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
$247
Median
$337
High
$777
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
29 hospitals; the 90th percentile is 408.5× 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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29 hospital rates
iThe hospitals that file a Medicaid 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 Shakopee, MN facility · fee schedule · outpatient | 1 | $337 | $337 | $116 | 34% | — | $164 – $502 |
| 2 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · fee schedule · outpatient | 1 | $337 | $337 | $116 | 34% | — | $164 – $502 |
| 3 | Allina Health Systems Owatonna, MN facility · fee schedule · outpatient | 1 | $337 | $337 | $116 | 34% | — | $164 – $502 |
| 4 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $133 | $154 | $90 | 58% | — | $63 – $368 |
| 5 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · fee schedule · outpatient | 1 | $337 | $337 | $116 | 34% | — | $164 – $502 |
| 6 | Allina Health Systems Cambridge, MN facility · fee schedule · outpatient | 1 | $337 | $337 | $116 | 34% | — | $164 – $502 |
| 7 | Allina Health Systems River Falls, WI facility · fee schedule · outpatient | 1 | $337 | $337 | $116 | 34% | — | $164 – $502 |
| 8 | Allina Health Systems Minneapolis, MN facility · fee schedule · outpatient | 1 | $337 | $337 | $116 | 34% | — | $164 – $502 |
| 9 | Allina Health Systems Buffalo, MN facility · fee schedule · outpatient | 1 | $337 | $337 | $116 | 34% | — | $164 – $502 |
| 10 | Brookings Health System Brookings, SD fee schedule · outpatient | 1 | $122 | $122 | — | — | — | $122 – $122 |
| 11 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $384 | $384 | — | — | — | $384 – $384 |
| 12 | CentraState Medical Center Freehold Township, NJ percent of total billed charges · bothfrom % of charges | 1 | $39 | $39 | $8 | 22% | — | $31 – $48 |
| 13 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 14 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CARMEL CARMEL, IN fee schedule · both | 2 | $363 | $363 | $33 | 9% | — | $330 – $396 |
| 15 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN fee schedule · both | 16 | $330 | $345 | $27 | 8% | — | $330 – $396 |
| 16 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE MOORESVILLE, IN fee schedule · both | 2 | $363 | $363 | $33 | 9% | — | $330 – $396 |
| 17 | Geisinger Community Medical Center Scranton, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 18 | Geisinger Jersey Shore Hospital Jersey Shore, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 19 | Geisinger Medical Center Muncy, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 20 | Geisinger Wyoming Valley Wilkes-Barre, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 21 | Hackettstown Medical Center Hackettstown, NJ percent of total billed charges · bothfrom % of charges | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 22 | Maple Grove Hospital Corporation Grove, MN facility · fee schedule · both | 1 | $777 | $777 | — | — | — | $777 – $777 |
| 23 | Mercy Hospital South Louis, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $19 | $19 | $0 | 2% | — | $18 – $19 |
| 24 | Morristown Medical Center Morristown, NJ percent of total billed charges · bothfrom % of charges | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 25 | Newton Medical Center Newton, NJ percent of total billed charges · bothfrom % of charges | 1 | $24 | $24 | — | — | — | $24 – $24 |
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