HC Tlso Triplanar Control Hyperextension Rigid Anterior Prefabricated Restricted Non-Mm Supply

Reported by 88 hospitals in the network under the percent of billed charges methodology.

Filter by billing methodology

Reflects a negotiated percentage of total billed charges.

National pricing summary

Low

$322

Average

$1.0k

Median

$1.0k

High

$2.2k

#	Hospital	Location
1	Saint Alphonsus Regional Medical Center - Boise	Boise, ID	$382	$332	$96	—	$127	$684
2	Saint Alphonsus Medical Center - Nampa	Nampa, ID	$373	$322	$99	—	$110	$684
3	IHC Health Services Inc., DBA Intermountain Health Intermountain Medical Center	Murray, UT	$1.1k	$1.0k	$300	—	$19	$1.4k
4	IHC Health Services Inc., DBA Intermountain Health Utah Valley Hospital	Provo, UT	$1.1k	$1.1k	$287	—	$22	$1.4k
5	IHC Health Services Inc., DBA Intermountain Health McKay-Dee Hospital	Ogden, UT	$1.1k	$1.1k	$298	—	$16	$1.6k
6	IHC Health Services Inc., DBA Intermountain Health St George Regional Hospital	St. George, UT	$1.1k	$1.0k	$185	—	$24	$1.1k
7	IHC Health Services Inc., DBA Intermountain Health LDS Hospital	Salt Lake City, UT	$1.1k	$1.0k	$291	—	$21	$1.4k
8	Scl Health - Montana, Dba Intermountain Health St. Vincent Healthcare	Billings, MT	$1.3k	$1.3k	$206	—	$890	$1.5k
9	Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph Hospital	DENVER, CO	$2.2k	$2.1k	$916	—	$700	$3.8k
10	IHC Health Services Inc., DBA Intermountain Health Logan Regional Hospital	Logan, UT	$1.1k	$985	$230	—	$26	$1.2k

Page 1 of 9

Ask Claude or any MCP client for CPT L0472 pricing at a specific hospital — see how to connect.

Reported by 88 hospitals in the network under the percent of billed charges methodology.

Filter by billing methodology

Reflects a negotiated percentage of total billed charges.

Low

$322

Average

$1.0k

Median

$1.0k

High

$2.2k

#	Hospital	Location
1	Saint Alphonsus Regional Medical Center - Boise	Boise, ID	$382	$332	$96	—	$127	$684
2	Saint Alphonsus Medical Center - Nampa	Nampa, ID	$373	$322	$99	—	$110	$684
3	IHC Health Services Inc., DBA Intermountain Health Intermountain Medical Center	Murray, UT	$1.1k	$1.0k	$300	—	$19	$1.4k
4	IHC Health Services Inc., DBA Intermountain Health Utah Valley Hospital	Provo, UT	$1.1k	$1.1k	$287	—	$22	$1.4k
5	IHC Health Services Inc., DBA Intermountain Health McKay-Dee Hospital	Ogden, UT	$1.1k	$1.1k	$298	—	$16	$1.6k
6	IHC Health Services Inc., DBA Intermountain Health St George Regional Hospital	St. George, UT	$1.1k	$1.0k	$185	—	$24	$1.1k
7	IHC Health Services Inc., DBA Intermountain Health LDS Hospital	Salt Lake City, UT	$1.1k	$1.0k	$291	—	$21	$1.4k
8	Scl Health - Montana, Dba Intermountain Health St. Vincent Healthcare	Billings, MT	$1.3k	$1.3k	$206	—	$890	$1.5k
9	Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph Hospital	DENVER, CO	$2.2k	$2.1k	$916	—	$700	$3.8k
10	IHC Health Services Inc., DBA Intermountain Health Logan Regional Hospital	Logan, UT	$1.1k	$985	$230	—	$26	$1.2k

Page 1 of 9

Ask Claude or any MCP client for CPT L0472 pricing at a specific hospital — see how to connect.