J1451 — Injection, Fomepizole, 15 Mg
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Injection, fomepizole, 15 mg (OTHER J1451) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J1451?code_type=OTHER
MLA (9th ed.)
“Injection, fomepizole, 15 mg (OTHER J1451) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J1451?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Injection, fomepizole, 15 mg (OTHER J1451) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J1451?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $6–$24 (25th–75th percentile) across 178 hospitals · 424 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER J1451 — 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 |
|---|---|---|---|---|---|---|---|
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Hmo | $0.57 | $13,213.78 | $1,321.38 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $0.57 | $13,213.78 | $1,321.38 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Local Plus | $0.57 | $13,213.78 | $1,321.38 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $0.57 | $13,213.78 | $1,321.38 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $0.57 | $13,213.78 | $1,321.38 | 2026-05-27 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Ppo | $0.57 | $13,213.78 | $1,321.38 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Local Plus | $0.57 | $13,213.78 | $1,321.38 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Ppo | $0.57 | $13,213.78 | $1,321.38 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $0.57 | $13,213.78 | $1,321.38 | 2026-05-27 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $0.57 | $13,213.78 | $1,321.38 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Ppo | $0.57 | $13,213.78 | $1,321.38 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Local Plus | $0.57 | $13,213.78 | $1,321.38 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $0.57 | $13,213.78 | $1,321.38 | 2026-05-27 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Hmo | $0.57 | $13,213.78 | $1,321.38 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Hmo | $0.57 | $13,213.78 | $1,321.38 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Hmo | $0.59 | $13,213.78 | $1,321.38 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Bcbs | Hmo | $0.59 | $13,213.78 | $1,321.38 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $0.59 | $13,213.78 | $1,321.38 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $0.59 | $13,213.78 | $1,321.38 | 2026-05-27 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $0.59 | $13,213.78 | $1,321.38 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $0.59 | $13,213.78 | $1,321.38 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $0.59 | $13,213.78 | $1,321.38 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Bcbs | Ppo | $0.59 | $13,213.78 | $1,321.38 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $0.59 | $13,213.78 | $1,321.38 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $0.59 | $13,213.78 | $1,321.38 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $0.59 | $13,213.78 | $1,321.38 | 2026-05-27 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $0.59 | $13,213.78 | $1,321.38 | 2026-05-27 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Ppo | $0.59 | $13,213.78 | $1,321.38 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $0.59 | $13,213.78 | $1,321.38 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $0.59 | $13,213.78 | $1,321.38 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.62 | $13,213.78 | $1,321.38 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.62 | $13,213.78 | $1,321.38 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.62 | $13,213.78 | $1,321.38 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.62 | $13,213.78 | $1,321.38 | 2026-05-27 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.62 | $13,213.78 | $1,321.38 | 2026-05-09 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Both | Anthem Blue Cross Blue Shield | Managed Care | $1.19 | $9,391.00 | $3,756.00 | 2026-05-13 | MRF ↗ |
| AIKEN REGIONAL MEDICAL CENTER Both | Medcost | Managed Care | $1.64 | $5.00 | $2.00 | 2026-05-06 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-23 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $2.78 | — | — | 2026-05-13 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Unitedhealthcare | Medicaid | $2.78 | — | — | 2026-05-06 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-13 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $2.78 | — | — | 2026-05-23 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Humana | Commercial | — | — | — | 2026-05-06 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Inpatient | Local 1199 | Medicare | $3.22 | $76.31 | $9.92 | 2026-05-06 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Mclaren | Mi Medicaid | $3.37 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Mclaren | Mi Medicaid | $3.37 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Uhc | Mi Medicaid | $3.37 