Cast sup long arm ped plster

Reported by 56 hospitals in the network under the fee schedule methodology.

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Reflects negotiated fee schedule rates with commercial payers.

National pricing summary

Low

Average

$12

Median

High

$22

#	Hospital	Location
1	Virginia Mason Medical Center	Seattle, WA	$20	$20	—	—	$20	$20
2	IHC Health Services Inc., DBA Intermountain Health Intermountain Medical Center	Murray, UT	$22	$22	$2	—	$20	$23
3	IHC Health Services Inc., DBA Intermountain Health Utah Valley Hospital	Provo, UT	$22	$22	$2	—	$20	$23
4	IHC Health Services Inc., DBA Intermountain Health McKay-Dee Hospital	Ogden, UT	$22	$22	$2	—	$20	$23
5	IHC Health Services Inc., DBA Intermountain Health St George Regional Hospital	St. George, UT	$20	$20	—	—	$20	$20
6	IHC Health Services Inc., DBA Intermountain Health LDS Hospital	Salt Lake City, UT	$22	$22	$2	—	$20	$23
7	Scl Health - Montana, Dba Intermountain Health St. Vincent Healthcare	Billings, MT	$14	$12	$3	—	$9	$14
8	Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph Hospital	DENVER, CO	$12	$12	—	—	$12	$12
9	IHC Health Services Inc., DBA Intermountain Health Logan Regional Hospital	Logan, UT	$19	$19	$1	—	$18	$20
10	St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional Hospital	JUNCTION, CO	$12	$12	$0	—	$12	$12

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