99233 — Mvi, Pedi No.1 With Vit K 80 Mg-400 Unit-200 Mcg/5 Ml Intravenous Soln
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). MVI, PEDI NO.1 WITH VIT K 80 MG-400 UNIT-200 MCG/5 ML INTRAVENOUS SOLN (OTHER 99233) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/99233?code_type=OTHER
MLA (9th ed.)
“MVI, PEDI NO.1 WITH VIT K 80 MG-400 UNIT-200 MCG/5 ML INTRAVENOUS SOLN (OTHER 99233) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/99233?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“MVI, PEDI NO.1 WITH VIT K 80 MG-400 UNIT-200 MCG/5 ML INTRAVENOUS SOLN (OTHER 99233) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/99233?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $106–$444 (25th–75th percentile) across 186 hospitals · 552 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 99233 — 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 |
|---|---|---|---|---|---|---|---|
| SPRINGHILL MEDICAL CENTER Outpatient | Humana Inc. | Standard | — | $262.24 | $222.90 | 2026-05-23 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Donor Connect | Other | $1.44 | $144.27 | $108.20 | 2026-05-18 | MRF ↗ |
| LDS HOSPITAL Inpatient | Donor Connect | Other | $1.88 | $144.27 | $108.20 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $2.02 | $144.27 | $108.20 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $2.02 | $144.27 | $108.20 | 2026-05-18 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Donor Connect | Other | $2.06 | $108.20 | $81.15 | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Donor Connect | Other | $2.60 | $144.27 | $108.20 | 2026-05-09 | MRF ↗ |
| PARK CITY HOSPITAL Inpatient | Donor Connect | Other | $2.92 | $108.20 | $81.15 | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Inpatient | Donor Connect | Other | $2.92 | $108.20 | $81.15 | 2026-05-18 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $2.96 | — | — | 2026-05-27 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Mvp | Medicaid | $5.05 | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Cdphp | Medicaid | $5.05 | — | — | 2026-05-08 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Donor Connect | Other | $5.19 | $144.27 | $108.20 | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Donor Connect | Other | $5.19 | $144.27 | $108.20 | 2026-05-22 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | United Healthcare | Medicaid | $5.30 | — | — | 2026-05-08 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Donor Connect | Other | $5.92 | $144.27 | $108.20 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Donor Connect | Other | $9.38 | $144.27 | $108.20 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Donor Connect | Other | $9.38 | $144.27 | $108.20 | 2026-05-15 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Fidelis | Essential Plan Qhp | $11.36 | — | — | 2026-05-08 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Donor Connect | Other | $14.76 | $1,475.70 | $1,106.78 | 2026-05-18 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Aetna Health Management, Llc | Medicare Advantage Hmo/Ppo/Pos | — | $262.24 | $222.90 | 2026-05-23 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Aetna Health Management, Llc | Aetna Commercial - Complete Rate Data (Hmo/Ppo/Pos) | — | $262.24 | $222.90 | 2026-05-23 | MRF ↗ |
| LDS HOSPITAL Inpatient | Donor Connect | Other | $19.18 | $1,475.70 | $1,106.78 | 2026-05-22 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Medicaid Managed - UHC | All Plans | $19.86 | $514.10 | $185.08 | 2026-01-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $20.66 | $1,475.70 | $1,106.78 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $20.66 | $1,475.70 | $1,106.78 | 2026-05-18 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Donor Connect | Other | $21.03 | $1,106.78 | $830.08 | 2026-05-22 | MRF ↗ |
| MEMORIAL HOSPITAL AND MANOR Outpatient | Uhc Medicare Plan | Medicare | — | $284.00 | $198.80 | 2026-05-06 | MRF ↗ |
| MEMORIAL HOSPITAL AND MANOR Outpatient | Cigna Plan | Commercial | — | $284.00 | $198.80 | 2026-05-06 | MRF ↗ |
| LAWRENCE & MEMORIAL HOSPITAL Outpatient | Medicare Advantage - Aetna | All Plans | $23.36 | $514.10 | $185.08 | 2026-01-01 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Palmetto Gba | Standard | — | $262.24 | $222.90 | 2026-05-23 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Donor Connect | Other | $26.56 | $1,475.70 | $1,106.78 | 2026-05-09 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Highmark Community Blue | Mcr Advantage | — | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Highmark | Chip | — | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Highmark - Ind.& Managed Care | Mcr Advantage | — | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Chip | $27.54 | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Highmark - Ind.& Managed Care | Mcr Advantage | — | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Chip | $27.54 | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Highmark | Chip | — | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Highmark Community Blue | Mcr Advantage | — | — | — | 2026-05-23 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Outpatient | Donor Connect | Other | $29.43 | $108.20 | $81.15 | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Inpatient | Donor Connect | Other | $29.88 | $1,106.78 | $830.08 | 2026-05-18 | MRF ↗ |