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Uhc | Mi Medicaid | $3.37 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Molina | Mi Medicaid | $3.37 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mclaren (Mi | Mi Medicaid | $3.37 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Aetna | Mi Medicaid | $3.37 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Uhc | Mi Medicaid | $3.37 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Priority Health | Mi Medicaid | $3.37 | — | — | 2026-05-13 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Community & State (Tenncare) | $3.48 | — | — | 2026-05-14 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Community & State (Tenncare) | $3.48 | — | — | 2026-05-24 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Unitedhealthcare | Medicaid | $3.48 | — | — | 2026-05-08 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Humana | Commercial | — | — | — | 2026-05-08 | MRF ↗ |
| AIKEN REGIONAL MEDICAL CENTER Both | Humana | Managed Care | $3.63 | $5.00 | $2.00 | 2026-05-06 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Inpatient | Magellan | Medicare | $4.19 | $76.31 | $9.92 | 2026-05-06 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Inpatient | Multiplan | Phcs - Beech Street | $4.19 | $76.31 | $9.92 | 2026-05-06 | MRF ↗ |
| AIKEN REGIONAL MEDICAL CENTER Both | Multiplan | Managed Care | $4.25 | $5.00 | $2.00 | 2026-05-06 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Inpatient | Oscar Health Exchange | Medicare | $4.38 | $76.31 | $9.92 | 2026-05-06 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Multiplan | Medicare Advantage | $4.40 | — | — | 2026-05-27 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Cigna | Cigna Ppo | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Aetna | Aetna | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Aetna | Medicare Managed 100% Mhrh | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Consolidated Health | Consolidated Health | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | United Healthcare | Medicare Managed 100% Mhrh | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Value Options | Value Options Medicare (Chcs) | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Value Options | Value Options Ghi Bmp | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | First Health | First Health | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Wellcare | Medicare Managed 100% Mhrh | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Bcbs | Blue Cross Commercial/Healthy Ny | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Oxford | Oxford Exchange | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Wellcare | Wellcare Exchange (Mcr) | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Oxford | Medicare Managed 100% Mhrh | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Bcbs | Blue Cross Access | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Bcbs | Blue Cross Small Group | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Bcbs | Blue Cross Connection/Exchange | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Beacon Health | Beacon Commercial | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Beacon Health | Beacon Medicare | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Non Contracted | Medicare Managed 100% Mhrh | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Health First | Medicare Managed 100% Mhrh | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Value Options | Value Options Comm (Chcs) | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Magnacare | Medicare Managed 100% Mhrh | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Va | Veterans (Mcr) | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Tricare | Tricare | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | United Healthcare | Uhc Compass | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Magnacare | Magnacare Preferred | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Aetna | Aetna Employee | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Vns Choice | Vns Medicare Choice | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Emblem | Emblem Select Care (Exchange) | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Magnacare | Magnacare Standard | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Todays Options | Medicare Managed 100% Mhrh | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Partners Health Plan | Medicare Managed 100% Mhrh | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Emblem | Emblem Ghi/Hip Cbp | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Emblem | Medicare Managed 100% Mhrh | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Emblem | Emblem Ghi/Hip Hmo/Epo/Pos | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Emblem | Emblem Ghi/Hip Ppo | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Emblem | Emblem Ghi/Hip Medicare | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Emblem | Emblem Leased Network | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Aetna | Aetna Hp Network | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Mvp | Mvp Gold (Mcr) | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Phcs | Phcs | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Cigna | Medicare Managed 100% Mhrh | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | United Healthcare | Uhc Commercial | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Value Options | Value Options (Non-Hmo) | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Cdphp | Cdphp | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Cdphp | Cdphp Medicare | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Bcbs | Blue Cross Medicare | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Mvp | Mvp Hmo/Ppo | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Mvp | Mvp Exchange | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Multiplan | Multiplan | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | United Healthcare | Uhc Exchange | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | United Healthcare | Uhc Empire | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Oxford | Uhc Commercial | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Oscar | Oscar Medicare | — | $36.97 | $12.57 | 2026-05-13 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Inpatient | Coventry | Medicare | $4.77 | $76.31 | $9.92 | 2026-05-06 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Dsnp | $4.90 | — | — | 2026-05-24 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Dsnp | $4.90 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Optum/Uhc Kidney Transplant | Tenncare | $5.13 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Coventry | Hmo/Pos/Ppo | — | — | — | 2026-05-09 | MRF ↗ |
| BOTHWELL REGIONAL HEALTH CENTER Outpatient | Cigna | All Plans | — | $3,022.00 | $2,266.50 | 2026-05-14 | MRF ↗ |
| BOTHWELL REGIONAL HEALTH CENTER Outpatient | Aetna | All Plans | — | $3,022.00 | $2,266.50 | 2026-05-14 | MRF ↗ |
| BOTHWELL REGIONAL HEALTH CENTER Outpatient | Tri West | Tri West | — | $3,022.00 | $2,266.50 | 2026-05-14 | MRF ↗ |
| BOTHWELL REGIONAL HEALTH CENTER Outpatient | Blue Cross Blue Shield | Preferred, Ppo, Trad, Net | $5.14 | $3,022.00 | $2,266.50 | 2026-05-14 | MRF ↗ |
| BOTHWELL REGIONAL HEALTH CENTER Outpatient | Corvel | All Plans | — | $3,022.00 | $2,266.50 | 2026-05-14 | MRF ↗ |
| BOTHWELL REGIONAL HEALTH CENTER Outpatient | Coventry | Workers Comp | — | $3,022.00 | $2,266.50 | 2026-05-14 | MRF ↗ |
| BOTHWELL REGIONAL HEALTH CENTER Outpatient | United Healthcare | Medicaid | — | $3,022.00 | $2,266.50 | 2026-05-14 | MRF ↗ |
| BOTHWELL REGIONAL HEALTH CENTER Outpatient | Oha Workers Comp | Oha Workers Comp | — | $3,022.00 | $2,266.50 | 2026-05-14 | MRF ↗ |
| BOTHWELL REGIONAL HEALTH CENTER Outpatient | Tricare Health Net | Tricare Health Net | — | $3,022.00 | $2,266.50 | 2026-05-14 | MRF ↗ |
| BOTHWELL REGIONAL HEALTH CENTER Outpatient | Home State | Medicaid | — | $3,022.00 | $2,266.50 | 2026-05-14 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Inpatient | Longevity Health | Medicare | $5.15 | $76.31 | $9.92 | 2026-05-06 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Healthy U | Medicaid | $5.19 | — | — | 2026-05-18 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Selecthealth | Medicaid | $5.19 | — | — | 2026-05-18 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $5.19 | — | — | 2026-05-18 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Molina | Medicaid | $5.19 | — | — | 2026-05-18 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Healthy U | Medicaid | $5.19 | — | — | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $5.19 | — | — | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Molina | Medicaid | $5.19 | — | — | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Selecthealth | Medicaid | $5.19 | — | — | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Davis Behavioral Health | Behavioral Health | $5.24 | — | — | 2026-05-18 | MRF ↗ |
| GLENS FALLS HOSPITAL Outpatient | Emblem Ghi | Commercial | $5.26 | — | — | 2026-05-08 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Weber Human Services | Behavioral Health | $5.28 | — | — | 2026-05-18 | MRF ↗ |
| NORTHEASTERN HEALTH SYSTEM Both | Tahl Bcbs Preferred | 29030781 | $5.31 | $3,240.00 | $1,620.00 | 2026-05-14 | MRF ↗ |
| NORTHEASTERN HEALTH SYSTEM Both | Tahl Bcbs Choice | 29030731 | $5.31 | $3,240.00 | $1,620.00 | 2026-05-14 | MRF ↗ |
| NORTHEASTERN HEALTH SYSTEM Both | Tahl United Healthcare | 29045755 | — | $3,240.00 | $1,620.00 | 2026-05-14 | MRF ↗ |
| NORTHEASTERN HEALTH SYSTEM Both | Tahl Miscellaneous United Healthcare | 28186640 | — | $3,240.00 | $1,620.00 | 2026-05-14 | MRF ↗ |
| NORTHEASTERN HEALTH SYSTEM Both | Tahl Bcbs Advantage | 29030860 | $5.31 | $3,240.00 | $1,620.00 | 2026-05-14 | MRF ↗ |
| NORTHEASTERN HEALTH SYSTEM Both | Tahl Bcbs Cn | 29030748 | $5.31 | $3,240.00 | $1,620.00 | 2026-05-14 | MRF ↗ |
