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
$3
Average
$110
Median
$73
High
$8.3k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
440 hospitals; the 90th percentile is 2.5× 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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476 hospital rates
iThe hospitals that file a WellCare 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 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 1 | $79 | $79 | $72 | 92% | 2–20 | $6 – $151 |
| 2 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 1 | $25 | $25 | — | — | 1–10 | $25 – $25 |
| 3 | Novant Health New Hanover Regional Medical Center LLC Wilmington, NC percent of total billed charges · outpatientfrom % of charges | 1 | $18 | $18 | — | — | 1–10 | $18 – $18 |
| 4 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $79 | $79 | $2 | 2% | — | $77 – $80 |
| 5 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $4 | $5 | 126% | — | $2 – $19 |
| 6 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 1 | $43 | $43 | $35 | 81% | — | $8 – $77 |
| 7 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 8 | Agnesian Healthcare Inc. Fond Du Lac, WI fee schedule · outpatient | 1 | $82 | $82 | — | — | — | $82 – $82 |
| 9 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $147 | $147 | $135 | 92% | — | $12 – $282 |
| 10 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $89 | $89 | — | — | — | $89 – $89 |
| 11 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 12 | Arkansas Childrens Hospital Little Rock, AR facility · other · outpatient | 1 | $73 | $73 | — | — | — | $73 – $73 |
| 13 | Arkansas Childrens Northwest Springdale, AR facility · other · outpatient | 1 | $89 | $89 | — | — | — | $89 – $89 |
| 14 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $49 | $49 | $46 | 92% | — | $4 – $95 |
| 15 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 1 | $39 | $39 | $36 | 92% | — | $3 – $76 |
| 16 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 1 | $52 | $52 | $48 | 92% | — | $4 – $101 |
| 17 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 1 | $12 | $26 | $21 | 80% | — | $10 – $55 |
| 18 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $11 | $23 | $18 | 80% | — | $9 – $49 |
| 19 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $12 | $26 | $21 | 80% | — | $10 – $55 |
| 20 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 1 | $12 | $26 | $21 | 80% | — | $10 – $55 |
| 21 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 1 | $12 | $26 | $21 | 80% | — | $10 – $55 |
| 22 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $11 | $23 | $18 | 80% | — | $9 – $49 |
| 23 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $15 | $32 | $25 | 80% | — | $13 – $67 |
| 24 | BELTON REGIONAL MEDICAL CENTER Kansas City, MO fee schedule · outpatient | 1 | $81 | $81 | — | — | — | $81 – $81 |
| 25 | BLUE RIDGE REGIONAL HOSPITAL Spruce Pine, NC percent of total billed charges · outpatientfrom % of charges | 1 | $40 | $40 | $32 | 81% | — | $8 – $72 |
← Payers reporting HCPCS L3650 · Snapshot 20261111T120946Z-9134e7f7