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
$127
Median
$80
High
$8.2k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
1031 hospitals; the 90th percentile is 8.5× 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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1,515 hospital rates
iThe hospitals that file a Cigna 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 | Piedmont Cartersville Cartersville, GA percent of total billed charges · bothfrom % of charges | 2 | $82 | $93 | $39 | 42% | 50–500 | $43 – $282 |
| 2 | NYU Langone New York, NY percent of total billed charges · bothfrom % of charges | 22 | $97 | $97 | — | — | 30–39 | $97 – $97 |
| 3 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $28 | $36 | $30 | 84% | 29–290 | $12 – $159 |
| 4 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $42 | $49 | $33 | 68% | 25–250 | $18 – $184 |
| 5 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $66 | $73 | $25 | 34% | 24–240 | $66 – $160 |
| 6 | Texas Health Arlington Memorial Hospital Arlington, TX percent of total billed charges · outpatientfrom % of charges | 3 | $42 | $52 | $42 | 81% | 18–180 | $24 – $266 |
| 7 | Texas Health Harris Methodist Hospital HurstEulessBedford Bedford, TX percent of total billed charges · outpatientfrom % of charges | 3 | $42 | $52 | $42 | 81% | 18–180 | $24 – $266 |
| 8 | Texas Health Presbyterian Hospital Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges | 3 | $42 | $52 | $42 | 81% | 18–180 | $24 – $266 |
| 9 | The Charlotte Mecklenburg Hospital Authority Waxhaw, NC percent of total billed charges · outpatientfrom % of charges | 3 | $8 | $15 | $15 | 101% | 18–180 | $6 – $58 |
| 10 | Self Regional Healthcare Greenwood, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $84 | $170 | $269 | 158% | 17–170 | $14 – $1.2k |
| 11 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 2 | $65 | $102 | $106 | 103% | 16–160 | $37 – $422 |
| 12 | NYU Langone New York, NY percent of total billed charges · bothfrom % of charges | 22 | $159 | $159 | — | — | 15–33 | $159 – $159 |
| 13 | Massachusetts General Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $29 | $31 | $7 | 24% | 14–140 | $20 – $44 |
| 14 | Floyd Healthcare Management Inc Rome, GA percent of total billed charges · outpatientfrom % of charges | 3 | $9 | $16 | $15 | 98% | 12–120 | $7 – $52 |
| 15 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $35 | $35 | — | — | 11 | $35 – $35 |
| 16 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges | 1 | $243 | $166 | $122 | 73% | 11–110 | $27 – $310 |
| 17 | Northern Hospital District of Surry County Mount Airy, NC facility · fee schedule · both | 1 | $73 | $73 | — | — | 10–100 | $73 – $73 |
| 18 | Northern Hospital District of Surry County Mount Airy, NC facility · percent of total billed charges · bothfrom % of charges | 1 | $73 | $73 | — | — | 10–100 | $73 – $73 |
| 19 | Connecticut Children's Hartford, CT percent of total billed charges · bothfrom % of charges | 1 | $34 | $34 | $8 | 24% | 9–90 | $19 – $44 |
| 20 | University of Arkansas for Medical Sciences Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 2 | $62 | $49 | $30 | 60% | 9–90 | $21 – $113 |
| 21 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 2 | $47 | $107 | $91 | 85% | 6–60 | $36 – $250 |
| 22 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 4 | $10 | $16 | $17 | 103% | 6–60 | $6 – $69 |
| 23 | Inspira Medical Center Vineland Vineland, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $62 | $64 | $24 | 38% | 6–60 | $25 – $107 |
| 24 | The University of Texas Medical Branch Webster, TX percent of total billed charges · bothfrom % of charges | 1 | $33 | $55 | $50 | 91% | 6–60 | $28 – $167 |
| 25 | Mercy Hospital Oklahoma City Inc City, OK facility · percent of total billed charges · outpatientfrom % of charges | 2 | $30 | $33 | $7 | 21% | 5–50 | $25 – $48 |
← Payers reporting HCPCS L1830 · Snapshot 20261111T120946Z-9134e7f7