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
$4
Average
$203
Median
$79
High
$23.2k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
873 hospitals; the 90th percentile is 5.7× 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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1,302 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Allina Health Systems Shakopee, MN facility · other · outpatient | 5 | $119 | $125 | $41 | 33% | 87–114 | $57 – $176 |
| 2 | Allina Health Systems Owatonna, MN facility · other · outpatient | 5 | $119 | $125 | $41 | 33% | 87–114 | $57 – $176 |
| 3 | Allina Health Systems Cambridge, MN facility · other · outpatient | 5 | $119 | $125 | $41 | 33% | 87–114 | $57 – $176 |
| 4 | Allina Health Systems Faribualt, MN facility · other · outpatient | 5 | $119 | $125 | $41 | 33% | 87–114 | $57 – $176 |
| 5 | Allina Health Systems Buffalo, MN facility · other · outpatient | 5 | $119 | $125 | $41 | 33% | 87–114 | $57 – $176 |
| 6 | NYU Langone New York, NY percent of total billed charges · bothfrom % of charges | 50 | $169 | $169 | — | — | 72–153 | $169 – $169 |
| 7 | PRISMA HEALTH OCONEE MEMORIAL HOSPITAL SENECA, SC percent of total billed charges · bothfrom % of charges | 4 | $30 | $41 | $29 | 70% | 67–157 | $12 – $93 |
| 8 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · percent of total billed charges · bothfrom % of charges | 2 | $33 | $39 | $27 | 69% | 64–496 | $13 – $149 |
| 9 | PIEDMONT MCDUFFIE HOSPITAL Thomson, GA percent of total billed charges · bothfrom % of charges | 2 | $46 | $52 | $20 | 38% | 50–500 | $28 – $140 |
| 10 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 2 | $97 | $97 | $5 | 5% | 45–198 | $92 – $101 |
| 11 | Inspira Medical Center Elmer Elmer, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $66 | $69 | $27 | 39% | 36–360 | $27 – $133 |
| 12 | PRISMA HEALTH PATEWOOD HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 4 | $47 | $56 | $22 | 39% | 31–166 | $32 – $101 |
| 13 | Inspira Medical Center Vineland Vineland, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $66 | $69 | $27 | 39% | 30–300 | $27 – $133 |
| 14 | Mishawaka Medical Center Mishawaka, IN facility · percent of total billed charges · bothfrom % of charges | 2 | $14 | $19 | $17 | 91% | 27–270 | $3 – $90 |
| 15 | Northern Hospital District of Surry County Mount Airy, NC facility · percent of total billed charges · bothfrom % of charges | 1 | $91 | $89 | $8 | 9% | 25–250 | $80 – $97 |
| 16 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 2 | $33 | $39 | $27 | 69% | 25–250 | $13 – $149 |
| 17 | Northern Hospital District of Surry County Mount Airy, NC facility · fee schedule · both | 2 | $62 | $62 | $19 | 30% | 24–69 | $43 – $80 |
| 18 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 2 | $55 | $61 | $21 | 34% | 24–240 | $55 – $133 |
| 19 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $297 | $216 | $136 | 63% | 23 | $56 – $465 |
| 20 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX other · outpatient | 2 | $240 | $240 | $70 | 29% | 22–220 | $170 – $310 |
| 21 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC percent of total billed charges · bothfrom % of charges | 4 | $47 | $55 | $20 | 37% | 21–111 | $32 – $97 |
| 22 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 4 | $47 | $55 | $20 | 37% | 21–111 | $32 – $97 |
| 23 | NYU Langone New York, NY percent of total billed charges · bothfrom % of charges | 50 | $103 | $103 | — | — | 20–92 | $103 – $103 |
| 24 | Abbeville Area Medical Center Abbeville, SC facility · other · outpatient | 1 | $35 | $35 | — | — | 17–170 | $35 – $35 |
| 25 | Arkansas Childrens Northwest Springdale, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $81 | $81 | — | — | 13 | $81 – $81 |
← Payers reporting HCPCS L1830 · Snapshot 20261111T120946Z-9134e7f7