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
$101
Median
$70
High
$8.2k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1366 hospitals; the 90th percentile is 5.1× 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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2,232 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | Mount Carmel St Ann's Lewis Center, OH facility · percent of total billed charges · bothfrom % of charges | 2 | $18 | $26 | $24 | 95% | 30–300 | $7 – $121 |
| 2 | Sanford USD Medical Center Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 2 | $39 | $41 | $9 | 22% | 30–300 | $30 – $64 |
| 3 | St Joseph Mercy Chelsea Chelsea, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $19 | $25 | $23 | 94% | 30–300 | $3 – $126 |
| 4 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 3 | $21 | $28 | $25 | 91% | 29–290 | $9 – $145 |
| 5 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 2 | $33 | $43 | $37 | 85% | 29–290 | $12 – $218 |
| 6 | St Joseph Mercy Oakland Pontiac, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $21 | $29 | $26 | 90% | 28–280 | $12 – $136 |
| 7 | Northern Hospital District of Surry County Mount Airy, NC facility · fee schedule · both | 2 | $72 | $72 | $28 | 39% | 26–71 | $44 – $100 |
| 8 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 2 | $66 | $132 | $243 | 185% | 21–210 | $9 – $1.6k |
| 9 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $71 | $169 | $334 | 197% | 21–210 | $8 – $2.2k |
| 10 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 3 | $138 | $196 | $253 | 129% | 21–210 | $9 – $1.6k |
| 11 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 2 | $67 | $142 | $268 | 188% | 21–210 | $9 – $1.7k |
| 12 | Texas Health Arlington Memorial Hospital Arlington, TX percent of total billed charges · outpatientfrom % of charges | 3 | $29 | $33 | $34 | 103% | 18–180 | $4 – $189 |
| 13 | Texas Health Harris Methodist Hospital HurstEulessBedford Bedford, TX percent of total billed charges · outpatientfrom % of charges | 3 | $30 | $34 | $34 | 102% | 18–180 | $5 – $189 |
| 14 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 1 | $99 | $99 | — | — | 17–170 | $99 – $99 |
| 15 | Self Regional Healthcare Greenwood, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $88 | $178 | $281 | 158% | 17–170 | $14 – $1.2k |
| 16 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 2 | $88 | $128 | $130 | 102% | 16–160 | $52 – $469 |
| 17 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $297 | $216 | $136 | 63% | 15 | $56 – $465 |
| 18 | Northern Hospital District of Surry County Mount Airy, NC facility · percent of total billed charges · bothfrom % of charges | 1 | $54 | $69 | $22 | 32% | 15–150 | $54 – $100 |
| 19 | Inspira Medical Center Elmer Elmer, NJ percent of total billed charges · outpatientfrom % of charges | 3 | $36 | $50 | $36 | 72% | 12–120 | $9 – $150 |
| 20 | Inspira Medical Center Mullica Hill Hill, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $51 | $63 | $37 | 59% | 12–120 | $14 – $150 |
| 21 | Inspira Medical Center Vineland Vineland, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $48 | $62 | $38 | 61% | 12–120 | $14 – $150 |
| 22 | The Charlotte Mecklenburg Hospital Authority Kannapolis, NC other · outpatient | 2 | $45 | $45 | — | — | 12–120 | $45 – $45 |
| 23 | The Charlotte Mecklenburg Hospital Authority Waxhaw, NC other · outpatient | 2 | $50 | $50 | — | — | 12–120 | $50 – $50 |
| 24 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges | 2 | $51 | $112 | $108 | 96% | 11–110 | $6 – $312 |
| 25 | Aurora Medical Center Sheboygan County Sheboygan, WI percent of total billed charges · outpatientfrom % of charges | 5 | $102 | $106 | $86 | 81% | 10–100 | $21 – $248 |
← Payers reporting HCPCS L1830 · Snapshot 20261111T120946Z-9134e7f7