| PARK CITY HOSPITAL Inpatient | Donor Connect | Other | $29.88 | $1,106.78 | $830.08 | 2026-05-22 | MRF ↗ |
| SBH Green Bay, LLC d/b/a WILLOW CREEK BEHAVIORAL HEALTH Inpatient | Optum | Managed Medicaid | $30.00 | $180.00 | $25.57 | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Blue Cross | Highmark - All Community Blue | — | — | — | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Upmc | Mcd Advantage | $30.29 | — | — | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Blue Cross | Highmark - Indemnity | — | — | — | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Blue Cross | Highmark - All Social Mission | — | — | — | 2026-05-09 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Donor Connect | Other | $30.73 | $144.27 | $108.20 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $30.84 | $114.21 | $85.66 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Selecthealth | Medicaid | $30.84 | $114.21 | $85.66 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Molina | Medicaid | $30.84 | $114.21 | $85.66 | 2026-05-14 | MRF ↗ |
| MEMORIAL HOSPITAL AND MANOR Outpatient | Humana Medicare Plan | Medicare | — | $284.00 | $198.80 | 2026-05-06 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Donor Connect | Other | $31.27 | $108.20 | $81.15 | 2026-05-18 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Donor Connect | Other | $31.27 | $108.20 | $81.15 | 2026-05-22 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $32.46 | $108.20 | $81.15 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $32.46 | $108.20 | $81.15 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $32.46 | $108.20 | $81.15 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $32.46 | $108.20 | $81.15 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $32.46 | $108.20 | $81.15 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Uhc | Medicare Advantage | $32.46 | $108.20 | $81.15 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Selecthealth | Medicaid | $32.46 | $108.20 | $81.15 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $32.46 | $108.20 | $81.15 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $32.46 | $108.20 | $81.15 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Healthy U | Medicaid | $32.46 | $108.20 | $81.15 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Regence Bcbs | Medadvantage Ppo | $32.46 | $108.20 | $81.15 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $32.46 | $108.20 | $81.15 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $32.46 | $108.20 | $81.15 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Molina | Medicaid | $32.46 | $108.20 | $81.15 | 2026-05-15 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Selecthealth | Medicaid | $32.46 | $108.20 | $81.15 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $34.26 | $114.21 | $85.66 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Uhc | Medicare Advantage | $34.26 | $114.21 | $85.66 | 2026-05-14 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $34.26 | $114.21 | $85.66 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Healthy U | Medicaid | $34.26 | $114.21 | $85.66 | 2026-05-14 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $34.26 | $114.21 | $85.66 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Molina | Medicare Choice Care Hmo | $34.26 | $114.21 | $85.66 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Regence Bcbs | Medadvantage Ppo | $34.26 | $114.21 | $85.66 | 2026-05-14 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Regence Bcbs | Idaho Ut Svc | $34.26 | $114.21 | $85.66 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $34.26 | $114.21 | $85.66 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Blue Cross Of Idaho | Medicare Id True Blue | $34.26 | $114.21 | $85.66 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $34.26 | $114.21 | $85.66 | 2026-05-14 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $34.26 | $114.21 | $85.66 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $34.26 | $114.21 | $85.66 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Uhc | Medicare Advantage | $34.26 | $114.21 | $85.66 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $34.26 | $114.21 | $85.66 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $34.26 | $114.21 | $85.66 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $34.26 | $114.21 | $85.66 | 2026-05-14 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $34.26 | $114.21 | $85.66 | 2026-05-15 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | St Lukes Hp | Medicare Advantage | $34.26 | $114.21 | $85.66 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $34.26 | $114.21 | $85.66 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $34.26 | $114.21 | $85.66 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Molina | Medicare Advantage | $34.26 | $114.21 | $85.66 | 2026-05-14 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $34.26 | $114.21 | $85.66 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Donor Connect | Other | $34.34 | $144.27 | $108.20 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Donor Connect | Other | $34.34 | $144.27 | $108.20 | 2026-05-18 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Donor Connect | Other | $34.62 | $96.18 | $72.14 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Donor Connect | Other | $34.62 | $96.18 | $72.14 | 2026-05-13 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Donor Connect | Other | $34.62 | $96.18 | $72.14 | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Donor Connect | Other | $34.91 | $144.27 | $108.20 | 2026-05-09 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Hfn Inc | Supplental Product | — | $283.00 | $283.