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
$60
Median
$68
High
$106
Each hospital's average Clover rate, under the methodology and billing class chosen below.
72 hospitals; the 90th percentile is 12.4× 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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73 hospital rates
iThe hospitals that file a Clover 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 | Inspira Medical Center Elmer Elmer, NJ other · outpatient | 1 | $68 | $68 | — | — | 6–60 | $68 – $68 |
| 2 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 3 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 4 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · outpatient | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 5 | Clara Maass Medical Center Belleville, NJ fee schedule · outpatient | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 6 | Community Medical Center Toms River, NJ fee schedule · outpatient | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 7 | Conway Hospital, Inc. Conway, SC facility · fee schedule · outpatient | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 8 | Cooperman Barnabas Medical Center Livingston, NJ fee schedule · outpatient | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 9 | East Cooper Medical Center LLC Mt Pleasant, SC fee schedule · outpatient | 2 | $80 | $80 | — | — | — | $80 – $80 |
| 10 | East Georgia Regional Medical Center LLC Statesboro, GA facility · fee schedule · outpatient | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 11 | FAIRVIEW PARK HOSPITAL DUBLIN, GA fee schedule · outpatient | 1 | $106 | $106 | — | — | — | $106 – $106 |
| 12 | Floyd Healthcare Management Inc Rome, GA case rate · outpatient | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 13 | Gadsden Regional Medical Center LLC Gadsden, AL facility · fee schedule · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 14 | Grady Memorial Hospital Atlanta, GA facility · fee schedule · outpatient | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 15 | HCA Healthcare Live Oak Mental Health and Wellness Ladson, SC fee schedule · outpatient | 1 | $81 | $81 | — | — | — | $81 – $81 |
| 16 | HCA Healthcare Summerville Hospital SUMMERVILLE, SC fee schedule · outpatient | 1 | $81 | $81 | — | — | — | $81 – $81 |
| 17 | HCA Healthcare Trident Hospital SUMMERVILLE, SC fee schedule · outpatient | 1 | $81 | $81 | — | — | — | $81 – $81 |
| 18 | HMH HOSPITALS CORPORATION Hackensack, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $6 | $6 | 88% | — | $3 – $27 |
| 19 | HMH HOSPITALS CORPORATION Red Bank, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $7 | $6 | 88% | — | $3 – $27 |
| 20 | HMH HOSPITALS CORPORATION Edison, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $7 | $6 | 88% | — | $3 – $27 |
| 21 | HMH HOSPITALS CORPORATION Manahawkin, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $7 | $6 | 88% | — | $3 – $27 |
| 22 | HMH HOSPITALS CORPORATION Brick, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $7 | $6 | 88% | — | $3 – $27 |
| 23 | HMH HOSPITALS CORPORATION Neptune City, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $7 | $6 | 88% | — | $3 – $27 |
| 24 | HMH HOSPITALS CORPORATION Edison, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $7 | $6 | 88% | — | $3 – $27 |
| 25 | HMH HOSPITALS CORPORATION North Bergen, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $7 | $6 | 88% | — | $3 – $27 |
← Payers reporting HCPCS L1830 · Snapshot 20261111T120946Z-9134e7f7