc | Medicare Advantage | $25,198.58 | $61,459.95 | $46,094.96 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uhc | Medicare Advantage | $25,198.58 | $61,459.95 | $46,094.96 | 2026-05-13 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Exchange Plan | $26,946.88 | $71,099.95 | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Federal | $26,946.88 | $71,099.95 | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Ppo | $26,946.88 | $71,099.95 | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Hmo | $26,946.88 | $71,099.95 | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Indemnity | $26,946.88 | $71,099.95 | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Exchange Plan | $27,112.89 | $68,139.95 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Ppo | $27,112.89 | $68,139.95 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Hmo | $27,112.89 | $68,139.95 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Federal | $27,112.89 | $68,139.95 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Inpatient | Triwest | Veterans Choice | $28,062.62 | $54,479.95 | $40,859.96 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Inpatient | Tricare | Tricare (Hnfs) Military Program | $28,062.62 | $54,479.95 | $40,859.96 | 2026-05-17 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kp Select Hmo | $28,094.08 | $151,859.90 | — | 2026-05-18 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Perm Hmo | Kp Select Hmo | $28,094.08 | $151,859.90 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Perm Hmo | Kp Select Hmo | $28,094.08 | $151,859.90 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kp Select Hmo | $28,094.08 | $151,859.90 | — | 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.