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.
Generation details were not recorded for this description.
Original text from hospital filings
Prosthesis modification
Low
$1
Average
$1.1k
Median
$360
High
$110.6k
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Prices here combine facility and professional fees. See them separately →Experimental
Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 167 hospitals; the 90th percentile is 9.4× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | St. Anthony Shawnee Hospital, Inc Shawnee, OK | $212 | $212 | — | — | — | $212 – $212 |
| 2 | Mayo Regional Hospital Dover Foxcroft, ME | $157 | $157 | $36 | 23% | — | $116 – $197 |
| 3 | Baptist Medical Center of the Beaches, INC Beach, FL | $183 | $184 | $12 | 6% | — | $166 – $200 |
| 4 | Westfield Memorial Hospital Inc WESTFIELD, NY | $437 | $332 | $135 | 41% | — | $113 – $437 |
| 5 | Gundersen Luthern Medical Center Inc La Crosse, WI | $116 | $319 | $454 | 142% | — | $113 – $1.3k |
| 6 | Covenant Medical Center Lubbock, TX | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 7 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX | $86 | $86 | — | — | — | $86 – $86 |
| 8 | Fairview Hospital Cleveland, OH | $1.5k | $1.5k | $56 | 4% | — | $1.4k – $1.6k |
| 9 | Vhs Of Arrowhead, Inc Surprise, AZ | $472 | $472 | — | — | — | $472 – $472 |
| 10 | University Medical Center of Southern Nevada Las Vegas, NV | $119 | $121 | $10 | 8% | — | $119 – $182 |
Ask Claude or any MCP client for HCPCS D5875 pricing at a specific hospital — see how to connect.