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 Orthosis Knee Immobilizer Canvas Prefabricated Off Shelf Restricted Non-Mm Supply
Low
$0
Average
$103
Median
$75
High
$2.5k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1368 hospitals; the 90th percentile is 5.6× 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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2,186 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 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $56 | $61 | $24 | 40% | 48–480 | $40 – $164 |
| 2 | St Peters Hospital Albany, NY facility · percent of total billed charges · bothfrom % of charges | 2 | $9 | $12 | $12 | 97% | 22–220 | $3 – $62 |
| 3 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 3 | $58 | $96 | $155 | 161% | 21–210 | $9 – $1.0k |
| 4 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 3 | $85 | $143 | $234 | 164% | 21–210 | $11 – $1.5k |
| 5 | Texas Health Harris Methodist Hospital HurstEulessBedford Bedford, TX percent of total billed charges · outpatientfrom % of charges | 5 | $31 | $36 | $33 | 94% | 18–180 | $5 – $198 |
| 6 | Inspira Medical Center Elmer Elmer, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $51 | $83 | $68 | 81% | 12–120 | $11 – $234 |
| 7 | Northern Hospital District of Surry County Mount Airy, NC facility · percent of total billed charges · bothfrom % of charges | 1 | $97 | $97 | $1 | 1% | 10–100 | $96 – $98 |
| 8 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $32 | $64 | $55 | 86% | 9–90 | $20 – $170 |
| 9 | Inspira Medical Center Elmer Elmer, NJ other · outpatient | 1 | $68 | $68 | — | — | 6–60 | $68 – $68 |
| 10 | Inspira Medical Center Mullica Hill Hill, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $137 | $139 | $53 | 38% | 6–60 | $56 – $234 |
| 11 | Inspira Medical Center Vineland Vineland, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $137 | $139 | $53 | 38% | 6–60 | $56 – $234 |
| 12 | University of Virginia Haymarket Medical Center Haymarket, VA percent of total billed charges · bothfrom % of charges | 1 | $56 | $71 | $31 | 43% | 6–60 | $50 – $137 |
| 13 | PRISMA HEALTH OCONEE MEMORIAL HOSPITAL SENECA, SC percent of total billed charges · bothfrom % of charges | 2 | $86 | $87 | $13 | 15% | 5–50 | $65 – $106 |
| 14 | University of Arkansas for Medical Sciences Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $42 | $42 | — | — | 4–40 | $42 – $42 |
| 15 | Aurora Medical Center Grafton Grafton, WI percent of total billed charges · outpatientfrom % of charges | 2 | $42 | $87 | $81 | 94% | 3–30 | $25 – $244 |
| 16 | Aurora Medical Center Manitowoc Two Rivers, WI percent of total billed charges · outpatientfrom % of charges | 2 | $25 | $78 | $87 | 111% | 3–30 | $15 – $244 |
| 17 | Baystate Medical Center Springfield, MA percent of total billed charges · bothfrom % of charges | 1 | $141 | $141 | — | — | 3–30 | $141 – $141 |
| 18 | Deaconess Health System Gibson General Hospital Princeton, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $61 | $62 | $11 | 17% | 3–30 | $50 – $76 |
| 19 | Deaconess Health System Gibson General Hospital Princeton, IN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $37 | $41 | $23 | 55% | 3–30 | $16 – $76 |
| 20 | GRMC, Inc. Oakland, MD percent of total billed charges · bothfrom % of charges | 1 | $57 | $57 | $3 | 5% | 3–30 | $53 – $61 |
| 21 | NYU Langone New York, NY percent of total billed charges · bothfrom % of charges | 25 | $107 | $107 | — | — | 3–30 | $107 – $107 |
| 22 | WINNESHIEK MEDICAL CENTER Decorah, IA percent of total billed charges · outpatientfrom % of charges | 3 | $93 | $94 | $3 | 3% | 3–30 | $91 – $98 |
| 23 | Aurora Medical Center Burlington Burlington, WI percent of total billed charges · outpatientfrom % of charges | 2 | $194 | $194 | $50 | 26% | 2–20 | $143 – $244 |
| 24 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI percent of total billed charges · outpatientfrom % of charges | 2 | $89 | $111 | $90 | 81% | 2–20 | $21 – $244 |
| 25 | NYU Langone New York, NY percent of total billed charges · bothfrom % of charges | 25 | $65 | $65 | — | — | 2–20 | $65 – $65 |
← Payers reporting HCPCS L1830 · Snapshot 20261111T120946Z-9134e7f7