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
H LSO CUSTOM MOLDED
Low
$82
Average
$1.0k
Median
$1.3k
High
$1.8k
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Prices here combine facility and professional fees. See them separately →Experimental
Reflects a negotiated per diem rate paid per day of care.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL | $1.8k | $1.8k | $878 | 49% | — | $900 – $2.7k |
| 2 | Affinity Hospital LLC Birmingham, AL | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 3 | Columbus Regional Hospital Columbus, IN | $82 | $82 | — | — | — | $82 – $82 |
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