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
Lso sagit rigid panel prefab
Low
$519
Average
$2.2k
Median
$2.3k
High
$5.6k
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
31 hospitals; the 90th percentile is 4.4× 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.
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38 hospital rates
iThe hospitals that file a MultiPlan 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 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · inpatientfrom % of charges | 1 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 2 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 3 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 4 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 5 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 6 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $683 | $683 | — | — | — | $683 – $683 |
| 7 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $683 | $683 | — | — | — | $683 – $683 |
| 8 | HMH HOSPITALS CORPORATION North Bergen, NJ facility · fee schedule · outpatient | 1 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 9 | Indiana University Health Arnett Inc. Lafayette, IN percent of total billed charges · outpatientfrom % of charges | 2 | $676 | $2.3k | $2.9k | 127% | — | $462 – $7.4k |
| 10 | Indiana University Health Ball Memorial Hospital Inc. Muncie, IN percent of total billed charges · outpatientfrom % of charges | 2 | $676 | $2.3k | $2.9k | 127% | — | $462 – $7.4k |
| 11 | Indiana University Health Bedford Inc. Bedford, IN percent of total billed charges · outpatientfrom % of charges | 2 | $676 | $2.3k | $2.9k | 127% | — | $462 – $7.4k |
| 12 | Indiana University Health Bloomington Inc. Bloomington, IN percent of total billed charges · outpatientfrom % of charges | 2 | $676 | $2.3k | $2.9k | 127% | — | $462 – $7.4k |
| 13 | Indiana University Health Frankfort Inc. Frankfort, IN percent of total billed charges · outpatientfrom % of charges | 2 | $676 | $2.3k | $2.9k | 127% | — | $462 – $7.4k |
| 14 | Indiana University Health Inc. Martinsville, IN percent of total billed charges · outpatientfrom % of charges | 2 | $676 | $2.3k | $2.9k | 127% | — | $462 – $7.4k |
| 15 | Indiana University Health Jay Inc. Portland, IN percent of total billed charges · outpatientfrom % of charges | 2 | $676 | $2.3k | $2.9k | 127% | — | $462 – $7.4k |
| 16 | Indiana University Health North Hospital Inc. Carmel, IN percent of total billed charges · outpatientfrom % of charges | 2 | $676 | $2.3k | $2.9k | 127% | — | $462 – $7.4k |
| 17 | Indiana University Health Paoli Inc. Paoli, IN percent of total billed charges · outpatientfrom % of charges | 2 | $676 | $2.3k | $2.9k | 127% | — | $462 – $7.4k |
| 18 | Indiana University Health Tipton Hospital Inc. Tipton, IN percent of total billed charges · outpatientfrom % of charges | 2 | $676 | $2.3k | $2.9k | 127% | — | $462 – $7.4k |
| 19 | Indiana University Health West Hospital Inc. Avon, IN percent of total billed charges · outpatientfrom % of charges | 2 | $676 | $2.3k | $2.9k | 127% | — | $462 – $7.4k |
| 20 | Indiana University Health White Memorial Hospital Inc. Monticello, IN percent of total billed charges · outpatientfrom % of charges | 2 | $676 | $2.3k | $2.9k | 127% | — | $462 – $7.4k |
| 21 | MaineHealth Portland, ME percent of total billed charges · inpatientfrom % of charges | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 22 | MaineHealth Portland, ME percent of total billed charges · outpatientfrom % of charges | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 23 | Penn State Health Milton S. Hershey Medical Center Hershey, PA percent of total billed charges · bothfrom % of charges | 1 | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 24 | Pitt County Memorial Hospital, Inc. Greenville, NC percent of total billed charges · bothfrom % of charges | 1 | $519 | $519 | $254 | 49% | — | $265 – $774 |
| 25 | Pitt County Memorial Hospital, Inc. Washington, NC percent of total billed charges · bothfrom % of charges | 1 | $519 | $519 | $254 | 49% | — | $265 – $774 |
← Payers reporting HCPCS L0635 · Snapshot 20261112T181611Z-3fa9fb76