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
$13
Average
$193
Median
$60
High
$1.5k
Each hospital's average Optum rate, under the methodology and billing class chosen below.
46 hospitals; the 90th percentile is 15.7× 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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69 hospital rates
iThe hospitals that file a Optum 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 2 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 3 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 4 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 5 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 6 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 7 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 8 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 9 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 10 | Childrens Hospital of Los Angeles Angeles, CA facility · per diem · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 11 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 1 | $150 | $262 | $251 | 96% | — | $45 – $826 |
| 12 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 13 | Fairview Hospital Cleveland, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 14 | HCA FLORIDA LARGO HOSPITAL CLEARWATER, FL percent of total billed charges · outpatientfrom % of charges | 1 | $686 | $686 | — | — | — | $686 – $686 |
| 15 | HMH HOSPITALS CORPORATION Hackensack, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $133 | $134 | $115 | 86% | — | $19 – $254 |
| 16 | Johnson Memorial Hospital Stafford Springs, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $313 | $313 | $262 | 84% | — | $51 – $575 |
| 17 | LODI COMMUNITY HOSPITAL Lodi, OH facility · case rate · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 18 | LUTHERAN HOSPITAL Cleveland, OH facility · case rate · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 19 | LUTHERAN HOSPITAL Cleveland, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 20 | MARYMOUNT HOSPITAL INC Garfield Heights, OH facility · case rate · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 21 | MARYMOUNT HOSPITAL INC Garfield Heights, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 22 | MEDICAL CITY DALLAS GARLAND, TX percent of total billed charges · outpatientfrom % of charges | 2 | $1.3k | $1.3k | $1.0k | 78% | — | $283 – $2.3k |
| 23 | MEDICAL CITY FORT WORTH FORT WORTH, TX percent of total billed charges · outpatientfrom % of charges | 1 | $937 | $1.5k | $1.2k | 78% | — | $627 – $4.0k |
| 24 | MEDINA HOSPITAL Medina, OH facility · case rate · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 25 | MEDINA HOSPITAL Medina, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $107 | $107 | — | — | — | $107 – $107 |
← Payers reporting HCPCS L2999 · Snapshot 20261111T120946Z-9134e7f7