365 — Amantadine Hcl 50 Mg/5 Ml Oral Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). AMANTADINE HCL 50 MG/5 ML ORAL SOLUTION (OTHER 365) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/365?code_type=OTHER
MLA (9th ed.)
“AMANTADINE HCL 50 MG/5 ML ORAL SOLUTION (OTHER 365) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/365?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“AMANTADINE HCL 50 MG/5 ML ORAL SOLUTION (OTHER 365) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/365?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $21–$154 (25th–75th percentile) across 54 hospitals · 184 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 365 — 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 |
|---|---|---|---|---|---|---|---|
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Perm Hmo | Kp Select Hmo | $0.10 | $0.54 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Self Funded | Kaiser Self Funded | $0.12 | $0.54 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Perm Hmo | Kaiser Hmo Exchange Plan | $0.12 | $0.54 | — | 2026-05-14 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Donor Connect | Other | $0.12 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Perm Hmo | Kaiser Out Of State | $0.12 | $0.54 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Perm Hmo | Kaiser Permanente Hmo | $0.12 | $0.54 | — | 2026-05-14 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uhc | Medicare Advantage | $0.13 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Medicaid | $0.13 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Perm Ppo/Pos | Kaiser Perm Ppo/Pos | $0.13 | $0.54 | — | 2026-05-14 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Donor Connect | Other | $0.13 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Inpatient | Kaiser Mrp | Kaiser Permanente Mcr | $0.14 | $0.54 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Cigna Scl Employees | Cigna Sclhs Cdhp | $0.14 | $0.54 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Allegiance | Cigna Sclhs Employees | $0.14 | $0.54 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Cigna | Cigna Connect Exchange | $0.14 | $0.54 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Inpatient | Kaiser Mrp | Kaiser Mrp Out Of State | $0.14 | $0.54 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Cigna | Cigna Co Public Option | $0.14 | $0.54 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Inpatient | Kaiser Snp | Kaiser Snp | $0.14 | $0.54 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Cigna | Cigna Surefit | $0.14 | $0.54 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Inpatient | Kaiser Perm Hmo | Kp Select Hmo | $0.16 | $0.54 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | First Choice Health | Must-Mt Unified School Trust New Peak | $0.17 | $0.32 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Other | Prodegi New Peak | $0.17 | $0.32 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | First Choice Health | Sound Health New Peak | $0.17 | $0.32 | — | 2026-05-14 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | American Health | Medicare Adv Ut Hmo I-Snp | $0.18 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Molina | Medicare Advantage | $0.19 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | Exchange Other | Exchange Other | $0.19 | $0.32 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Mt Health Co-Op | Rocky Mountain Health Plan | $0.19 | $0.32 | — | 2026-05-14 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Molina | Medicare Complete Care Hmo Snp | $0.19 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Molina | Medicare Choice Care Hmo | $0.19 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | Mt Health Co-Op | Mountain Health Co-Op | $0.19 | $0.32 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Aetna | Aetna Src | $0.20 | $0.32 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Aetna | Aetna Pos/Qpos | $0.20 | $0.32 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | First Choice Health | First Choice Health | $0.20 | $0.32 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Aetna | Aetna Hmo/Epo | $0.20 | $0.32 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Aetna | Aetna Ppo | $0.20 | $0.32 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Other | Prodegi | $0.20 | $0.32 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Ebms-Employee Benefit Mng | Ebms - Employee Benefit | $0.20 | $0.32 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | First Choice Health | Must-Mt Unified School Trust | $0.20 | $0.32 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Meritain Health | Meritain Health | $0.20 | $0.32 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | First Choice Health | Sound Health | $0.20 | $0.32 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | First Choice Health | Boon-Chapman | $0.20 | $0.32 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Aetna | Aetna Colorado Preferred | $0.20 | $0.54 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | First Choice Health | First Choice Other | $0.20 | $0.32 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Mt Health Co-Op | Mountain Health Co-Op | $0.21 | $0.32 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Federal | $0.21 | $0.54 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Ppo | $0.21 | $0.54 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Exchange Plan | $0.21 | $0.54 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Hmo | $0.21 | $0.54 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Exchange Other | Exchange Other | $0.21 | $0.32 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Aetna | Aetna Ppo | $0.22 | $0.54 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Geha | Geha-Asa | $0.22 | $0.54 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Aetna | Aetna Src | $0.22 | $0.54 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Preferred One | Preferred One | $0.22 | $0.54 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Aetna | Aetna Pos/Qpos | $0.22 | $0.54 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Aetna | Aetna Hmo/Epo | $0.22 | $0.54 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Aetna | Aetna Other | $0.22 | $0.54 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | Allegiance | Cigna Sclhs Employees | $0.22 | $0.32 