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Molina | — | $35.05 | $283.00 | $283.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Hfn Inc | — | — | $283.00 | $283.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | United Healthcare | — | — | $283.00 | $283.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Aetna | Rental Network | — | $283.00 | $283.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Dentaquest | — | $35.05 | $283.00 | $283.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Quanex Employees | — | — | $283.00 | $283.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Triwest | Healthcare Alliance | $35.05 | $283.00 | $283.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Meridian Health Plan | — | $35.05 | $283.00 | $283.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Interplan Health Group | — | — | $283.00 | $283.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Prime Health Services | — | — | $283.00 | $283.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Multiplan | — | — | $283.00 | $283.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Blue Cross Community Health Plan | Medicaid | $35.05 | $283.00 | $283.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Hfn Inc | Workers Compensation | — | $283.00 | $283.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Aetna | Medicaid | $35.05 | $283.00 | $283.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Siho Network Llc | — | — | $283.00 | $283.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Three Rivers | — | — | $283.00 | $283.00 | 2026-05-23 | MRF ↗ |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL Outpatient | Triwest | Veterans Choice | $35.58 | $114.21 | $85.66 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL Outpatient | Triwest | Veterans Choice | $36.49 | $108.20 | $81.15 | 2026-05-15 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Donor Connect | Other | $36.50 | $144.27 | $108.20 | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Donor Connect | Other | $36.50 | $144.27 | $108.20 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $36.55 | $114.21 | $85.66 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $36.55 | $114.21 | $85.66 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Regence Bcbs | Medadvantage Ppo | $36.55 | $114.21 | $85.66 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $36.55 | $114.21 | $85.66 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Selecthealth | Medicaid | $36.55 | $114.21 | $85.66 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $36.55 | $114.21 | $85.66 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Uhc | Medicare Advantage | $36.55 | $114.21 | $85.66 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Healthy U | Medicaid | $36.55 | $114.21 | $85.66 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $36.55 | $114.21 | $85.66 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $36.55 | $114.21 | $85.66 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $36.55 | $114.21 | $85.66 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $36.55 | $114.21 | $85.66 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Molina | Medicaid | $36.55 | $114.21 | $85.66 | 2026-05-09 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL Both | Excellus | Managedmedicaidessentialplans1Thru4 | $37.28 | $380.00 | $380.00 | 2026-05-06 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL Both | Coventry | — | — | $380.00 | $380.00 | 2026-05-06 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL Both | Magnacare | — | — | $380.00 | $380.00 | 2026-05-06 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL Both | Harvardpilgrim | — | — | $380.00 | $380.00 | 2026-05-06 | MRF ↗ |
| LDS HOSPITAL Outpatient | Donor Connect | Other | $37.37 | $144.27 | $108.20 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Brighton Healthplan | Medicaid | $37.65 | $200.00 | $200.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Mycompass | Medicaid | $37.65 | $200.00 | $200.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | United Health | Essential Plans 1 -4 | $37.65 | $200.00 | $200.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Healthfirst Health Plan | Medicaid, Essential Plan 3&4, Medicaid Harp, And Child Health Plus | $37.65 | $200.00 | $200.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Healthfirst Health Plan | Essential Plan 1 & 2 And Qualified Health Plans | $37.65 | $200.00 | $200.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Wellcare | Medicaid Essential Plan 1 And 2 | $37.65 | $200.00 | $200.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Mvp | Behavioral Health- Ny Govt Programs | $37.65 | $200.00 | $200.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | United Health | Medicaid | $37.65 | $200.00 | $200.00 | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Brighton Healthplan | Medicaid | $37.65 | $200.00 | $200.