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
$2
Average
$117
Median
$73
High
$2.8k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
158 hospitals; the 90th percentile is 4.0× 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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173 hospital rates
iThe hospitals that file a Tricare 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 | Springhill Memorial Hospital Mobile, AL other · outpatient | 1 | $2 | $2 | — | — | 1–10 | $2 – $2 |
| 2 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $73 | $73 | — | — | — | $73 – $73 |
| 3 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 4 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 5 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 6 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 7 | Ascension Seton Luling, TX fee schedule · outpatient | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 8 | Ascension Seton Burnet, TX fee schedule · outpatient | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 9 | Ascension Seton Smithville, TX fee schedule · outpatient | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 10 | Ascension Seton Bastrop, TX fee schedule · outpatient | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 11 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 12 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $48 | $54 | $25 | 45% | — | $33 – $120 |
| 13 | Aspirus Wisconsin Rapids Hospital Wisconsin Rapids, WI fee schedule · both | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 14 | Bay Park Community Hospital Oregon, OH facility · fee schedule · outpatient | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 15 | Bay Park Community Hospital Oregon, OH professional · fee schedule · outpatient | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 16 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 17 | Brandon HMA LLC Brandon, MS facility · fee schedule · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 18 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 19 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · both | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 20 | CORNING HOSPITAL Corning, NY facility · fee schedule · outpatient | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 21 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 1 | $45 | $146 | $229 | 157% | — | $33 – $659 |
| 22 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · both | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 23 | Campbell County HMA, LLC LaFollette, TN facility · fee schedule · outpatient | 1 | $73 | $73 | — | — | — | $73 – $73 |
| 24 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 25 | CentraState Medical Center Freehold Township, NJ fee schedule · both | 2 | $65 | $65 | $3 | 5% | — | $61 – $68 |
← Payers reporting HCPCS L1830 · Snapshot 20261111T120946Z-9134e7f7