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
$0
Average
$73
Median
$23
High
$450
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
33 hospitals; the 90th percentile is 25935.5× 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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33 hospital rates
iThe hospitals that file a WellCare 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 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $65 | $42 | 65% | — | $33 – $125 |
| 2 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 3 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 4 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 5 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 6 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 7 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 8 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 9 | CAREPARTNERS REHABILITATION HOSPITAL Asheville, NC percent of total billed charges · outpatientfrom % of charges | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 10 | Children's Hospital of the King's Daughters Norfolk, VA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 11 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | Deaconess Health System Henderson Hospital Henderson, KY professional · fee schedule · both | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | Deaconess Illinois Crossroads Inc Mount Vernon, IL professional · fee schedule · both | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | Deaconess Illinois Union County Hospital Inc Anna, IL professional · fee schedule · both | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · fee schedule · both | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | Forsyth Memorial Hospital, Inc. Winston-Salem, NC fee schedule · outpatient | 1 | $450 | $450 | — | — | — | $450 – $450 |
| 20 | HMH HOSPITALS CORPORATION Edison, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $271 | $275 | $236 | 86% | — | $39 – $519 |
| 21 | HMH HOSPITALS CORPORATION Brick, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $271 | $275 | $236 | 86% | — | $39 – $519 |
| 22 | HMH HOSPITALS CORPORATION Edison, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $271 | $275 | $236 | 86% | — | $39 – $519 |
| 23 | Henry Ford Health System West Bloomfield, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 24 | Henry Ford Health System Plymouth, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 25 | Mercy Hospital Healdton Inc Healdton, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $56 | $56 | — | — | — | $56 – $56 |
← Payers reporting HCPCS L2999 · Snapshot 20261111T120946Z-9134e7f7