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
$156
Average
$479
Median
$442
High
$1.4k
Each hospital's average Medicare rate, under the methodology and billing class chosen below.
50 hospitals; the 90th percentile is 1.8× 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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53 hospital rates
iThe hospitals that file a Medicare 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 | $331 | $332 | $114 | 34% | — | $161 – $494 |
| 2 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · fee schedule · outpatient | 1 | $331 | $332 | $114 | 34% | — | $161 – $494 |
| 3 | Allina Health Systems Owatonna, MN facility · fee schedule · outpatient | 1 | $331 | $332 | $114 | 34% | — | $161 – $494 |
| 4 | Allina Health Systems Ulm, MN facility · fee schedule · outpatient | 1 | $299 | $305 | $113 | 37% | — | $142 – $494 |
| 5 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · fee schedule · outpatient | 1 | $331 | $332 | $114 | 34% | — | $161 – $494 |
| 6 | Allina Health Systems Cambridge, MN facility · fee schedule · outpatient | 1 | $331 | $332 | $114 | 34% | — | $161 – $494 |
| 7 | Allina Health Systems Faribualt, MN facility · fee schedule · outpatient | 1 | $331 | $332 | $114 | 34% | — | $161 – $494 |
| 8 | Allina Health Systems River Falls, WI facility · fee schedule · outpatient | 1 | $331 | $332 | $114 | 34% | — | $161 – $494 |
| 9 | Allina Health Systems Minneapolis, MN facility · fee schedule · outpatient | 1 | $331 | $332 | $114 | 34% | — | $161 – $494 |
| 10 | Allina Health Systems Buffalo, MN facility · fee schedule · outpatient | 1 | $331 | $332 | $114 | 34% | — | $161 – $494 |
| 11 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL per diem · inpatient | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 12 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $165 | $165 | $124 | 75% | — | $41 – $289 |
| 13 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $156 | $156 | — | — | — | $156 – $156 |
| 14 | Benefis Hospitals Inc Helena, MT fee schedule · outpatient | 1 | $464 | $464 | — | — | — | $464 – $464 |
| 15 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 1 | $442 | $442 | — | — | — | $442 – $442 |
| 16 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient | 1 | $442 | $442 | — | — | — | $442 – $442 |
| 17 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $442 | $442 | — | — | — | $442 – $442 |
| 18 | CATHOLIC HEALTH INITIATIVES COLORADO West Valley City, UT fee schedule · outpatient | 2 | $442 | $442 | — | — | — | $442 – $442 |
| 19 | CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT fee schedule · outpatient | 2 | $442 | $442 | — | — | — | $442 – $442 |
| 20 | CATHOLIC HEALTH INITIATIVES COLORADO Lehi, UT fee schedule · outpatient | 2 | $442 | $442 | — | — | — | $442 – $442 |
| 21 | CATHOLIC HEALTH INITIATIVES COLORADO Layton, UT fee schedule · outpatient | 1 | $442 | $442 | — | — | — | $442 – $442 |
| 22 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO fee schedule · outpatient | 1 | $442 | $442 | — | — | — | $442 – $442 |
| 23 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO fee schedule · outpatient | 1 | $601 | $601 | — | — | — | $601 – $601 |
| 24 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO fee schedule · outpatient | 1 | $442 | $442 | — | — | — | $442 – $442 |
| 25 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $442 | $442 | — | — | — | $442 – $442 |
← Payers reporting HCPCS L1833 · Snapshot 20261111T120946Z-9134e7f7