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
Shoe molded plastazote cust
Low
$40
Average
$191
Median
$107
High
$571
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
65 hospitals; the 90th percentile is 10.8× 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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77 hospital rates
iThe hospitals that file a Cigna 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 · percent of total billed charges · outpatientfrom % of charges | 1 | $318 | $318 | — | — | — | $318 – $318 |
| 2 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 3 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $106 | $106 | — | — | — | $106 – $106 |
| 4 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 5 | CHI St. Vincent Hospital Hot Springs Hot Springs, AR fee schedule · outpatient | 3 | $37 | $43 | $9 | 21% | — | $36 – $56 |
| 6 | COMMUNITY HOSPITAL OF SAN BERNARDINO San Bernardino, CA fee schedule · inpatient | 2 | $292 | $292 | $39 | 13% | — | $253 – $330 |
| 7 | COMMUNITY HOSPITAL OF SAN BERNARDINO San Bernardino, CA fee schedule · outpatient | 2 | $364 | $364 | $48 | 13% | — | $316 – $413 |
| 8 | Centennial Hills Las Vegas, NV percent of total billed charges · bothfrom % of charges | 2 | $271 | $271 | $48 | 18% | — | $223 – $319 |
| 9 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 10 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 11 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 12 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 2 | $40 | $40 | — | — | — | $40 – $40 |
| 13 | DIGNITY COMMUNITY CARE Glendale, CA fee schedule · inpatient | 2 | $199 | $199 | $26 | 13% | — | $173 – $225 |
| 14 | DIGNITY COMMUNITY CARE Glendale, CA fee schedule · outpatient | 2 | $451 | $451 | $60 | 13% | — | $391 – $510 |
| 15 | DIGNITY HEALTH Henderson, NV fee schedule · inpatient | 2 | $571 | $571 | $76 | 13% | — | $495 – $647 |
| 16 | DIGNITY HEALTH Henderson, NV fee schedule · outpatient | 2 | $571 | $571 | $76 | 13% | — | $495 – $647 |
| 17 | DIGNITY HEALTH Henderson, NV fee schedule · inpatient | 2 | $571 | $571 | $76 | 13% | — | $495 – $647 |
| 18 | DIGNITY HEALTH Henderson, NV fee schedule · outpatient | 2 | $571 | $571 | $76 | 13% | — | $495 – $647 |
| 19 | DIGNITY HEALTH San Bernardino, CA fee schedule · inpatient | 2 | $292 | $292 | $39 | 13% | — | $253 – $330 |
| 20 | DIGNITY HEALTH San Bernardino, CA fee schedule · outpatient | 2 | $364 | $364 | $48 | 13% | — | $316 – $413 |
| 21 | DIGNITY HEALTH Long Beach, CA fee schedule · inpatient | 2 | $199 | $199 | $26 | 13% | — | $173 – $225 |
| 22 | DIGNITY HEALTH Long Beach, CA fee schedule · outpatient | 2 | $451 | $451 | $60 | 13% | — | $391 – $510 |
| 23 | DIGNITY HEALTH Las Vegas, NV fee schedule · inpatient | 2 | $571 | $571 | $76 | 13% | — | $495 – $647 |
| 24 | DIGNITY HEALTH Las Vegas, NV fee schedule · outpatient | 2 | $571 | $571 | $76 | 13% | — | $495 – $647 |
| 25 | Deaconess Health System Henderson Hospital Henderson, KY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $124 | $124 | — | — | — | $124 – $124 |
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