HC CUS ADDL LWR EXT ORTHOS FOR CUS FAB ONLY

Reported by 33 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

$355

Average

$460

Median

$410

High

$831

#	Hospital	Location
1	IHC Health Services Inc., DBA Intermountain Health Intermountain Medical Center	Murray, UT	$441	$399	$115	—	$7	$551
2	IHC Health Services Inc., DBA Intermountain Health Utah Valley Hospital	Provo, UT	$441	$405	$110	—	$9	$551
3	IHC Health Services Inc., DBA Intermountain Health McKay-Dee Hospital	Ogden, UT	$441	$405	$115	—	$6	$612
4	IHC Health Services Inc., DBA Intermountain Health St George Regional Hospital	St. George, UT	$405	$385	$71	—	$9	$428
5	IHC Health Services Inc., DBA Intermountain Health LDS Hospital	Salt Lake City, UT	$441	$402	$112	—	$8	$551
6	Scl Health - Montana, Dba Intermountain Health St. Vincent Healthcare	Billings, MT	$508	$502	$79	—	$342	$593
7	Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph Hospital	DENVER, CO	$831	$820	$352	—	$269	$1.5k
8	IHC Health Services Inc., DBA Intermountain Health Logan Regional Hospital	Logan, UT	$404	$378	$88	—	$10	$457
9	St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional Hospital	JUNCTION, CO	$281	$355	$149	—	$111	$625
10	IHC Health Services Inc., DBA Intermountain Health American Fork Hospital	American Fork, UT	$434	$402	$107	—	$11	$551

Page 1 of 4

Ask Claude or any MCP client for CPT L2755 pricing at a specific hospital — see how to connect.