Pegademase bovine- 25 iu

Reported by 58 hospitals in the network under the fee schedule methodology.

Filter by billing methodology

Reflects negotiated fee schedule rates with commercial payers.

National pricing summary

Low

Average

$414

Median

$371

High

$1.1k

#	Hospital	Location
1	Virginia Mason Medical Center	Seattle, WA	$1.2k	$1.1k	$172	—	$889	$1.3k
2	Scl Health - Montana, Dba Intermountain Health St. Vincent Healthcare	Billings, MT	$726	$865	$280	—	$536	$1.2k
3	Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph Hospital	DENVER, CO	$442	$324	$195	—	$0	$442
4	St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional Hospital	JUNCTION, CO	$0	$0	—	—	$0	$0
5	Intermountain Front Range Inc. Dba Intermountain Health Lutheran Hospital	WHEAT RIDGE, CO	$442	$324	$195	—	$0	$442
6	Good Samaritan Medical Center, Llc Dba	LAFAYETTE, CO	$442	$347	$181	—	$0	$442
7	St. James Healthcare INTERMOUNTAIN HEALTH ST JAMES HOSPITAL	Butte, MT	$813	$813	$27	—	$787	$840
8	Holy Rosary Healthcare Dba Intermountain Health Holy Rosary Hospital	CITY, MT	$258	$290	$47	—	$256	$358
9	IHC Health Services Inc., DBA Intermountain Health Cassia Regional Hospital	Burley, ID	$394	$394	$106	—	$288	$500
10	Brighton Community Hospital Association Dba Intermountain Health Platte Valley Hospital	BRIGHTON, CO	$0	$0	—	—	$0	$0

Page 1 of 6

Ask Claude or any MCP client for CPT J2504 pricing at a specific hospital — see how to connect.