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
HC Lo Sag Rigid Post Panel Prefab Cstm Fit Pt T1
Low
$2
Average
$132
Median
$97
High
$6.5k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
660 hospitals; the 90th percentile is 1.9× 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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776 hospital rates
iThe hospitals that file a Aetna 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 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $171 | $171 | — | — | 1–10 | $171 – $171 |
| 2 | Strong Memorial Hospital Rochester, NY percent of total billed charges · outpatientfrom % of charges | 1 | $207 | $207 | — | — | 1–10 | $207 – $207 |
| 3 | ALBANY GENERAL HOSPITAL Albany, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $261 | $261 | — | — | — | $261 – $261 |
| 4 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 2 | $163 | $163 | $68 | 42% | — | $95 – $231 |
| 5 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 5 | $143 | $129 | $59 | 46% | — | $26 – $183 |
| 6 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 7 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 8 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 9 | AdventHealth Orlando Winter Park, FL fee schedule · outpatient | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 10 | Adventhealth Ottawa Ottawa, KS fee schedule · outpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 11 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 12 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 2 | $106 | $106 | $1 | 1% | — | $105 – $107 |
| 13 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · outpatient | 2 | $159 | $159 | — | — | — | $159 – $159 |
| 14 | Allina Health Systems Shakopee, MN facility · fee schedule · outpatient | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 15 | Allina Health Systems Shakopee, MN facility · percent of total billed charges · inpatientfrom % of charges | 3 | $141 | $151 | $20 | 13% | — | $134 – $178 |
| 16 | Allina Health Systems Shakopee, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $142 | $152 | $20 | 13% | — | $134 – $179 |
| 17 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · fee schedule · outpatient | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 18 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $113 | $128 | $26 | 20% | — | $106 – $164 |
| 19 | Allina Health Systems Owatonna, MN facility · fee schedule · outpatient | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 20 | Allina Health Systems Owatonna, MN facility · percent of total billed charges · inpatientfrom % of charges | 3 | $141 | $151 | $20 | 13% | — | $134 – $178 |
| 21 | Allina Health Systems Owatonna, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $142 | $152 | $20 | 13% | — | $134 – $179 |
| 22 | Allina Health Systems Ulm, MN facility · fee schedule · outpatient | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 23 | Allina Health Systems Ulm, MN facility · percent of total billed charges · inpatientfrom % of charges | 3 | $146 | $156 | $22 | 14% | — | $135 – $186 |
| 24 | Allina Health Systems Ulm, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $147 | $157 | $22 | 14% | — | $136 – $188 |
| 25 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · fee schedule · outpatient | 1 | $90 | $90 | — | — | — | $90 – $90 |
← Payers reporting HCPCS L0626 · Snapshot 20261111T120946Z-9134e7f7