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
HALLUS-VALGUS NIGHT DYNAMIC SPLINT, PREFABRICATED, OFF-THE-SHELF
Low
$11
Average
$57
Median
$48
High
$174
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
42 hospitals; the 90th percentile is 3.6× 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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70 hospital rates
iThe hospitals that file a MultiPlan 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 | $174 | $174 | — | — | — | $174 – $174 |
| 2 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $174 | $174 | — | — | — | $174 – $174 |
| 3 | Astera Health Wadena, MN percent of total billed charges · inpatientfrom % of charges | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 4 | Astera Health Wadena, MN percent of total billed charges · outpatientfrom % of charges | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 5 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 6 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 7 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $137 | $137 | — | — | — | $137 – $137 |
| 8 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 9 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 10 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $67 | $67 | $5 | 8% | — | $58 – $75 |
| 11 | GLENCOE REGIONAL HEALTH SERVICES Glencoe, MN professional · fee schedule · outpatient | 1 | $91 | $91 | — | — | — | $91 – $91 |
| 12 | Good Samaritan Hospital Puyallup, WA percent of total billed charges · inpatientfrom % of charges | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 13 | Good Samaritan Hospital Puyallup, WA percent of total billed charges · outpatientfrom % of charges | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 14 | HMH HOSPITALS CORPORATION North Bergen, NJ facility · fee schedule · outpatient | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 15 | Marshfield Medical Center - Eau Claire Eau Claire, WI facility · percent of total billed charges · inpatientfrom % of charges | 2 | $40 | $40 | — | — | — | $40 – $40 |
| 16 | Marshfield Medical Center - Eau Claire Eau Claire, WI facility · percent of total billed charges · outpatientfrom % of charges | 2 | $40 | $40 | — | — | — | $40 – $40 |
| 17 | Marshfield Medical Center - Ladysmith Ladysmith, WI facility · percent of total billed charges · inpatientfrom % of charges | 2 | $40 | $40 | $0 | 1% | — | $39 – $40 |
| 18 | Marshfield Medical Center - Ladysmith Ladysmith, WI facility · percent of total billed charges · outpatientfrom % of charges | 2 | $40 | $40 | $0 | 1% | — | $39 – $40 |
| 19 | Marshfield Medical Center - Marshfield Marshfield, WI facility · percent of total billed charges · inpatientfrom % of charges | 2 | $40 | $40 | $0 | 1% | — | $39 – $40 |
| 20 | Marshfield Medical Center - Marshfield Marshfield, WI facility · percent of total billed charges · outpatientfrom % of charges | 2 | $40 | $40 | $0 | 1% | — | $39 – $40 |
| 21 | Marshfield Medical Center - Minocqua Minocqua, WI facility · percent of total billed charges · inpatientfrom % of charges | 2 | $40 | $40 | $0 | 1% | — | $39 – $40 |
| 22 | Marshfield Medical Center - Minocqua Minocqua, WI facility · percent of total billed charges · outpatientfrom % of charges | 2 | $40 | $40 | $0 | 1% | — | $39 – $40 |
| 23 | Marshfield Medical Center - Neillsville Neillsville, WI facility · percent of total billed charges · inpatientfrom % of charges | 2 | $39 | $39 | $0 | 1% | — | $39 – $40 |
| 24 | Marshfield Medical Center - Neillsville Neillsville, WI facility · percent of total billed charges · outpatientfrom % of charges | 2 | $39 | $39 | $0 | 1% | — | $39 – $40 |
| 25 | Marshfield Medical Center - Park Falls Park Falls, WI facility · percent of total billed charges · inpatientfrom % of charges | 2 | $39 | $39 | $0 | 1% | — | $39 – $40 |
← Payers reporting HCPCS L3100 · Snapshot 20261111T120946Z-9134e7f7