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
$36
Average
$1.6k
Median
$1.8k
High
$5.0k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
28 hospitals; the 90th percentile is 21.6× 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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28 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 4 | $134 | $173 | $64 | 37% | — | $111 – $250 |
| 2 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 2 | $3.0k | $2.2k | $1.1k | 51% | — | $623 – $3.0k |
| 3 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 2 | $3.0k | $2.2k | $1.1k | 51% | — | $623 – $3.0k |
| 4 | Beaufort Memorial Hospital Beaufort, SC facility · case rate · outpatient | 1 | $203 | $203 | — | — | — | $203 – $203 |
| 5 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY facility · case rate · outpatient | 3 | $206 | $174 | $45 | 26% | — | $111 – $206 |
| 6 | Essentia Health Duluth Duluth, MN facility · fee schedule · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 7 | Essentia Health St. Joseph's Medical Center Brainerd, MN facility · fee schedule · outpatient | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 8 | Essentia Health St. Mary's - Detroit Lakes 1027 Washington Ave. Detroit Lakes, MN facility · fee schedule · outpatient | 2 | $129 | $129 | — | — | — | $129 – $129 |
| 9 | Essentia Health St. Mary's Children's Hospital Duluth, MN facility · fee schedule · outpatient | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 10 | Essentia Health St. Mary's Medical Center Duluth, MN facility · fee schedule · outpatient | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 11 | GILLETTE CHILDREN'S SPECIALTY HEALTHCARE PAUL, MN professional · fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 12 | GLENS FALLS HOSPITAL INC Falls, NY facility · case rate · outpatient | 1 | $120 | $120 | — | — | — | $120 – $120 |
| 13 | Kadlec Regional Medical Center Kennewick, WA fee schedule · outpatient | 2 | $2.4k | $2.4k | $34 | 1% | — | $2.4k – $2.5k |
| 14 | Newport Hospital Newport, RI facility · fee schedule · outpatient | 3 | $1.8k | $1.6k | $463 | 30% | — | $924 – $2.0k |
| 15 | Overlake Medical Center & Clinics Bellevue, WA fee schedule · outpatient | 3 | $2.2k | $2.2k | $195 | 9% | — | $2.0k – $2.5k |
| 16 | Providence Health And Services - Washington Walla Walla, WA fee schedule · outpatient | 3 | $4.0k | $2.9k | $1.5k | 52% | — | $780 – $4.0k |
| 17 | Providence Health And Services - Washington Everett, WA fee schedule · outpatient | 2 | $2.0k | $2.0k | $188 | 9% | — | $1.9k – $2.2k |
| 18 | Providence Health And Services - Washington Centralia, WA fee schedule · outpatient | 4 | $5.3k | $5.0k | $1.2k | 24% | — | $3.1k – $6.5k |
| 19 | Providence Health And Services - Washington Spokane, WA fee schedule · outpatient | 3 | $2.5k | $2.6k | $551 | 21% | — | $2.0k – $3.3k |
| 20 | Providence Health And Services - Washington Spokane, WA fee schedule · outpatient | 2 | $2.0k | $2.0k | $258 | 13% | — | $1.8k – $2.3k |
| 21 | Rhode Island Hospital Providence, RI facility · fee schedule · outpatient | 4 | $1.5k | $1.5k | $383 | 26% | — | $919 – $1.8k |
| 22 | Saratoga Hospital Saratoga Springs, NY facility · case rate · outpatient | 3 | $211 | $178 | $46 | 26% | — | $114 – $211 |
| 23 | Swedish Edmonds Edmonds, WA fee schedule · outpatient | 4 | $2.4k | $2.4k | $167 | 7% | — | $2.2k – $2.6k |
| 24 | Swedish Health Services Issaquah, WA fee schedule · outpatient | 4 | $2.3k | $2.2k | $167 | 7% | — | $1.9k – $2.4k |
| 25 | Swedish Health Services Seattle, WA fee schedule · outpatient | 4 | $2.8k | $2.8k | $346 | 12% | — | $2.3k – $3.1k |
← Payers reporting HCPCS D2941 · Snapshot 20261112T124536Z-e251e855