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
HC Splnt Clvcl 48-54in 2xl
Low
$1
Average
$164
Median
$73
High
$9.4k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
714 hospitals; the 90th percentile is 9.0× 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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988 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 1 | $214 | $214 | — | — | 14–140 | $214 – $214 |
| 2 | Lexington Medical Center Lexington, NC percent of total billed charges · outpatientfrom % of charges | 4 | $90 | $125 | $119 | 96% | 12 | $7 – $283 |
| 3 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 4 | $65 | $87 | $83 | 95% | 8–80 | $5 – $197 |
| 4 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 2 | $43 | $57 | $38 | 67% | 8–80 | $43 – $159 |
| 5 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $21 | $4 | 21% | 7–70 | $16 – $28 |
| 6 | High Point Regional Health High Point, NC percent of total billed charges · outpatientfrom % of charges | 4 | $109 | $146 | $138 | 95% | 6–60 | $8 – $328 |
| 7 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 4 | $29 | $28 | $5 | 17% | 4–40 | $20 – $33 |
| 8 | Northern Hospital District of Surry County Mount Airy, NC facility · percent of total billed charges · bothfrom % of charges | 1 | $57 | $57 | $1 | 1% | 4–40 | $57 – $58 |
| 9 | Arkansas Childrens Northwest Springdale, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $19 | $19 | — | — | 3–30 | $19 – $19 |
| 10 | Inspira Medical Center Vineland Vineland, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | $19 | 79% | 2–20 | $5 – $49 |
| 11 | MVHS, Inc. Utica, NY percent of total billed charges · bothfrom % of charges | 1 | $136 | $136 | $109 | 80% | 2–20 | $28 – $245 |
| 12 | Northern Hospital District of Surry County Mount Airy, NC facility · fee schedule · both | 1 | $57 | $57 | — | — | 2–20 | $57 – $57 |
| 13 | Northwest Hospital LLC Tucson, AZ facility · other · outpatient | 3 | $57 | $57 | — | — | 2–20 | $57 – $57 |
| 14 | Novant Health New Hanover Regional Medical Center LLC Wilmington, NC percent of total billed charges · outpatientfrom % of charges | 2 | $48 | $48 | — | — | 2–20 | $48 – $48 |
| 15 | Oro Valley Hospital LLC Tucson, AZ facility · other · outpatient | 3 | $57 | $57 | — | — | 1–10 | $57 – $57 |
| 16 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 4 | $84 | $86 | $8 | 10% | — | $76 – $99 |
| 17 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 4 | $78 | $67 | $27 | 40% | — | $21 – $89 |
| 18 | ADVENTIST HEALTH TULARE Tulare, CA case rate · outpatient | 2 | $46 | $46 | $2 | 5% | — | $43 – $48 |
| 19 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 20 | ADVENTIST HEALTH TULARE Tulare, CA other · outpatient | 2 | $87 | $87 | — | — | — | $87 – $87 |
| 21 | ADVENTIST HEALTH TULARE Tulare, CA percent of total billed charges · outpatientfrom % of charges | 2 | $36 | $36 | $6 | 16% | — | $30 – $42 |
| 22 | AGH LAVEEN LLC Phoenix, AZ fee schedule · outpatient | 3 | $85 | $94 | $13 | 14% | — | $85 – $113 |
| 23 | AGH MESA LLC Mesa, AZ fee schedule · outpatient | 3 | $85 | $94 | $13 | 14% | — | $85 – $113 |
| 24 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 25 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · inpatient | 2 | $19 | $23 | $6 | 27% | — | $17 – $32 |
← Payers reporting HCPCS L3650 · Snapshot 20261111T120946Z-9134e7f7