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
$0
Average
$84
Median
$68
High
$5.3k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1131 hospitals; the 90th percentile is 6.1× 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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1,803 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | St Luke's Nampa Medical Center, LTD Nampa, ID percent of total billed charges · bothfrom % of charges | 1 | $15 | $22 | $14 | 65% | 23–230 | $11 – $64 |
| 2 | St Luke's Regional Medical Center, LTD Mountain Home, ID percent of total billed charges · bothfrom % of charges | 1 | $15 | $22 | $14 | 65% | 23–230 | $11 – $64 |
| 3 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 17 | $53 | $57 | $18 | 32% | 16–160 | $29 – $94 |
| 4 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI facility · percent of total billed charges · bothfrom % of charges | 2 | $13 | $24 | $31 | 130% | 14–140 | $3 – $116 |
| 5 | St Mary Mercy Livonia Livonia, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $16 | $29 | $33 | 112% | 12–120 | $8 – $110 |
| 6 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $23 | $24 | $5 | 21% | 7–70 | $18 – $33 |
| 7 | Avera Heart Hospital Sioux Falls, SD percent of total billed charges · inpatientfrom % of charges | 1 | $15 | $17 | $3 | 19% | 4–40 | $15 – $22 |
| 8 | Avera Heart Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 1 | $15 | $17 | $3 | 19% | 4–40 | $15 – $22 |
| 9 | Northern Hospital District of Surry County Mount Airy, NC facility · fee schedule · both | 2 | $40 | $40 | $17 | 41% | 4–40 | $24 – $57 |
| 10 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · both | 1 | $3.9k | $3.9k | — | — | 4–40 | $3.9k – $3.9k |
| 11 | Valley County Hospital NE 68862-1240; 400 S 23rd St Ord, NE facility · percent of total billed charges · outpatientfrom % of charges | 2 | $42 | $55 | $29 | 53% | 3–30 | $18 – $96 |
| 12 | Inspira Medical Center Mullica Hill Hill, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $14 | $22 | $21 | 95% | 2–20 | $3 – $55 |
| 13 | Lexington Medical Center Lexington, NC percent of total billed charges · outpatientfrom % of charges | 3 | $69 | $118 | $120 | 102% | 2–20 | $5 – $296 |
| 14 | North Carolina Baptist Hospital Winston Salem, NC other · outpatient | 1 | $66 | $66 | — | — | 2–20 | $66 – $66 |
| 15 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $79 | $90 | $83 | 93% | 2–20 | $6 – $184 |
| 16 | University Medical Center of Southern Nevada Las Vegas, NV percent of total billed charges · outpatientfrom % of charges | 1 | $73 | $73 | — | — | 2–20 | $73 – $73 |
| 17 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 2 | $16 | $16 | $1 | 4% | 1–10 | $16 – $17 |
| 18 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $30 | $29 | $2 | 9% | 1–10 | $25 – $31 |
| 19 | Springhill Memorial Hospital Mobile, AL other · outpatient | 1 | $1 | $1 | — | — | 1–10 | $1 – $1 |
| 20 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 3 | $33 | $51 | $26 | 51% | — | $33 – $87 |
| 21 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 3 | $33 | $51 | $27 | 52% | — | $33 – $89 |
| 22 | ADVENTIST HEALTH TULARE Tulare, CA other · outpatient | 1 | $87 | $87 | — | — | — | $87 – $87 |
| 23 | ADVENTIST HEALTH TULARE Tulare, CA percent of total billed charges · outpatientfrom % of charges | 2 | $67 | $67 | $2 | 3% | — | $65 – $69 |
| 24 | AGH LAVEEN LLC Phoenix, AZ fee schedule · outpatient | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 25 | AGH MESA LLC Mesa, AZ fee schedule · outpatient | 1 | $58 | $58 | — | — | — | $58 – $58 |
← Payers reporting HCPCS L3650 · Snapshot 20261111T120946Z-9134e7f7