58571 — Tlh W/t/o 250 G Or Less
$3,585
All-payer median here
$3,677
Cash / self-pay here
8
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.