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
$37
Average
$195
Median
$114
High
$944
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
33 hospitals; the 90th percentile is 7.9× 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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39 hospital rates
iThe hospitals that file a UnitedHealthcare 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 facility · case rate · outpatient | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 1 | $126 | $126 | — | — | — | $126 – $126 |
| 3 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 4 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 5 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 6 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 7 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 8 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · fee schedule · outpatient | 1 | $764 | $764 | — | — | — | $764 – $764 |
| 9 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $361 | $361 | — | — | — | $361 – $361 |
| 10 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $122 | $122 | — | — | — | $122 – $122 |
| 11 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 12 | Cleveland Clinic Mercy Hospital Canton, OH professional · fee schedule · outpatient | 3 | $126 | $122 | $6 | 5% | — | $113 – $126 |
| 13 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $176 | $176 | — | — | — | $176 – $176 |
| 14 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 1 | $321 | $321 | — | — | — | $321 – $321 |
| 15 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $53 | $53 | — | — | — | $53 – $53 |
| 16 | Fisher-Titus Medical Center Norwalk, OH facility · case rate · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 17 | GILLETTE CHILDREN'S SPECIALTY HEALTHCARE PAUL, MN professional · fee schedule · outpatient | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 18 | GRITMAN MEDICAL CENTER INC Moscow, ID professional · fee schedule · outpatient | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 19 | Gundersen Luthern Medical Center Inc La Crosse, WI facility · fee schedule · outpatient | 1 | $123 | $123 | — | — | — | $123 – $123 |
| 20 | HOLY ROSARY HEALTHCARE DBA INTERMOUNTAIN HEALTH HOLY ROSARY HOSPITAL CITY, MT professional · fee schedule · outpatient | 6 | $65 | $65 | — | — | — | $65 – $65 |
| 21 | KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN Honolulu, HI facility · fee schedule · outpatient | 1 | $944 | $944 | — | — | — | $944 – $944 |
| 22 | LODI COMMUNITY HOSPITAL Lodi, OH facility · case rate · outpatient | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 23 | LUTHERAN HOSPITAL Cleveland, OH facility · case rate · outpatient | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 24 | MARYMOUNT HOSPITAL INC Garfield Heights, OH facility · case rate · outpatient | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 25 | MARYMOUNT HOSPITAL INC Garfield Heights, OH facility · fee schedule · outpatient | 1 | $764 | $764 | — | — | — | $764 – $764 |
← Payers reporting HCPCS D2941 · Snapshot 20261112T124536Z-e251e855