Breast prosthesis w adhesive

Reported by 87 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

$287

Average

$477

Median

$439

High

$1.0k

#	Hospital	Location
1	Virginia Mason Medical Center	Seattle, WA	$379	$565	$343	—	$265	$1.3k
2	IHC Health Services Inc., DBA Intermountain Health Intermountain Medical Center	Murray, UT	$436	$647	$322	—	$427	$1.2k
3	IHC Health Services Inc., DBA Intermountain Health Utah Valley Hospital	Provo, UT	$455	$642	$326	—	$361	$1.2k
4	IHC Health Services Inc., DBA Intermountain Health McKay-Dee Hospital	Ogden, UT	$455	$628	$311	—	$363	$1.2k
5	IHC Health Services Inc., DBA Intermountain Health St George Regional Hospital	St. George, UT	$436	$479	$136	—	$417	$1.0k
6	IHC Health Services Inc., DBA Intermountain Health LDS Hospital	Salt Lake City, UT	$456	$647	$314	—	$417	$1.2k
7	Scl Health - Montana, Dba Intermountain Health St. Vincent Healthcare	Billings, MT	$729	$720	$230	—	$427	$1.2k
8	Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph Hospital	DENVER, CO	$651	$671	$272	—	$423	$1.1k
9	IHC Health Services Inc., DBA Intermountain Health Logan Regional Hospital	Logan, UT	$436	$496	$171	—	$363	$1.0k
10	St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional Hospital	JUNCTION, CO	$608	$537	$98	—	$427	$630

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