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
PRE-TIBIAL SHELL MOLDED TO P
Low
$169
Average
$956
Median
$695
High
$4.7k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
316 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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390 hospital rates
iThe hospitals that file a Cigna 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 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 2 | $940 | $940 | $246 | 26% | — | $694 – $1.2k |
| 2 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 4 | $1.7k | $2.0k | $478 | 24% | — | $1.7k – $2.8k |
| 3 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 1 | $643 | $643 | — | — | — | $643 – $643 |
| 4 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $966 | $966 | — | — | — | $966 – $966 |
| 5 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 6 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 3 | $171 | $169 | $35 | 21% | — | $125 – $211 |
| 7 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 3 | $171 | $169 | $35 | 21% | — | $125 – $211 |
| 8 | BELTON REGIONAL MEDICAL CENTER Kansas City, MO fee schedule · outpatient | 1 | $527 | $527 | — | — | — | $527 – $527 |
| 9 | BLUE RIDGE REGIONAL HOSPITAL Spruce Pine, NC percent of total billed charges · outpatientfrom % of charges | 4 | $1.7k | $1.8k | $147 | 8% | — | $1.7k – $2.0k |
| 10 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION DBA INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL BRIGHTON, CO facility · percent of total billed charges · inpatientfrom % of charges | 7 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 11 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION DBA INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL BRIGHTON, CO facility · percent of total billed charges · outpatientfrom % of charges | 8 | $1.7k | $1.6k | $268 | 17% | — | $862 – $1.7k |
| 12 | Bartow Regional Medical Center Bartow, FL facility · fee schedule · outpatient | 1 | $706 | $706 | — | — | — | $706 – $706 |
| 13 | Baycare Hospital Wesley Chapel Chapel, FL facility · fee schedule · outpatient | 1 | $706 | $706 | — | — | — | $706 – $706 |
| 14 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $614 | $614 | — | — | — | $614 – $614 |
| 15 | Blue Hill Memorial Hospital Hill, ME facility · fee schedule · outpatient | 1 | $504 | $504 | — | — | — | $504 – $504 |
| 16 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $233 | $233 | — | — | — | $233 – $233 |
| 17 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $452 | $452 | $14 | 3% | — | $438 – $465 |
| 18 | Boston Children's Hospital Lexington, MA percent of total billed charges · bothfrom % of charges | 1 | $452 | $452 | $14 | 3% | — | $438 – $465 |
| 19 | Boston Children's Hospital Brookline, MA percent of total billed charges · bothfrom % of charges | 1 | $452 | $452 | $14 | 3% | — | $438 – $465 |
| 20 | Boston Children's Hospital Dartmouth, MA percent of total billed charges · bothfrom % of charges | 1 | $452 | $452 | $14 | 3% | — | $438 – $465 |
| 21 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $446 | $449 | $11 | 3% | — | $438 – $465 |
| 22 | Boston Children's Hospital Peabody, MA percent of total billed charges · bothfrom % of charges | 1 | $452 | $452 | $14 | 3% | — | $438 – $465 |
| 23 | Boston Children's Hospital Waltham, MA percent of total billed charges · bothfrom % of charges | 2 | $446 | $449 | $11 | 3% | — | $438 – $465 |
| 24 | Boston Children's Hospital Needham, MA percent of total billed charges · bothfrom % of charges | 1 | $452 | $452 | $14 | 3% | — | $438 – $465 |
| 25 | Boston Children's Hospital Weymouth, MA percent of total billed charges · bothfrom % of charges | 1 | $452 | $452 | $14 | 3% | — | $438 – $465 |
← Payers reporting HCPCS L2340 · Snapshot 20261111T120946Z-9134e7f7