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
Pavlik Harness
Low
$126
Average
$683
Median
$450
High
$3.1k
Each hospital's average Phcs rate, under the methodology and billing class chosen below.
24 hospitals; the 90th percentile is 5.3× 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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27 hospital rates
iThe hospitals that file a Phcs 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 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 2 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 3 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 1 | $978 | $978 | — | — | — | $978 – $978 |
| 4 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $520 | $520 | — | — | — | $520 – $520 |
| 5 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $978 | $978 | — | — | — | $978 – $978 |
| 6 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · inpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 7 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 8 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $237 | $237 | — | — | — | $237 – $237 |
| 9 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · fee schedule · inpatient | 1 | $450 | $450 | — | — | — | $450 – $450 |
| 10 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $205 | $205 | — | — | — | $205 – $205 |
| 11 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $205 | $205 | — | — | — | $205 – $205 |
| 12 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $205 | $205 | — | — | — | $205 – $205 |
| 13 | Children's Hospital of the King's Daughters Norfolk, VA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $124 | $124 | — | — | — | $124 – $124 |
| 14 | Children's Hospital of the King's Daughters Norfolk, VA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 15 | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER Fresno, CA facility · fee schedule · inpatient | 1 | $450 | $450 | — | — | — | $450 – $450 |
| 16 | Forsyth Memorial Hospital, Inc. Winston-Salem, NC fee schedule · outpatient | 1 | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 17 | Longs Peak Hospital Longmont, CO percent of total billed charges · outpatientfrom % of charges | 1 | $259 | $259 | — | — | — | $259 – $259 |
| 18 | MADISON ST JOSEPH HEALTH CENTER Madisonville, TX fee schedule · inpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 19 | MADISON ST JOSEPH HEALTH CENTER Madisonville, TX fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 20 | Nationwide Children's Hospital Columbus, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 21 | ST JOSEPH REGIONAL HEALTH CENTER Navasota, TX fee schedule · inpatient | 1 | $893 | $893 | — | — | — | $893 – $893 |
| 22 | ST JOSEPH REGIONAL HEALTH CENTER Bryan, TX fee schedule · inpatient | 1 | $893 | $893 | — | — | — | $893 – $893 |
| 23 | ST JOSEPH REGIONAL HEALTH CENTER College Station, TX fee schedule · inpatient | 1 | $893 | $893 | — | — | — | $893 – $893 |
| 24 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · outpatientfrom % of charges | 1 | $321 | $321 | — | — | — | $321 – $321 |
| 25 | St Louis Childrens Hospital Saint Louis, MO percent of total billed charges · bothfrom % of charges | 1 | $436 | $436 | — | — | — | $436 – $436 |
← Payers reporting HCPCS L1620 · Snapshot 20261111T120946Z-9134e7f7