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
Remove fixed ortho appliance
Low
$59
Average
$244
Median
$217
High
$678
Filter by billing methodology
Prices here combine facility and professional fees. See them separately →Experimental
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 118 hospitals; the 90th percentile is 4.6× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | St. Anthony Shawnee Hospital, Inc Shawnee, OK | $165 | $165 | — | — | — | $165 – $165 |
| 2 | Mayo Regional Hospital Dover Foxcroft, ME | $118 | $119 | $24 | 20% | — | $92 – $149 |
| 3 | Baptist Medical Center of the Beaches, INC Beach, FL | $193 | $193 | — | — | — | $193 – $193 |
| 4 | Westfield Memorial Hospital Inc WESTFIELD, NY | $233 | $193 | $55 | 29% | — | $90 – $233 |
| 5 | Gundersen Luthern Medical Center Inc La Crosse, WI | $123 | $262 | $219 | 83% | — | $123 – $691 |
| 6 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX | $68 | $68 | — | — | — | $68 – $68 |
| 7 | University Medical Center of Southern Nevada Las Vegas, NV | $93 | $94 | $7 | 8% | — | $93 – $138 |
| 8 | Honorhealth Scottsdale Osborn Medical Center Scottsdale, AZ | $113 | $113 | — | — | — | $113 – $113 |
| 9 | Garnet Health Medical Center Middletown, NY | $244 | $244 | — | — | — | $244 – $244 |
| 10 | Nationwide Children's Hospital Columbus, OH | $234 | $234 | $145 | 62% | — | $89 – $379 |
Ask Claude or any MCP client for HCPCS D8695 pricing at a specific hospital — see how to connect.