275C188255 — Hc Icd Biv/crt-d Lvl 55
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HC ICD BIV/CRT-D LVL 55 (OTHER 275C188255) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/275C188255?code_type=OTHER
MLA (9th ed.)
“HC ICD BIV/CRT-D LVL 55 (OTHER 275C188255) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/275C188255?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“HC ICD BIV/CRT-D LVL 55 (OTHER 275C188255) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/275C188255?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $46,796–$56,848 (25th–75th percentile) across 28 hospitals · 84 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 275C188255 — 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 | $713.37 | $71,337.00 | $53,502.75 | 2026-05-18 | MRF ↗ |
| LDS HOSPITAL Inpatient | Donor Connect | Other | $927.38 | $71,337.00 | $53,502.75 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $998.72 | $71,337.00 | $53,502.75 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $998.72 | $71,337.00 | $53,502.75 | 2026-05-22 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Donor Connect | Other | $1,086.88 | $57,204.00 | $42,903.00 | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Donor Connect | Other | $1,284.07 | $71,337.00 | $53,502.75 | 2026-05-09 | MRF ↗ |
| PARK CITY HOSPITAL Inpatient | Donor Connect | Other | $1,544.51 | $57,204.00 | $42,903.00 | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Inpatient | Donor Connect | Other | $1,544.51 | $57,204.00 | $42,903.00 | 2026-05-18 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Inpatient | Donor Connect | Other | $1,712.09 | $71,337.00 | $53,502.75 | 2026-05-14 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Donor Connect | Other | $2,568.13 | $71,337.00 | $53,502.75 | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Donor Connect | Other | $2,568.13 | $71,337.00 | $53,502.75 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Donor Connect | Other | $2,924.82 | $71,337.00 | $53,502.75 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Donor Connect | Other | $4,636.90 | $71,337.00 | $53,502.75 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Donor Connect | Other | $4,636.90 | $71,337.00 | $53,502.75 | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Donor Connect | Other | $15,194.78 | $71,337.00 | $53,502.75 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Molina | Medicaid | $15,445.08 | $57,204.00 | $42,903.00 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Selecthealth | Medicaid | $15,445.08 | $57,204.00 | $42,903.00 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $15,445.08 | $57,204.00 | $42,903.00 | 2026-05-14 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Outpatient | Donor Connect | Other | $15,559.49 | $57,204.00 | $42,903.00 | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Donor Connect | Other | $16,531.96 | $57,204.00 | $42,903.00 | 2026-05-18 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Donor Connect | Other | $16,531.96 | $57,204.00 | $42,903.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Kaiser Perm Ppo/Pos | Kaiser Perm Ppo/Pos | $16,699.07 | $71,547.00 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Kaiser Perm Ppo/Pos | Kaiser Ppo/Pos Other | $16,699.07 | $71,547.00 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Donor Connect | Other | $16,978.21 | $71,337.00 | $53,502.75 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Donor Connect | Other | $16,978.21 | $71,337.00 | $53,502.75 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $17,161.20 | $57,204.00 | $42,903.00 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $17,161.20 | $57,204.00 | $42,903.00 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $17,161.20 | $57,204.00 | $42,903.00 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Selecthealth | Medicaid | $17,161.20 | $57,204.00 | $42,903.00 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $17,161.20 | $57,204.00 | $42,903.00 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $17,161.20 | $57,204.00 | $42,903.00 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $17,161.20 | $57,204.00 | $42,903.00 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Uhc | Medicare Advantage | $17,161.20 | $57,204.00 | $42,903.00 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Uhc | Medicare Advantage | $17,161.20 | $57,204.00 | $42,903.00 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $17,161.20 | $57,204.00 | $42,903.00 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $17,161.20 | $57,204.00 | $42,903.00 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $17,161.20 | $57,204.00 | $42,903.00 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $17,161.20 | $57,204.00 | $42,903.00 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $17,161.20 | $57,204.00 | $42,903.00 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $17,161.20 | $57,204.00 | $42,903.00 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $17,161.20 | $57,204.00 | $42,903.00 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $17,161.20 | $57,204.00 | $42,903.00 | 2026-05-14 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $17,161.20 | $57,204.00 | $42,903.00 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Healthy U | Medicaid | $17,161.20 | $57,204.00 | $42,903.00 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Blue Cross Of Idaho | Medicare Id True Blue | $17,161.20 | $57,204.00 | $42,903.00 