G0235 — PET Not Otherwise Specified
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PET not otherwise specified (HCPCS G0235) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/G0235?code_type=HCPCS
MLA (9th ed.)
“PET not otherwise specified (HCPCS G0235) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/G0235?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“PET not otherwise specified (HCPCS G0235) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/G0235?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $411–$1,525 (25th–75th percentile) across 1,303 hospitals · 1,234 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS G0235 — 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 |
|---|---|---|---|---|---|---|---|
| NATIONWIDE CHILDREN'S HOSPITAL OutpatientFacility | Anthem BCBS | All Products | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Queens OutpatientFacility | Empire | Blue Priority PPO | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Self Pay | All Plans | $0.03 | $7,500.00 | — | 2026-02-19 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL OutpatientFacility | Self Pay | All Plans | $0.03 | $7,500.00 | — | 2026-02-19 | MRF ↗ |
| Mount Sinai Queens OutpatientFacility | Empire | Small Group | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL OutpatientFacility | United Healthcare | BH Empire MPN | $0.03 | $7,500.00 | — | 2026-02-19 | MRF ↗ |
| Mount Sinai Queens OutpatientFacility | Empire | Blue Access | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Queens OutpatientFacility | Empire | Connection | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Queens OutpatientFacility | Empire | HMO | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | United Healthcare | BH Empire MPN | $0.03 | $7,500.00 | — | 2026-02-19 | MRF ↗ |
| Mount Sinai Queens OutpatientFacility | Empire | Indemnity | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Empire | Indemnity | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Empire | PPO | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Queens OutpatientFacility | Empire | PPO | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire | Individual Network | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire | PPO | $0.05 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire | Small Group | $0.05 | — | — | 2026-04-01 | MRF ↗ |
| GARNET HEALTH MEDICAL CENTER CATSKILLS OutpatientFacility | Blue Cross | All Commercial Plans | $0.06 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire | Small Group | $0.06 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire | Blue Access | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire | Connection | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire | HMO | $0.08 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire | Blue Priority PPO | $0.08 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire | PPO | $0.08 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire | Blue Priority HMO | $0.08 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire | Indemnity | $0.08 | — | — | 2026-04-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MCS PPO | $0.12 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS NON MCS PPO/HMO | $0.12 | — | — | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | $13,865.00 | $10,398.75 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | $13,865.00 | $10,398.75 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | HUMANA | CP-HUMANA MIDTOWN IMAGING (UB) | $0.60 | $22,120.00 | $16,590.00 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | $13,865.00 | $10,398.75 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | HUMANA | HUMANA MEDICARE- MIDTOWN IMAGING | $0.72 | $22,120.00 | $16,590.00 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | HUMANA | HUMANA- MIDTOWN IMAGING | $0.82 | $22,120.00 | $16,590.00 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | $13,865.00 | $10,398.75 | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | $13,865.00 | $10,398.75 | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | $13,865.00 | $10,398.75 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | HUMANA | HUMANA EXCHANGE HIX | $1.14 | $22,120.00 | $16,590.00 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | HUMANA | HUMANA HEALTH PLAN EXCHANGE HIX | $1.14 | $22,120.00 | $16,590.00 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA EXCHANGE HIX | $1.43 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA HEALTH PLAN EXCHANGE HIX | $1.43 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | HUMANA | HUMANA HEALTH PLANS PPO/EPO | $1.67 | $22,120.00 | $16,590.00 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | HUMANA | HUMANA HEALTH PLANS HMO/POS | $1.67 | $22,120.00 | $16,590.00 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA HEALTH PLANS HMO/POS | $1.67 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA HEALTH PLANS PPO/EPO | $1.67 | — | — | 2026-09-01 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Donor Connect | Other | $1.86 | $154.77 | $116.08 | 2026-07-17 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA CHOICE CARE PPO | $2.23 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | HUMANA | HUMANA CHOICE CARE PPO | $2.23 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | HUMANA | HUMANA COMMERCIAL HMO | $2.53 | $22,120.00 | $16,590.00 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA COMMERCIAL HMO | $2.53 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA COMMERCIAL PPO | $2.78 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | HUMANA | HUMANA COMMERCIAL PPO | $2.78 | $22,120.00 | $16,590.00 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | HUMANA | HUMANA CHOICE CARE PPO | $2.96 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA CHOICE CARE PPO | $2.97 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA COMMERCIAL HMO | $3.28 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | HUMANA | HUMANA COMMERCIAL HMO | $3.28 | $22,120.00 | $16,590.00 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | HUMANA | HUMANA COMMERCIAL | $3.35 | $8,874.00 | $6,655.50 