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
Int therapeutic restoration
Low
$17
Average
$299
Median
$202
High
$2.8k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
34 hospitals; the 90th percentile is 13.4× 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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34 hospital rates
iThe hospitals that file a Aetna 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 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · percent of total billed charges · outpatientfrom % of charges | 3 | $220 | $234 | $30 | 13% | — | $206 – $275 |
| 2 | Berger Hospital Circleville, OH fee schedule · outpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 3 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 4 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $357 | $357 | — | — | — | $357 – $357 |
| 5 | Chambers Health Anahuac, TX percent of total billed charges · outpatientfrom % of charges | 1 | $81 | $81 | — | — | — | $81 – $81 |
| 6 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 2 | $17 | $17 | — | — | — | $17 – $17 |
| 7 | Cleveland Clinic Mercy Hospital Canton, OH professional · percent of total billed charges · outpatientfrom % of charges | 3 | $220 | $234 | $30 | 13% | — | $206 – $275 |
| 8 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $211 | $211 | — | — | — | $211 – $211 |
| 9 | Conway Hospital, Inc. Conway, SC professional · fee schedule · outpatient | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 10 | Covenant Medical Center Lubbock, TX fee schedule · outpatient | 1 | $89 | $89 | — | — | — | $89 – $89 |
| 11 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 1 | $321 | $321 | — | — | — | $321 – $321 |
| 12 | Garnet Health Medical Center Middletown, NY facility · fee schedule · outpatient | 1 | $157 | $157 | — | — | — | $157 – $157 |
| 13 | Garnet Health Medical Center Catskills Harris, NY facility · fee schedule · outpatient | 1 | $144 | $144 | — | — | — | $144 – $144 |
| 14 | Good Shepherd Medical Center - Longview Longview, TX fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 15 | Good Shepherd Medical Center - Marshall Marshall, TX fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 16 | HMH HOSPITALS CORPORATION Hackensack, NJ facility · fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 17 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $193 | $193 | — | — | — | $193 – $193 |
| 18 | Loyola University Medical Center Maywood, IL facility · case rate · outpatient | 1 | $338 | $338 | — | — | — | $338 – $338 |
| 19 | Lubbock Heritage Hospital LLC Lubbock, TX fee schedule · outpatient | 1 | $89 | $89 | — | — | — | $89 – $89 |
| 20 | MARTIN MEMORIAL MEDICAL CENTER INC Port St Lucie, FL facility · case rate · outpatient | 2 | $193 | $193 | $18 | 9% | — | $176 – $211 |
| 21 | MacNeal Hospital Berwyn, IL facility · case rate · outpatient | 1 | $234 | $234 | — | — | — | $234 – $234 |
| 22 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 3 | $17 | $17 | — | — | — | $17 – $17 |
| 23 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · fee schedule · outpatient | 1 | $965 | $965 | — | — | — | $965 – $965 |
| 24 | Riverside Hospital Inc Newport News, VA fee schedule · outpatient | 1 | $321 | $321 | — | — | — | $321 – $321 |
| 25 | Riverside Middle Peninsula Hospital, Inc Gloucester, VA fee schedule · outpatient | 1 | $321 | $321 | — | — | — | $321 – $321 |
← Payers reporting HCPCS D2941 · Snapshot 20261112T124536Z-e251e855