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
BRACE ORTHO PLAYMAKER SLEEVE STD LG 21-23.5IN THIGH KNEE HINGED POPLITEAL CUTOUT DRYTEX
Low
$1
Average
$718
Median
$558
High
$9.4k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
545 hospitals; the 90th percentile is 5.0× 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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720 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 4 | $24 | $25 | $12 | 46% | 56 | $6 – $54 |
| 2 | Inspira Medical Center Mullica Hill Hill, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $266 | $266 | $186 | 70% | 4–40 | $79 – $519 |
| 3 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX other · outpatient | 2 | $206 | $206 | $41 | 20% | 4–40 | $165 – $247 |
| 4 | Medical Park Hospital LLC Winston-Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $432 | $344 | $125 | 36% | 3–30 | $167 – $432 |
| 5 | Arkansas Childrens Hospital Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $169 | $169 | — | — | 1–10 | $169 – $169 |
| 6 | Northfield Hospital Northfield, MN other · both | 1 | $279 | $279 | — | — | 1–10 | $279 – $279 |
| 7 | Novant Health Thomasville Medical Center, LLC Thomasville, NC percent of total billed charges · outpatientfrom % of charges | 1 | $139 | $139 | — | — | 1–10 | $139 – $139 |
| 8 | St Louis Childrens Hospital Saint Louis, MO percent of total billed charges · bothfrom % of charges | 6 | $1.1k | $1.2k | $191 | 16% | 1–10 | $941 – $1.5k |
| 9 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 1 | $491 | $491 | — | — | — | $491 – $491 |
| 10 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $455 | $455 | — | — | — | $455 – $455 |
| 11 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 5 | $130 | $380 | $372 | 98% | — | $17 – $941 |
| 12 | ATHOL MEMORIAL HOSPITAL INCORPORATED Athol, MA fee schedule · outpatient | 3 | $1.0k | $1.0k | $22 | 2% | — | $984 – $1.0k |
| 13 | AdventHealth Orlando Winter Park, FL fee schedule · outpatient | 2 | $565 | $565 | $8 | 1% | — | $556 – $573 |
| 14 | Adventhealth Ottawa Ottawa, KS fee schedule · outpatient | 1 | $580 | $580 | — | — | — | $580 – $580 |
| 15 | Agnesian Healthcare Inc. Fond Du Lac, WI fee schedule · outpatient | 1 | $510 | $510 | — | — | — | $510 – $510 |
| 16 | Allina Health Systems Shakopee, MN facility · fee schedule · outpatient | 1 | $348 | $348 | $120 | 34% | — | $169 – $519 |
| 17 | Allina Health Systems Shakopee, MN facility · other · outpatient | 5 | $985 | $1.0k | $337 | 33% | — | $473 – $1.5k |
| 18 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · fee schedule · outpatient | 1 | $348 | $348 | $120 | 34% | — | $169 – $519 |
| 19 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · other · outpatient | 2 | $886 | $886 | $39 | 4% | — | $847 – $925 |
| 20 | Allina Health Systems Owatonna, MN facility · fee schedule · outpatient | 1 | $348 | $374 | $167 | 45% | — | $169 – $725 |
| 21 | Allina Health Systems Owatonna, MN facility · other · outpatient | 5 | $985 | $1.0k | $337 | 33% | — | $473 – $1.5k |
| 22 | Allina Health Systems Ulm, MN facility · fee schedule · outpatient | 1 | $141 | $164 | $95 | 58% | — | $67 – $391 |
| 23 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 24 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · fee schedule · outpatient | 1 | $348 | $348 | $120 | 34% | — | $169 – $519 |
| 25 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · other · outpatient | 1 | $925 | $925 | — | — | — | $925 – $925 |
← Payers reporting HCPCS L1833 · Snapshot 20261111T120946Z-9134e7f7