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $17,161.20 | $57,204.00 | $42,903.00 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $17,161.20 | $57,204.00 | $42,903.00 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $17,161.20 | $57,204.00 | $42,903.00 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Healthy U | Medicaid | $17,161.20 | $57,204.00 | $42,903.00 | 2026-05-14 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $17,161.20 | $57,204.00 | $42,903.00 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | St Lukes Hp | Medicare Advantage | $17,161.20 | $57,204.00 | $42,903.00 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Regence Bcbs | Idaho Ut Svc | $17,161.20 | $57,204.00 | $42,903.00 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Regence Bcbs | Medadvantage Ppo | $17,161.20 | $57,204.00 | $42,903.00 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Molina | Medicare Advantage | $17,161.20 | $57,204.00 | $42,903.00 | 2026-05-14 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $17,161.20 | $57,204.00 | $42,903.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Molina | Medicaid | $17,161.20 | $57,204.00 | $42,903.00 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Uhc | Medicare Advantage | $17,161.20 | $57,204.00 | $42,903.00 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Molina | Medicare Choice Care Hmo | $17,161.20 | $57,204.00 | $42,903.00 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $17,161.20 | $57,204.00 | $42,903.00 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $17,161.20 | $57,204.00 | $42,903.00 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $17,161.20 | $57,204.00 | $42,903.00 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Regence Bcbs | Medadvantage Ppo | $17,161.20 | $57,204.00 | $42,903.00 | 2026-05-14 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Selecthealth | Medicaid | $17,161.20 | $57,204.00 | $42,903.00 | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Donor Connect | Other | $17,263.55 | $71,337.00 | $53,502.75 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Triwest | Veterans Choice | $17,819.05 | $57,204.00 | $42,903.00 | 2026-05-14 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Donor Connect | Other | $18,048.26 | $71,337.00 | $53,502.75 | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Donor Connect | Other | $18,048.26 | $71,337.00 | $53,502.75 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Selecthealth | Medicaid | $18,305.28 | $57,204.00 | $42,903.00 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Molina | Medicaid | $18,305.28 | $57,204.00 | $42,903.00 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $18,305.28 | $57,204.00 | $42,903.00 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $18,305.28 | $57,204.00 | $42,903.00 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $18,305.28 | $57,204.00 | $42,903.00 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $18,305.28 | $57,204.00 | $42,903.00 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $18,305.28 | $57,204.00 | $42,903.00 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Uhc | Medicare Advantage | $18,305.28 | $57,204.00 | $42,903.00 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $18,305.28 | $57,204.00 | $42,903.00 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $18,305.28 | $57,204.00 | $42,903.00 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Healthy U | Medicaid | $18,305.28 | $57,204.00 | $42,903.00 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Regence Bcbs | Medadvantage Ppo | $18,305.28 | $57,204.00 | $42,903.00 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $18,305.28 | $57,204.00 | $42,903.00 | 2026-05-09 | MRF ↗ |
| LDS HOSPITAL Outpatient | Donor Connect | Other | $18,476.28 | $71,337.00 | $53,502.75 | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $18,832.97 | $71,337.00 | $53,502.75 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $18,832.97 | $71,337.00 | $53,502.75 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $18,832.97 | $71,337.00 | $53,502.75 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $18,832.97 | $71,337.00 | $53,502.75 | 2026-05-15 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $18,832.97 | $71,337.00 | $53,502.75 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $18,832.97 | $71,337.00 | $53,502.75 | 2026-05-18 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $18,832.97 | $71,337.00 | $53,502.75 | 2026-05-14 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $18,832.97 | $71,337.00 | $53,502.75 | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $18,832.97 | $71,337.00 | $53,502.75 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $18,832.97 | $71,337.00 | $53,502.75 | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $18,832.97 | $71,337.00 | $53,502.75 | 2026-05-18 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $18,832.97 | $71,337.00 | $53,502.75 | 2026-05-14 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $18,832.97 | $71,337.00 | $53,502.75 | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $18,832.97 | $71,337.00 | $53,502.75 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $18,832.97 | $71,337.00 | $53,502.75 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $18,832.97 | $71,337.00 | $53,502.75 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $18,832.97 | $71,337.00 | $53,502.75 | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $18,832.97 | $71,337.00 | $53,502.75 | 2026-05-18 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $18,832.97 | $71,337.00 | $53,502.75 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $18,832.97 | $71,337.00 | $53,502.75 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $18,832.97 | $71,337.00 | $53,502.75 | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $18,832.97 | $71,337.00 | $53,502.75 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Donor Connect | Other | $19,046.98 | $71,337.00 | $53,502.75 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Donor Connect | Other | $19,260.99 | $71,337.00 | $53,502.75 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Donor Connect | Other | $19,260.99 | $71,337.00 | $53,502.75 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Triwest | Veterans Choice | $19,289.19 | $57,204.00 | $42,903.00 | 2026-05-15 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Donor Connect | Other | $19,903.02 | $71,337.00 | $53,502.75 | 2026-05-14 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Triwest | Veterans Choice | $20,021.40 | $57,204.00 | $42,903.00 | 2026-05-15 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Health Choice | Arizona | $21,165.48 | $57,204.00 | $42,903.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $21,258.43 | $71,337.00 | $53,502.75 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $21,258.43 | $71,337.00 | $53,502.75 | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $21,258.43 | $71,337.00 | $53,502.75 | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $21,258.43 | $71,337.00 | $53,502.75 | 2026-05-22 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $21,258.43 | $71,337.00 | $53,502.75 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $21,258.43 | $71,337.00 | $53,502.75 | 2026-05-18 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $21,258.43 | $71,337.00 | $53,502.75 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $21,258.43 | $71,337.00 | $53,502.75 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $21,258.43 | $71,337.00 | $53,502.75 | 2026-05-15 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $21,258.43 | $71,337.00 | $53,502.75 | 2026-05-18 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $21,258.43 | $71,337.00 | $53,502.75 | 2026-05-09 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Medicaid | $21,401.10 | $71,337.00 | $53,502.75 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Medicaid | $21,401.10 | $71,337.00 | $53,502.75 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Medicaid | $21,401.10 | $71,337.00 | $53,502.75 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $21,401.10 | $71,337.00 | $53,502.75 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $21,401.10 | $71,337.00 | $53,502.75 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $21,401.10 | $71,337.00 | $53,502.75 | 2026-05-22 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $21,401.10 | $71,337.00 | $53,502.75 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Medicaid | $21,401.10 | $71,337.00 | $53,502.75 | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $21,401.10 | $71,337.00 | $53,502.75 | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Medicaid | $21,401.10 | $71,337.00 | $53,502.75 | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $21,401.10 | $71,337.00 | $53,502.75 | 2026-05-22 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Inpatient | Selecthealth | Medicaid | $21,401.10 | $71,337.00 | $53,502.75 | 2026-05-14 | MRF ↗ |
| LDS HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $21,401.10 | $71,337.00 | $53,502.75 | 2026-05-22 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Medicaid | $21,401.10 | $71,337.00 | $53,502.75 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Medicaid | $21,401.10 | $71,337.00 | $53,502.75 | 2026-05-15 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $21,401.10 | $71,337.00 | $53,502.75 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Medicaid | $21,401.10 | $71,337.00 | $53,502.75 | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Medicaid | $21,401.10 | $71,337.00 | $53,502.75 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $21,401.10 | $71,337.00 | $53,502.75 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $21,401.10 | $71,337.00 | $53,502.75 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Health Choice Utah | Health Choice Utah-Medicaid | $21,737.52 | $57,204.00 | $42,903.00 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Medicare Hmo | $21,737.52 | $57,204.00 | $42,903.00 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Molina Healthcare Of Utah | Molina Healthcare Medicaid Hmo | $21,737.52 | $57,204.00 | $42,903.00 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Uofu | Healthy U - Medicaid | $21,737.52 | $57,204.00 | $42,903.00 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Molina | Medicaid | $21,737.52 | $57,204.00 | $42,903.00 | 2026-05-17 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $21,737.52 | $57,204.00 | $42,903.00 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Medicare Intermountain Healthcare Nevada | Medicare Intermountain Healthcare Nevada | $21,737.52 | $57,204.00 | $42,903.00 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Selecthealth | Medicaid | $21,737.52 | $57,204.00 | $42,903.00 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Selecthealth | Selecthealth Community Care-Medicaid | $21,737.52 | $57,204.00 | $42,903.00 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $21,737.52 | $57,204.00 | $42,903.00 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Medicare Ppo | $21,737.52 | $57,204.00 | $42,903.00 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Healthy U | Medicaid | $21,737.52 | $57,204.00 | $42,903.00 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Triwest | Veterans Choice | $21,783.28 | $57,204.00 | $42,903.00 | 2026-05-09 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Donor Connect | Other | $23,231.88 | $64,533.00 | $48,399.75 | 2026-05-13 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Donor Connect | Other | $23,231.88 | $64,533.00 | $48,399.75 | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Donor Connect | Other | $23,231.88 | $64,533.00 | $48,399.75 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Molina Healthcare Of Utah | Molina Medicare Complete Care Hmo Snp | $24,025.68 | $57,204.00 | $42,903.00 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Tricare | Tricare (Hnfs) Military Program | $24,775.05 | $57,204.00 | $42,903.00 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Outpatient | Triwest | Veterans Choice | $24,775.05 | $57,204.00 | $42,903.00 | 2026-05-17 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Triwest | Veterans Choice | $25,232.68 | $57,204.00 | $42,903.00 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Cigna Scl Employees | Cigna Sclhs Cdhp | $25,542.28 | $71,547.00 | — | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Donor Connect | Other | $25,684.13 | $64,533.00 | $48,399.75 | 2026-05-13 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Donor Connect | Other | $25,684.13 | $64,533.00 | $48,399.75 | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Donor Connect | Other | $25,684.13 | $64,533.00 | $48,399.75 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Medicaid | $25,813.20 | $64,533.00 | $48,399.75 | 2026-05-13 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Medicaid | $25,813.20 | $64,533.00 | $48,399.75 | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Medicaid | $25,813.20 | $64,533.00 | $48,399.75 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Pathway | $25,965.01 | $74,655.00 | — | 2026-05-17 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $26,313.84 | $57,204.00 | $42,903.00 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $26,313.84 | $57,204.00 | $42,903.00 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Uhc | Medicare Advantage | $26,313.84 | $57,204.00 | $42,903.00 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $26,313.84 | $57,204.00 | $42,903.00 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $26,313.84 | $57,204.00 | $42,903.00 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Molina | Medicaid | $26,313.84 | $57,204.00 | $42,903.00 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $26,313.84 | $57,204.00 | $42,903.00 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $26,313.84 | $57,204.00 | $42,903.00 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Selecthealth | Medicaid | $26,313.84 | $57,204.00 | $42,903.00 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $26,313.84 | $57,204.00 | $42,903.00 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Regence Bcbs | Medadvantage Ppo | $26,313.84 | $57,204.00 | $42,903.00 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Regence Bcbs | Medadvantage | $26,313.84 | $57,204.00 | $42,903.00 | 2026-05-09 | MRF ↗ |
| FILLMORE COMMUNITY HOSPITAL Outpatient | Healthy U | Medicaid | $26,313.84 | $57,204.00 | $42,903.00 | 2026-05-09 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uhc | Medicare Advantage | $26,458.53 | $64,533.00 | $48,399.75 | 2026-05-13 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uhc | Medicare Advantage | $26,458.53 | $64,533.00 | $48,399.75 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uhc | Medicare Advantage | $26,458.53 | $64,533.00 | $48,399.75 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Hmo | $28,294.24 | $74,655.00 | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Ppo | $28,294.24 | $74,655.00 | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Exchange Plan | $28,294.24 | $74,655.00 | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Federal | $28,294.24 | $74,655.00 | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Indemnity | $28,294.24 | $74,655.00 | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Exchange Plan | $28,468.55 | $71,547.00 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Hmo | $28,468.55 | $71,547.00 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Federal | $28,468.55 | $71,547.00 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Ppo | $28,468.55 | $71,547.00 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Inpatient | Tricare | Tricare (Hnfs) Military Program | $29,465.78 | $57,204.00 | $42,903.00 | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL Inpatient | Triwest | Veterans Choice | $29,465.78 | $57,204.00 | $42,903.00 | 2026-05-17 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kp Select Hmo | $29,498.80 | $159,453.00 | — | 2026-05-18 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Perm Hmo | Kp Select Hmo | $29,498.80 | $159,453.00 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kp Select Hmo | $29,498.80 | $159,453.00 | — | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Perm Hmo | Kp Select Hmo | $29,498.80 | $159,453.00 | — | 2026-05-14 | 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.