| NORTHEASTERN HEALTH SYSTEM Both | Tahl Bcbs Traditional | 29030835 | $5.31 | $3,240.00 | $1,620.00 | 2026-05-14 | MRF ↗ |
| NORTHEASTERN HEALTH SYSTEM Both | Tahl Bcbs Lincs | 29030808 | $5.31 | $3,240.00 | $1,620.00 | 2026-05-14 | MRF ↗ |
| NORTHEASTERN HEALTH SYSTEM Both | Tahl Uhc Shared Services | 29042477 | — | $3,240.00 | $1,620.00 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Molina | Medicaid | $5.32 | — | — | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Healthy U | Medicaid | $5.32 | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Medicaid | $5.32 | — | — | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Medicaid | $5.32 | — | — | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $5.32 | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Molina | Medicaid | $5.32 | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Medicaid | $5.32 | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $5.32 | — | — | 2026-05-18 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Healthy U | Medicaid | $5.32 | — | — | 2026-05-09 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Selecthealth | Medicaid | $5.32 | — | — | 2026-05-09 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $5.32 | — | — | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Healthy U | Medicaid | $5.32 | — | — | 2026-05-18 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Molina | Medicaid | $5.32 | — | — | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $5.32 | — | — | 2026-05-22 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Molina | Medicaid | $5.32 | — | — | 2026-05-09 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Selecthealth | Medicaid | $5.32 | — | — | 2026-05-09 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $5.32 | — | — | 2026-05-09 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Healthy U | Medicaid | $5.32 | — | — | 2026-05-09 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Health Choice | Medicaid | $5.32 | — | — | 2026-05-09 | MRF ↗ |
| SEVIER VALLEY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $5.32 | — | — | 2026-05-14 | MRF ↗ |
| SEVIER VALLEY HOSPITAL Outpatient | Healthy U | Medicaid | $5.32 | — | — | 2026-05-14 | MRF ↗ |
| SEVIER VALLEY HOSPITAL Outpatient | Molina | Medicaid | $5.32 | — | — | 2026-05-14 | MRF ↗ |
| SEVIER VALLEY HOSPITAL Outpatient | Selecthealth | Medicaid | $5.32 | — | — | 2026-05-14 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $5.32 | — | — | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Healthy U | Medicaid | $5.32 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Healthy U | Medicaid | $5.32 | — | — | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Medicaid | $5.32 | — | — | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Selecthealth | Medicaid | $5.34 | — | — | 2026-05-09 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Healthy U | Medicaid | $5.34 | — | — | 2026-05-09 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $5.34 | — | — | 2026-05-15 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $5.34 | — | — | 2026-05-09 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $5.34 | — | — | 2026-05-13 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Regence | Medicare Advantage | $5.34 | — | — | 2026-05-27 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $5.34 | — | — | 2026-05-22 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Wellpoint | Medicaid | $5.45 | — | — | 2026-05-06 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Wellpoint Tci | Medicaid | $5.45 | — | — | 2026-05-06 | MRF ↗ |
| COMMUNITY HOSPITAL Outpatient | Rocky Mountain Health Maintenance Org | Mngd. Medica | — | $1,800.00 | $1,008.00 | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL Outpatient | Rocky Mountain Health Maintenance Org | Commercial | — | $1,800.00 | $1,008.00 | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL Outpatient | First Health | Commercial | — | $1,800.00 | $1,008.00 | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL Outpatient | Kaiser Permanente | Commercial | — | $1,800.00 | $1,008.00 | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL Outpatient | Blue Cross Blue Shield Ppo/Hmo | Commercial | — | $1,800.00 | $1,008.00 | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL Outpatient | Anthem Public Option | Commercial | — | $1,800.00 | $1,008.00 | 2026-05-23 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Coventry | Hmo/Pos/Ppo | — | — | — | 2026-05-13 | MRF ↗ |
| COMMUNITY HOSPITAL Outpatient | Blue Cross Blue Shield Trad/Par | Commercial | — | $1,800.00 | $1,008.00 | 2026-05-23 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Optum/Uhc Kidney Transplant | Tenncare | $5.47 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Optum/Uhc Kidney Transplant | Tenncare | $5.47 | — | — | 2026-05-13 | MRF ↗ |
| COMMUNITY HOSPITAL Outpatient | Rocky Mountain Health Maintenance Org | Medicare Adv | $5.47 | $1,800.00 | $1,008.00 | 2026-05-23 | 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.