Below knee sus/seal sleeve

Reported by 88 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

$92

Average

$182

Median

$162

High

$475

#	Hospital	Location
1	Virginia Mason Medical Center	Seattle, WA	$151	$225	$137	—	$106	$535
2	Saint Alphonsus Regional Medical Center - Boise	Boise, ID	$190	$189	$5	—	$35	$190
3	IHC Health Services Inc., DBA Intermountain Health Intermountain Medical Center	Murray, UT	$159	$237	$118	—	$156	$452
4	IHC Health Services Inc., DBA Intermountain Health Utah Valley Hospital	Provo, UT	$166	$235	$119	—	$132	$452
5	IHC Health Services Inc., DBA Intermountain Health McKay-Dee Hospital	Ogden, UT	$166	$230	$114	—	$133	$452
6	IHC Health Services Inc., DBA Intermountain Health St George Regional Hospital	St. George, UT	$159	$175	$50	—	$153	$378
7	IHC Health Services Inc., DBA Intermountain Health LDS Hospital	Salt Lake City, UT	$167	$237	$115	—	$153	$452
8	Scl Health - Montana, Dba Intermountain Health St. Vincent Healthcare	Billings, MT	$267	$263	$84	—	$156	$430
9	Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph Hospital	DENVER, CO	$238	$246	$100	—	$155	$406
10	IHC Health Services Inc., DBA Intermountain Health Logan Regional Hospital	Logan, UT	$159	$181	$63	—	$133	$378

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Ask Claude or any MCP client for CPT L5685 pricing at a specific hospital — see how to connect.