Reported by 1 hospital in the network under the case rate methodology.
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Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.
Low
$133
Average
$133
Median
$133
High
$133
| # | Hospital | Location | Approximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price. | |||||
|---|---|---|---|---|---|---|---|---|
| 1 | IHC Health Services Inc., DBA Intermountain Health Layton Hospital | Layton, UT | $132 | $133 | $5 | — | $127 | $211 |
Ask Claude or any MCP client for CPT Q4163 pricing at a specific hospital — see how to connect.