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
C ADD TO LOWR EXT ORTH, HS, LW MTL, HY LAMINATION/PREPREG COMPOSITE, PER SGM, FOR CUS FAB ORTHO ONLY
Low
$0
Average
$160
Median
$161
High
$367
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 25 hospitals; the 90th percentile is 25301.2× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Mary Bridge Children's Hospital Tacoma, WA | $124 | $124 | — | — | 1–10 | $124 – $1.2k |
| 2 | State Of Mississippi-university Of Mississippi Medical Center JACKSON, MS | $350 | $367 | $26 | 7% | — | $123 – $404 |
| 3 | State Of Mississippi-university Of Mississippi Medical Center CANTON, MS | $335 | $332 | $18 | 5% | — | $78 – $350 |
| 4 | OU Health - University of Oklahoma Medical Center Oklahoma City, OK | $165 | $184 | $54 | 30% | — | $161 – $337 |
| 5 | Nationwide Children's Hospital Columbus, OH | $90 | $90 | — | — | — | $90 – $90 |
| 6 | Nationwide Children's Hospital Toledo, Llc Toledo, OH | $67 | $67 | $0 | 0% | — | $66 – $67 |
| 7 | Arkansas Childrens Hospital Little Rock, AR | $161 | $161 | — | — | — | $161 – $161 |
| 8 | Arkansas Childrens Northwest Springdale, AR | $157 | $157 | — | — | — | $157 – $157 |
| 9 | Allina Health Systems St Paul, MN | $168 | $159 | $42 | 26% | — | $0 – $504 |
| 10 | Allina Health Systems Minneapolis, MN | $162 | $153 | $45 | 30% | — | $0 – $424 |
Ask Claude or any MCP client for HCPCS L2755 pricing at a specific hospital — see how to connect.