Plastic mod low ext pad/line

Reported by 98 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

$62

Average

$169

Median

$157

High

$406

#	Hospital	Location
1	Virginia Mason Medical Center	Seattle, WA	$176	$263	$160	—	$123	$625
2	Saint Alphonsus Regional Medical Center - Boise	Boise, ID	$222	$220	$6	—	$41	$222
3	IHC Health Services Inc., DBA Intermountain Health Intermountain Medical Center	Murray, UT	$171	$254	$126	—	$168	$485
4	IHC Health Services Inc., DBA Intermountain Health Utah Valley Hospital	Provo, UT	$179	$252	$128	—	$142	$485
5	IHC Health Services Inc., DBA Intermountain Health McKay-Dee Hospital	Ogden, UT	$179	$247	$122	—	$143	$485
6	IHC Health Services Inc., DBA Intermountain Health St George Regional Hospital	St. George, UT	$171	$188	$53	—	$164	$406
7	IHC Health Services Inc., DBA Intermountain Health LDS Hospital	Salt Lake City, UT	$179	$254	$123	—	$164	$485
8	Scl Health - Montana, Dba Intermountain Health St. Vincent Healthcare	Billings, MT	$286	$283	$90	—	$168	$461
9	Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph Hospital	DENVER, CO	$256	$264	$107	—	$166	$436
10	IHC Health Services Inc., DBA Intermountain Health Logan Regional Hospital	Logan, UT	$171	$195	$67	—	$143	$406

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