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
$12
Average
$75
Median
$71
High
$234
Each hospital's average Healthpartners rate, under the methodology and billing class chosen below.
91 hospitals; the 90th percentile is 4.6× 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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147 hospital rates
iThe hospitals that file a Healthpartners 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 Buffalo, MN facility · other · outpatient | 1 | $99 | $109 | $78 | 72% | 18 | $6 – $232 |
| 2 | Allina Health Systems Owatonna, MN facility · other · outpatient | 1 | $99 | $109 | $78 | 72% | 17 | $6 – $232 |
| 3 | Allina Health Systems Faribualt, MN facility · other · outpatient | 1 | $99 | $109 | $78 | 72% | 17 | $6 – $232 |
| 4 | Allina Health Systems Cambridge, MN facility · other · outpatient | 1 | $99 | $109 | $78 | 72% | 16 | $6 – $232 |
| 5 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $234 | $234 | — | — | — | $234 – $234 |
| 6 | Aspirus Langlade Hospital Antigo, WI fee schedule · both | 1 | $115 | $115 | — | — | — | $115 – $115 |
| 7 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · outpatient | 1 | $71 | $71 | — | — | — | $71 – $71 |
| 8 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · inpatientfrom % of charges | 1 | $25 | $90 | $93 | 103% | — | $25 – $221 |
| 9 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · outpatientfrom % of charges | 3 | $25 | $84 | $87 | 104% | — | $20 – $221 |
| 10 | Aurora Lakeland Medical Center Elkhorn, WI percent of total billed charges · inpatientfrom % of charges | 1 | $124 | $124 | $97 | 79% | — | $26 – $221 |
| 11 | Aurora Lakeland Medical Center Elkhorn, WI percent of total billed charges · outpatientfrom % of charges | 3 | $102 | $116 | $92 | 80% | — | $21 – $221 |
| 12 | Aurora Medical Center Bay Area Marinette, WI percent of total billed charges · inpatientfrom % of charges | 1 | $128 | $128 | $93 | 73% | — | $35 – $221 |
| 13 | Aurora Medical Center Bay Area Marinette, WI percent of total billed charges · outpatientfrom % of charges | 3 | $106 | $119 | $88 | 74% | — | $28 – $221 |
| 14 | Aurora Medical Center Burlington Burlington, WI percent of total billed charges · inpatientfrom % of charges | 1 | $221 | $221 | — | — | — | $221 – $221 |
| 15 | Aurora Medical Center Burlington Burlington, WI percent of total billed charges · outpatientfrom % of charges | 3 | $221 | $207 | $21 | 10% | — | $177 – $221 |
| 16 | Aurora Medical Center Fond du Lac Fond Du Lac, WI percent of total billed charges · inpatientfrom % of charges | 1 | $123 | $123 | $99 | 81% | — | $24 – $221 |
| 17 | Aurora Medical Center Fond du Lac Fond Du Lac, WI percent of total billed charges · outpatientfrom % of charges | 3 | $100 | $114 | $93 | 82% | — | $19 – $221 |
| 18 | Aurora Medical Center Grafton Grafton, WI percent of total billed charges · inpatientfrom % of charges | 1 | $38 | $99 | $86 | 87% | — | $38 – $221 |
| 19 | Aurora Medical Center Grafton Grafton, WI percent of total billed charges · outpatientfrom % of charges | 3 | $38 | $92 | $82 | 88% | — | $30 – $221 |
| 20 | Aurora Medical Center Kenosha Kenosha, WI percent of total billed charges · inpatientfrom % of charges | 1 | $221 | $221 | — | — | — | $221 – $221 |
| 21 | Aurora Medical Center Kenosha Kenosha, WI percent of total billed charges · outpatientfrom % of charges | 3 | $221 | $207 | $21 | 10% | — | $177 – $221 |
| 22 | Aurora Medical Center Manitowoc Two Rivers, WI percent of total billed charges · inpatientfrom % of charges | 1 | $23 | $89 | $93 | 105% | — | $23 – $221 |
| 23 | Aurora Medical Center Manitowoc Two Rivers, WI percent of total billed charges · outpatientfrom % of charges | 3 | $23 | $83 | $88 | 106% | — | $19 – $221 |
| 24 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI percent of total billed charges · inpatientfrom % of charges | 1 | $127 | $127 | $94 | 75% | — | $32 – $221 |
| 25 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI percent of total billed charges · outpatientfrom % of charges | 3 | $105 | $118 | $89 | 76% | — | $26 – $221 |
← Payers reporting HCPCS L1830 · Snapshot 20261111T120946Z-9134e7f7