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA COMMERCIAL PPO | $3.62 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | HUMANA | HUMANA COMMERCIAL PPO | $3.62 | $22,120.00 | $16,590.00 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA COMMERCIAL | $3.65 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | HUMANA | HUMANA COMMERCIAL | $3.65 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | HUMANA | HUMANA EXCHANGE HMOX | $3.94 | $8,874.00 | $6,655.50 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | HUMANA | HUMANA EXCHANGE | $4.27 | $8,874.00 | $6,655.50 | 2026-09-01 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $5.95 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $5.95 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $5.95 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $5.95 | — | — | 2025-04-16 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Donor Connect | Other | $6.35 | $154.77 | $116.08 | 2026-07-31 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $23.06 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Aetna | Aetna - Hmo/Pos/Ppo | $23.06 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Hmo/Pos/Ppo - Arnb | $23.06 | — | — | 2026-07-18 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Donor Connect | Other | $36.22 | $154.77 | $116.08 | 2026-07-17 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Signature Individual Aca | $40.86 | $154.77 | $116.08 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Value Individual Aca | $40.86 | $154.77 | $116.08 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Selecthealth | Value Individual Aca | $40.86 | $154.77 | $116.08 | 2026-07-17 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Selecthealth | Signature Individual Aca | $40.86 | $154.77 | $116.08 | 2026-07-17 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL | Medicaid Az Blue Cross Blue Shield Ahcccs - Inpatient/Outpatient | — | $40.90 | $110.54 | $82.91 | 2026-07-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Donor Connect | Other | $41.32 | $154.77 | $116.08 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Med Individual Aca | $46.12 | $154.77 | $116.08 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Selecthealth | Med Individual Aca | $46.12 | $154.77 | $116.08 | 2026-07-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Health Plan Of Nevada | Medicaid | $46.43 | $154.77 | $116.08 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Medicaid | $46.43 | $154.77 | $116.08 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Selecthealth | Medicaid | $46.43 | $154.77 | $116.08 | 2026-07-17 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Health Plan Of Nevada | Medicaid | $46.43 | $154.77 | $116.08 | 2026-07-17 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Medicare Advantage | $50.00 | — | — | 2026-07-18 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Medicare Advantage | $50.00 | — | — | 2026-07-18 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Medicare Advantage | $50.00 | — | — | 2026-07-18 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | JW Marriott | All Plans | $54.14 | — | — | 2026-07-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Selectvalue | $65.62 | $154.77 | $116.08 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Selectshare | $65.62 | $154.77 | $116.08 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Fehbp | $65.62 | $154.77 | $116.08 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Selecthealth | Fehbp | $65.62 | $154.77 | $116.08 | 2026-07-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Intermountain Caregiver Plan | Share Network | $65.62 | $154.77 | $116.08 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Intermountain Caregiver Plan | Share Network | $65.62 | $154.77 | $116.08 | 2026-07-17 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Selecthealth | Selectvalue | $65.62 | $154.77 | $116.08 | 2026-07-17 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Selecthealth | Selectshare | $65.62 | $154.77 | $116.08 | 2026-07-17 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $72.05 | — | — | 2026-03-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Intermountain Caregiver Plan | Med Network | $74.60 | $154.77 | $116.08 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Commercial | $74.60 | $154.77 | $116.08 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Selecthealth | Commercial | $74.60 | $154.77 | $116.08 | 2026-07-17 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Intermountain Caregiver Plan | Med Network | $74.60 | $154.77 | $116.08 | 2026-07-17 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Health Partners | Commercial | $76.50 | — | — | 2026-07-15 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Health Partners | Managed Medicaid | $76.50 | — | — | 2026-07-15 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Individual | $76.92 | — | — | 2026-07-18 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Individual | $76.92 | — | — | 2026-07-18 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Individual | $76.92 | — | — | 2026-07-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Selecthealth | Selectcare | $78.31 | $154.77 | $116.08 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Selecthealth | Selectcare | $78.31 | $154.77 | $116.08 | 2026-07-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Emi | Commercial | $83.58 | $154.77 | $116.08 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Emi | Commercial | $83.58 | $154.77 | $116.08 | 2026-07-17 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Outpatient | Regence Bcbs | Valuecare Cardiac | $83.89 | $154.77 | $116.08 | 2026-07-17 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Phcs | Phcs | — | — | — | 2026-07-15 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Regence Blue Cross Valuecare Ppo - Inpatient/Outpatient | — | $85.99 | $122.84 | $92.13 | 2026-07-31 | MRF ↗ |
