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
HB-Visco Gel Toe Spacer per Each
Low
$9
Average
$131
Median
$33
High
$413
Each hospital's average Amerihealth Caritas rate, under the methodology and billing class chosen below.
12 hospitals; the 90th percentile is 15.1× 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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12 hospital rates
iThe hospitals that file a Amerihealth Caritas 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 | CAREPARTNERS REHABILITATION HOSPITAL Asheville, NC percent of total billed charges · outpatientfrom % of charges | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 2 | Children's Hospital of the King's Daughters Norfolk, VA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 3 | Henry Ford Health System West Bloomfield, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 4 | Henry Ford Health System Plymouth, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 5 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $413 | $413 | $335 | 81% | — | $78 – $748 |
| 6 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $340 | $340 | $283 | 83% | — | $57 – $623 |
| 7 | Lake Charles Memorial Hospital Charles., LA percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | $14 | 65% | — | $8 – $35 |
| 8 | MELROSEWAKEFIELD HEALTHCARE Medford, MA percent of total billed charges · bothfrom % of charges | 1 | $22 | $33 | $31 | 92% | — | $22 – $115 |
| 9 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $197 | $197 | $159 | 81% | — | $38 – $355 |
| 10 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $134 | $134 | $108 | 81% | — | $26 – $242 |
| 11 | St. Francis Hospital Inc Wilmington, DE facility · percent of total billed charges · bothfrom % of charges | 1 | $301 | $301 | $252 | 84% | — | $49 – $553 |
| 12 | Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges | 1 | $22 | $33 | $31 | 92% | — | $22 – $115 |
← Payers reporting HCPCS L2999 · Snapshot 20261111T120946Z-9134e7f7