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
Custom fab w/c back cushion
Prices here combine facility and professional fees. See them separately →Experimental
Low
$0
Average
$1.5k
Median
$766
High
$10.3k
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Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 189 hospitals; the 90th percentile is 9.2× 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 | Fairview Health Services Edina, MN | $1.4k | $2.4k | $2.0k | 81% | — | $561 – $5.8k |
| 2 | Mayo Regional Hospital Dover Foxcroft, ME | $340 | $340 | $4 | 1% | — | $336 – $344 |
| 3 | Hoopeston Community Memorial Hospital Hoopeston, IL | $346 | $346 | — | — | — | $346 – $346 |
| 4 | William Beaumont Hospital Grosse Pointe, MI | $567 | $557 | $404 | 73% | — | $57 – $1.0k |
| 5 | Westfield Memorial Hospital Inc WESTFIELD, NY | $750 | $743 | $304 | 41% | — | $367 – $1.1k |
| 6 | Munson Healthcare Charlevoix Hospital Charlevoix, MI | $1.7k | $1.4k | $701 | 52% | — | $190 – $1.9k |
| 7 | Fairview Health Services Minneapolis, MN | $954 | $2.1k | $1.9k | 90% | — | $561 – $5.8k |
| 8 | Covenant Medical Center Lubbock, TX | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 9 | Methodist Medical Center of Illinois Peoria, IL | $341 | $341 | $5 | 1% | — | $336 – $346 |
| 10 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX | $336 | $336 | — | — | — | $336 – $336 |
Ask Claude or any MCP client for HCPCS E2617 pricing at a specific hospital — see how to connect.