Reported by 33 hospitals in the network under the fee schedule methodology.
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Low
$173
Average
$267
Median
$280
High
$486
| # | Hospital | Location | |||||
|---|---|---|---|---|---|---|---|
| 1 | Virginia Mason Medical Center | Seattle, WA | $136 | $194 | $289 | $688 | $176 |
| 2 | Saint Alphonsus Regional Medical Center - Boise | Boise, ID | $45 | $244 | $240 | $244 | $19 |
| 3 | IHC Health Services Inc., DBA Intermountain Health Intermountain Medical Center | Murray, UT | $201 | $205 | $304 | $580 | $151 |
| 4 | IHC Health Services Inc., DBA Intermountain Health Utah Valley Hospital | Provo, UT | $169 | $214 | $302 | $580 | $153 |
| 5 | IHC Health Services Inc., DBA Intermountain Health McKay-Dee Hospital | Ogden, UT | $171 | $214 | $295 | $580 | $146 |
| 6 | Benefis Hospitals Inc | Falls, MT | $155 | $206 | $242 | $568 | $106 |
| 7 | IHC Health Services Inc., DBA Intermountain Health St George Regional Hospital | St. George, UT | $196 | $205 | $225 | $486 | $64 |
| 8 | IHC Health Services Inc., DBA Intermountain Health LDS Hospital | Salt Lake City, UT | $196 | $214 | $304 | $580 | $147 |
| 9 | Scl Health - Montana, Dba Intermountain Health St. Vincent Healthcare | Billings, MT | $201 | $343 | $338 | $552 | $108 |
| 10 | Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph Hospital | DENVER, CO | $199 | $306 | $315 | $522 | $128 |
Ask Claude or any MCP client for CPT L4396 pricing at a specific hospital — see how to connect.