Tlso 3mod sacro-scap pre

Reported by 86 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

$856

Average

$1.7k

Median

$1.6k

High

$3.7k

#	Hospital	Location
1	Virginia Mason Medical Center	Seattle, WA	$1.5k	$2.2k	$1.3k	—	$1.0k	$5.2k
2	Saint Alphonsus Regional Medical Center - Boise	Boise, ID	$1.8k	$1.8k	$49	—	$344	$1.8k
3	IHC Health Services Inc., DBA Intermountain Health Intermountain Medical Center	Murray, UT	$1.6k	$2.3k	$1.1k	—	$1.5k	$4.4k
4	IHC Health Services Inc., DBA Intermountain Health Utah Valley Hospital	Provo, UT	$1.6k	$2.3k	$1.2k	—	$1.3k	$4.4k
5	IHC Health Services Inc., DBA Intermountain Health McKay-Dee Hospital	Ogden, UT	$1.6k	$2.2k	$1.1k	—	$1.3k	$4.4k
6	IHC Health Services Inc., DBA Intermountain Health St George Regional Hospital	St. George, UT	$1.6k	$1.7k	$483	—	$1.5k	$3.7k
7	IHC Health Services Inc., DBA Intermountain Health LDS Hospital	Salt Lake City, UT	$1.6k	$2.3k	$1.1k	—	$1.5k	$4.4k
8	Scl Health - Montana, Dba Intermountain Health St. Vincent Healthcare	Billings, MT	$2.6k	$2.6k	$820	—	$1.5k	$4.2k
9	Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph Hospital	DENVER, CO	$2.3k	$2.4k	$968	—	$1.5k	$4.0k
10	IHC Health Services Inc., DBA Intermountain Health Logan Regional Hospital	Logan, UT	$1.6k	$1.8k	$610	—	$1.3k	$3.7k

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