58542 — Lsh W/t/o Ut 250 G Or Less
$9,152
All-payer median here
$25,240
Cash / self-pay here
6
payer/plan-name variants
Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.