| MCKAY-DEE HOSPITAL | Regence Blue Cross Valuecare Ppo - Inpatient/Outpatient | — | $85.99 | $122.84 | $92.13 | 2026-07-30 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Umr United Healthcare Options Ppo - Inpatient | — | $87.22 | $122.84 | $92.13 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Healthscope Benefits - Uhc - Inpatient | — | $87.22 | $122.84 | $92.13 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Uhc Medica Choice Plus - Inpatient | — | $87.22 | $122.84 | $92.13 | 2026-07-31 | MRF ↗ |
| MCKAY-DEE HOSPITAL | United Healthcare - Inpatient | — | $87.22 | $122.84 | $92.13 | 2026-07-30 | MRF ↗ |
| MCKAY-DEE HOSPITAL | Uhc Medica Choice Plus - Inpatient | — | $87.22 | $122.84 | $92.13 | 2026-07-30 | MRF ↗ |
| MCKAY-DEE HOSPITAL | Ushealth Group Freedom Life Uhc - Inpatient | — | $87.22 | $122.84 | $92.13 | 2026-07-30 | MRF ↗ |
| MCKAY-DEE HOSPITAL | Student Resources - Uhc - Inpatient | — | $87.22 | $122.84 | $92.13 | 2026-07-30 | MRF ↗ |
| MCKAY-DEE HOSPITAL | Surest - Uhc Choice Plus - Inpatient | — | $87.22 | $122.84 | $92.13 | 2026-07-30 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Sierra Health And Life - Uhc - Inpatient | — | $87.22 | $122.84 | $92.13 | 2026-07-31 | MRF ↗ |
| MCKAY-DEE HOSPITAL | Healthscope Benefits - Uhc - Inpatient | — | $87.22 | $122.84 | $92.13 | 2026-07-30 | MRF ↗ |
| MCKAY-DEE HOSPITAL | Umr United Healthcare Options Ppo - Inpatient | — | $87.22 | $122.84 | $92.13 | 2026-07-30 | MRF ↗ |
| MCKAY-DEE HOSPITAL | Umr United Healthcare Choice Network - Inpatient | — | $87.22 | $122.84 | $92.13 | 2026-07-30 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Student Resources - Uhc - Inpatient | — | $87.22 | $122.84 | $92.13 | 2026-07-31 | MRF ↗ |
| MCKAY-DEE HOSPITAL | Uhc All Savers - Inpatient | — | $87.22 | $122.84 | $92.13 | 2026-07-30 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Umr United Healthcare Choice Network - Inpatient | — | $87.22 | $122.84 | $92.13 | 2026-07-31 | MRF ↗ |
| MCKAY-DEE HOSPITAL | Sierra Health And Life - Uhc - Inpatient | — | $87.22 | $122.84 | $92.13 | 2026-07-30 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | United Healthcare - Inpatient | — | $87.22 | $122.84 | $92.13 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Ushealth Group Freedom Life Uhc - Inpatient | — | $87.22 | $122.84 | $92.13 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Golden Rule - Uhc One - Inpatient | — | $87.22 | $122.84 | $92.13 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Surest - Uhc Choice Plus - Inpatient | — | $87.22 | $122.84 | $92.13 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL | Uhc All Savers - Inpatient | — | $87.22 | $122.84 | $92.13 | 2026-07-31 | MRF ↗ |
| MCKAY-DEE HOSPITAL | Golden Rule - Uhc One - Inpatient | — | $87.22 | $122.84 | $92.13 | 2026-07-30 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $88.74 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $88.74 | — | — | 2025-12-23 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Deseret Mutual | All Other | $88.99 | $154.77 | $116.08 | 2026-07-17 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Deseret Mutual | Select | $88.99 | $154.77 | $116.08 | 2026-07-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Deseret Mutual | All Other | $88.99 | $154.77 | $116.08 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Deseret Mutual | Select | $88.99 | $154.77 | $116.08 | 2026-07-31 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Coventry | Coventry- Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Phcs | Phcs - Ppo | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Uhc - Indemnity | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Corvel | Corvel - Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Cigna | Cigna Hmo-Pos | $90.00 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | First Health/Hcvm | First Health/Hcvm - Dhp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Cigna | Cigna Ppo | $90.00 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Ccmsi | Ccmsi - Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL | Sierra Health And Life - Uhc - Inpatient/Outpatient | — | $91.20 | $110.54 | $82.91 | 2026-07-17 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL | Ushealth Group Freedom Life Uhc - Inpatient/Outpatient | — | $91.20 | $110.54 | $82.91 | 2026-07-17 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL | Surest - Uhc Choice Plus - Inpatient/Outpatient | — | $91.20 | $110.54 | $82.91 | 2026-07-17 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL | Umr United Healthcare Options Ppo - Inpatient/Outpatient | — | $91.20 | $110.54 | $82.91 | 2026-07-17 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL | United Healthcare - Inpatient/Outpatient | — | $91.20 | $110.54 | $82.91 | 2026-07-17 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL | Uhc Medica Choice Plus - Inpatient/Outpatient | — | $91.20 | $110.54 | $82.91 | 2026-07-17 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL | Umr United Healthcare Choice Network - Inpatient/Outpatient | — | $91.20 | $110.54 | $82.91 | 2026-07-17 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL | Uhc All Savers - Inpatient/Outpatient | — | $91.20 | $110.54 | $82.91 | 2026-07-17 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL | Golden Rule - Uhc One - Inpatient/Outpatient | — | $91.20 | $110.54 | $82.91 | 2026-07-17 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL | Student Resources - Uhc - Inpatient/Outpatient | — | $91.20 | $110.54 | $82.91 | 2026-07-17 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL | Healthscope Benefits - Uhc - Inpatient/Outpatient | — | $91.20 | $110.54 | $82.91 | 2026-07-17 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | American Health Plan | AmericanHealthPlanMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | BCBS-MI | BCBSMIMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Provider Partners Health Plan | ProviderPartnersHealthPlanMedicareAdvantage | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Aetna | AetnaMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Priority Health | PriorityHealthCigna | — | — | — | 2025-01-31 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Amerihealth | BlueCrossCompleteMgdMCaid | — | — | — | 2025-01-31 | 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.