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Reported by 75 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

$67

Average

$121

Median

$118

High

$246

#	Hospital	Location
1	Virginia Mason Medical Center	Seattle, WA	$136	$202	$123	—	$95	$481
2	IHC Health Services Inc., DBA Intermountain Health Intermountain Medical Center	Murray, UT	$104	$154	$77	—	$102	$294
3	IHC Health Services Inc., DBA Intermountain Health Utah Valley Hospital	Provo, UT	$108	$153	$78	—	$86	$294
4	IHC Health Services Inc., DBA Intermountain Health McKay-Dee Hospital	Ogden, UT	$108	$150	$74	—	$86	$294
5	IHC Health Services Inc., DBA Intermountain Health St George Regional Hospital	St. George, UT	$104	$114	$32	—	$99	$246
6	IHC Health Services Inc., DBA Intermountain Health LDS Hospital	Salt Lake City, UT	$109	$154	$75	—	$99	$294
7	Scl Health - Montana, Dba Intermountain Health St. Vincent Healthcare	Billings, MT	$174	$171	$55	—	$102	$280
8	Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph Hospital	DENVER, CO	$155	$160	$65	—	$101	$265
9	IHC Health Services Inc., DBA Intermountain Health Logan Regional Hospital	Logan, UT	$104	$118	$41	—	$86	$246
10	St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional Hospital	JUNCTION, CO	$145	$128	$23	—	$102	$150

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Ask Claude or any MCP client for CPT L4090 pricing at a specific hospital — see how to connect.