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Healthfirst Health Plan | Medicaid, Essential Plan 3&4, Medicaid Harp, And Child Health Plus | $37.65 | $200.00 | $200.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | United Health | Medicaid | $37.65 | $200.00 | $200.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | United Health | Essential Plans 1 -4 | $37.65 | $200.00 | $200.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Mvp | Behavioral Health- Ny Govt Programs | $37.65 | $200.00 | $200.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Healthfirst Health Plan | Essential Plan 1 & 2 And Qualified Health Plans | $37.65 | $200.00 | $200.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Mycompass | Medicaid | $37.65 | $200.00 | $200.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Wellcare | Medicaid Essential Plan 1 And 2 | $37.65 | $200.00 | $200.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Wellcare | Medicaid Essential Plan 3 And 4 | $37.65 | $200.00 | $200.00 | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Wellcare | Medicaid Essential Plan 3 And 4 | $37.65 | $200.00 | $200.00 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $38.09 | $144.27 | $108.20 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $38.09 | $144.27 | $108.20 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $38.09 | $144.27 | $108.20 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $38.09 | $144.27 | $108.20 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $38.09 | $144.27 | $108.20 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $38.09 | $144.27 | $108.20 | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $38.09 | $144.27 | $108.20 | 2026-05-18 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $38.09 | $144.27 | $108.20 | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $38.09 | $144.27 | $108.20 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $38.09 | $144.27 | $108.20 | 2026-05-15 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $38.09 | $144.27 | $108.20 | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $38.09 | $144.27 | $108.20 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $38.09 | $144.27 | $108.20 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $38.09 | $144.27 | $108.20 | 2026-05-18 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $38.09 | $144.27 | $108.20 | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $38.09 | $144.27 | $108.20 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $38.09 | $144.27 | $108.20 | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $38.09 | $144.27 | $108.20 | 2026-05-09 | MRF ↗ |
| LDS HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $38.09 | $144.27 | $108.20 | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $38.09 | $144.27 | $108.20 | 2026-05-09 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Donor Connect | Other | $38.28 | $96.18 | $72.14 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Donor Connect | Other | $38.28 | $96.18 | $72.14 | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Donor Connect | Other | $38.28 | $96.18 | $72.14 | 2026-05-13 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Medicaid | $38.47 | $96.18 | $72.14 | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Medicaid | $38.47 | $96.18 | $72.14 | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Selecthealth | Medicaid | $38.47 | $96.18 | $72.14 | 2026-05-13 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Donor Connect | Other | $38.52 | $144.27 | $108.20 | 2026-05-22 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Medcost Op | — | — | $213.00 | $70.29 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Gateway Health Op | — | — | $213.00 | $70.29 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | United Healthcare Comm. | — | — | $213.00 | $70.29 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Gateway Health Ip | — | — | $213.00 | $70.29 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Medcost Ip | — | — | $213.00 | $70.29 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Gateway Health Op | — | — | $213.00 | $70.29 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | All Sentara Op Plans | — | — | $213.00 | $70.29 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Medcost Op | — | — | $213.00 | $70.29 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | All Sentara Op Plans | — | — | $213.00 | $70.29 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | All Sentara Comm. Plans | — | — | $213.00 | $70.29 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Anthem | Healthkeepers Medicaid Plans | $38.67 | $213.00 | $70.29 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Aetna | Better Health Medicaid Plans | $38.67 | $213.00 | $70.29 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Cigna | Hmo Ppo Healthpartners Plans | — | $213.00 | $70.29 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Cigna | Op Hmo Ppo Healthpartners Plans | — | $213.00 | $70.29 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | All Sentara Ip Plans | — | — | $213.00 | $70.29 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Gateway Health Ip | — | — | $213.00 | $70.29 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Medcost Ip | — | — | $213.00 | $70.29 | 2026-05-13 | 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.