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
Plate Contour Flexible
Low
$0
Average
$114
Median
$142
High
$246
Each hospital's average First Health rate, under the methodology and billing class chosen below.
25 hospitals; the 90th percentile is 18006.8× 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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38 hospital rates
iThe hospitals that file a First Health 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 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $191 | $191 | — | — | — | $191 – $191 |
| 2 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $191 | $191 | — | — | — | $191 – $191 |
| 3 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 4 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $82 | $82 | — | — | — | $82 – $82 |
| 5 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $82 | $82 | — | — | — | $82 – $82 |
| 6 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Deaconess Health System Henderson Hospital Henderson, KY professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $149 | $149 | — | — | — | $149 – $149 |
| 12 | Good Samaritan Hospital Puyallup, WA percent of total billed charges · inpatientfrom % of charges | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 13 | Good Samaritan Hospital Puyallup, WA percent of total billed charges · outpatientfrom % of charges | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 14 | Mary Bridge Children's Hospital Tacoma, WA percent of total billed charges · inpatientfrom % of charges | 1 | $154 | $154 | — | — | — | $154 – $154 |
| 15 | Mary Bridge Children's Hospital Tacoma, WA percent of total billed charges · outpatientfrom % of charges | 1 | $154 | $154 | — | — | — | $154 – $154 |
| 16 | Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 17 | Mercy Hospital Fort Smith Smith, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $144 | $144 | — | — | — | $144 – $144 |
| 18 | Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 19 | Mercy Hospital Fort Smith Smith, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $144 | $144 | — | — | — | $144 – $144 |
| 20 | MultiCare Auburn Medical Center Auburn, WA percent of total billed charges · inpatientfrom % of charges | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 21 | MultiCare Auburn Medical Center Auburn, WA percent of total billed charges · outpatientfrom % of charges | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 22 | MultiCare Capital Medical Center Lacey, WA percent of total billed charges · inpatientfrom % of charges | 1 | $166 | $166 | — | — | — | $166 – $166 |
| 23 | MultiCare Capital Medical Center Lacey, WA percent of total billed charges · outpatientfrom % of charges | 1 | $166 | $166 | — | — | — | $166 – $166 |
| 24 | MultiCare Covington Medical Center Covington, WA percent of total billed charges · inpatientfrom % of charges | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 25 | MultiCare Covington Medical Center Covington, WA percent of total billed charges · outpatientfrom % of charges | 1 | $142 | $142 | — | — | — | $142 – $142 |
← Payers reporting HCPCS L3031 · Snapshot 20261111T120946Z-9134e7f7