Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
PLYMOUTH THORACOLUMBAR PLATE L4-L5 24MM 1105.3018
Low
$2.2k
Average
$5.6k
Median
$5.0k
High
$15.2k
Each hospital's average Medical Mutual rate, under the methodology and billing class chosen below.
53 hospitals; the 90th percentile is 3.7× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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71 hospital rates
iThe hospitals that file a Medical Mutual rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 3 | $15.7k | $14.8k | $7.8k | 53% | — | $779 – $38.2k |
| 2 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 4 | $12.2k | $13.1k | $7.6k | 58% | — | $423 – $38.2k |
| 3 | Adena Health System Chillicothe, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $9.4k | $8.9k | $4.7k | 53% | — | $468 – $23.0k |
| 4 | Adena Health System Chillicothe, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $9.4k | $10.6k | $5.9k | 56% | — | $468 – $31.8k |
| 5 | Benefis Hospitals Inc Helena, MT percent of total billed charges · bothfrom % of charges | 1 | $13.5k | $15.2k | $6.4k | 42% | — | $5.2k – $22.2k |
| 6 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $1.8k | $2.2k | $1.6k | 75% | — | $0 – $13.0k |
| 7 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $1.8k | $2.2k | $1.6k | 74% | — | $0 – $13.0k |
| 8 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $3.8k | $4.7k | $3.5k | 75% | — | $0 – $27.5k |
| 9 | Covenant Medical Center Inc Waterloo, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $4.7k | $5.7k | $4.2k | 75% | — | $0 – $33.4k |
| 10 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $3.8k | $4.6k | $3.5k | 77% | — | $0 – $33.1k |
| 11 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $16.4k | $16.4k | — | — | — | $16.4k – $16.4k |
| 12 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $11.1k | $11.1k | — | — | — | $11.1k – $11.1k |
| 13 | Greenfield Area Medical Center Greenfield, OH facility · percent of total billed charges · inpatientfrom % of charges | 2 | $14.9k | $14.1k | $7.4k | 53% | — | $741 – $36.3k |
| 14 | Greenfield Area Medical Center Greenfield, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $14.9k | $14.1k | $7.4k | 53% | — | $741 – $36.3k |
| 15 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 3 | $6.3k | $6.4k | $994 | 16% | — | $4.9k – $8.1k |
| 16 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 4 | $5.6k | $5.9k | $1.1k | 19% | — | $4.3k – $8.1k |
| 17 | Mayo Clinic Health System Sparta, WI facility · percent of total billed charges · bothfrom % of charges | 3 | $6.8k | $6.8k | $60 | 1% | — | $6.7k – $6.9k |
| 18 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $4.0k | $4.6k | $3.1k | 68% | — | $0 – $30.9k |
| 19 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $4.6k | $5.2k | $3.5k | 68% | — | $0 – $35.0k |
| 20 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $2.3k | $2.8k | $2.1k | 75% | — | $0 – $20.5k |
| 21 | Mercy Health Services-Iowa Corp. Mason City, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $2.8k | $3.3k | $2.5k | 75% | — | $0 – $19.6k |
| 22 | Mercy Hospital of Franciscan Sisters Inc Oelwein, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $4.8k | $5.8k | $4.4k | 75% | — | $0 – $34.4k |
| 23 | Mercy Medical Center - Dubuque Dubuque, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $4.3k | $5.3k | $4.0k | 75% | — | $0 – $31.2k |
| 24 | Mercy Medical Center - Dyersville Dyersville, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $4.3k | $5.3k | $3.9k | 75% | — | $0 – $30.9k |
| 25 | Mercy Medical Center - New Hampton New Hampton, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $4.7k | $5.7k | $4.4k | 77% | — | $0 – $41.1k |
← Payers reporting HCPCS C1821 · Snapshot 20261111T120946Z-9134e7f7