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Aetna | Christian Brothers Emp Ben Trst | $0.22 | $0.54 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | Cigna Scl Employees | Cigna Sclhs Cdhp | $0.22 | $0.32 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Aetna | Aetna Indemnity | $0.22 | $0.54 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Inpatient | Kaiser Perm Hmo | Kaiser Permanente Hmo | $0.23 | $0.54 | — | 2026-05-14 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Tanner Llc | Commercial | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Deseret Mutual | All Other | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Campbell Scientific | Commercial | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Medcare International | Commercial | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Byu Athletics | Commercial | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uhc | All Plans | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Pehp | All Plans | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | First Choice Of The Midwest | Commercial | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uofu | Chip-Healthy U | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Regence Bcbs | Valuecare | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Global Excel | Commercial | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Awh Connected | Connected Utah | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Choicecare Humana | Choicecare Humana Ppo | $0.23 | $0.54 | — | 2026-05-14 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Utah Tech | Commercial | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Cigna | Open Access Flex | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Cigna | Ppo/Epo | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Cigna | Utah Connect/Local Plus | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Molina | Chip | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Selectcolorado | $0.23 | $0.54 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Inpatient | Kaiser Perm Hmo | Kaiser Out Of State | $0.23 | $0.54 | — | 2026-05-14 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | First Health | Commercial | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Cigna | Hmo | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Inpatient | Kaiser Perm Ppo/Pos | Kaiser Perm Ppo/Pos | $0.23 | $0.54 | — | 2026-05-14 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Emi Health | Mint | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Molina | Marketplace | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Commercial | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Share | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Prodegi Corp Benefit | Commercial | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Regence Bcbs | Fehbp | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Emi | Commercial | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Aetna | Extended | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uofu | Premier Marketplace | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Humana | Commercial | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uofu | Health Plus Marketplace | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Regence Bcbs | Bridgespan Realvalue | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Inpatient | Kaiser Perm Hmo | Kaiser Hmo Exchange Plan | $0.23 | $0.54 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Inpatient | Kaiser Self Funded | Kaiser Self Funded | $0.23 | $0.54 | — | 2026-05-14 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Care | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Choicecare Humana | Choicecare Humana Hmo Epo | $0.23 | $0.54 | — | 2026-05-14 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uofu | Healthy Premier | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Aetna | Standard | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Aetna | Connected | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Regence Bcbs | Blueoption | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Regence Bcbs | Individual Family | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Regence Bcbs | Focal Point | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Pehp | Summit Exclusive | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Regence Bcbs | High Performance | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Motivhealth | Commercial | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Lw Miller | Commercial | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Springtide | Commercial | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Juniper Systems | Commercial | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Hygeia Corporation | Commercial | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Health Utah | Commercial | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Franklin County | Commercial | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | First Choice | Commercial | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Managed Care Admin | Commercial | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Fehbp | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Ifit | Commercial | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Emi Health | Network Care | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Regence Bcbs | Traditional | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Uofu | Healthy Preferred | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Value Aca | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Med | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Med Aca | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Value | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Wise Network | Commercial | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $0.23 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Cigna Scl Employees | Cigna Sclhs Cdhp | $0.24 | $0.32 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Meritain Health | Meritain Health Existing Ppo | $0.24 | $0.32 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Bcbs/Anthem | St Of Mt Employees | $0.24 | $0.32 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Ebms-Employee Benefit Mng | Ebms - Employee Benefit Existing Ppo | $0.24 | $0.32 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | First Choice Health | First Choice Health Existing Ppo | $0.24 | $0.32 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | First Choice Health | Boon-Chapman Existing Ppo | $0.24 | $0.32 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Bcbs/Anthem | Bcbs Mt Closed Plan | $0.24 | $0.32 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Bcbs/Anthem | Bcbs Mt - Federal | $0.24 | $0.32 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Bcbs/Anthem | Bcbs Mt- Yellowstone County | $0.24 | $0.32 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Bcbs/Anthem | Bcbs Mt Pos | $0.24 | $0.32 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | First Choice Health | First Choice Other Existing Ppo | $0.24 | $0.32 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Bcbs/Anthem | Bcbs Mt Pos Exchange | $0.24 | $0.32 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Allegiance | Cigna Sclhs Employees | $0.24 | $0.32 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Mt Pos Exchange | $0.25 | $0.32 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | St Of Mt Employees | $0.25 | $0.32 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Mt - Federal | $0.25 | $0.32 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Mt Pos | $0.25 | $0.32 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Mt- Yellowstone County | $0.25 | $0.32 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Mt Closed Plan | $0.25 | $0.32 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Mt Traditional Exchange | $0.26 | $0.32 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Mt Traditional | $0.26 | $0.32 | — | 2026-05-14 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Utah Behavioral Health Network | Behavioral Health | $0.26 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Selecthealth | Fehbp | $0.27 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Deseret Mutual | All Other | $0.27 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Medcare International | Commercial | $0.27 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | First Choice Of The Midwest | Commercial | $0.27 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Selecthealth | Commercial | $0.27 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Aetna | Connected | $0.27 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Global Excel | Commercial | $0.27 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Awh Connected | Connected Utah | $0.27 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Selecthealth | Med Aca | $0.27 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Byu Athletics | Commercial | $0.27 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Selecthealth | Signature Individual Aca | $0.27 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Selecthealth | Share | $0.27 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Selecthealth | Value | $0.27 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Campbell Scientific | Commercial | $0.27 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Motivhealth | Commercial | $0.27 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Selecthealth | Value Aca | $0.27 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Selecthealth | Med | $0.27 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Selecthealth | Care | $0.27 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Pehp | All Plans | $0.27 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Pehp | Summit Exclusive | $0.27 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Cigna | Open Access Flex | $0.27 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Molina | Marketplace | $0.27 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Molina | Chip | $0.27 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | First Health | Commercial | $0.27 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Bcbs/Anthem | Bcbs Mt Traditional Exchange | $0.27 | $0.32 | — | 2026-05-14 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Cigna | Utah Connect/Local Plus | $0.27 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Cigna | Hmo | $0.27 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Cigna | Ppo/Epo | $0.27 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Uofu | Premier Marketplace | $0.27 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Preferred One | Preferred One | $0.27 | $0.32 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Bcbs/Anthem | Bcbs Mt Traditional | $0.27 | $0.32 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | Ebms-Employee Benefit Mng | Billings Schools District 2 | $0.27 | $0.32 | — | 2026-05-14 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Humana | Commercial | $0.27 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Uofu | Health Plus Marketplace | $0.27 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Uhc | All Plans | $0.27 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Utah Tech | Commercial | $0.27 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Wise Network | Commercial | $0.27 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Uofu | Chip-Healthy U | $0.27 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Tanner Llc | Commercial | $0.27 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Uofu | Healthy Premier | $0.27 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Aetna | Standard | $0.27 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Aetna | Extended | $0.27 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | First Choice | Commercial | $0.27 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Prodegi Corp Benefit | Commercial | $0.27 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Uofu | Healthy Preferred | $0.27 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Juniper Systems | Commercial | $0.27 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Hygeia Corporation | Commercial | $0.27 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Lw Miller | Commercial | $0.27 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Franklin County | Commercial | $0.27 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Managed Care Admin | Commercial | $0.27 | $0.32 | $0.24 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Emi Health | Network Care | $0.27 | $0.32 | $0.24 | 2026-05-15 | 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.