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 EWHO RIGID WO JT CUSTOM FAB
Low
$0
Average
$781
Median
$798
High
$3.1k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
968 hospitals; the 90th percentile is 3.7× 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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1,472 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 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · outpatientfrom % of charges | 5 | $579 | $628 | $97 | 15% | 2–20 | $579 – $821 |
| 2 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 2 | $601 | $610 | $229 | 38% | 2–20 | $368 – $870 |
| 3 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 2 | $579 | $579 | $241 | 42% | 2–20 | $338 – $821 |
| 4 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $382 | $382 | $41 | 11% | 2–20 | $340 – $423 |
| 5 | The Charlotte Mecklenburg Hospital Authority Kannapolis, NC other · outpatient | 2 | $162 | $162 | — | — | 2–20 | $162 – $162 |
| 6 | UCHMHS Colorado Springs, CO percent of total billed charges · outpatientfrom % of charges | 2 | $811 | $818 | $110 | 13% | 2–20 | $673 – $977 |
| 7 | UCHMHS Colorado Springs, CO percent of total billed charges · outpatientfrom % of charges | 2 | $811 | $818 | $110 | 13% | 2–20 | $673 – $977 |
| 8 | Aurora Medical Center Manitowoc Two Rivers, WI percent of total billed charges · outpatientfrom % of charges | 5 | $579 | $628 | $97 | 15% | 1–10 | $579 – $821 |
| 9 | Aurora Medical Center Oshkosh Oshkosh, WI percent of total billed charges · outpatientfrom % of charges | 5 | $579 | $628 | $97 | 15% | 1–10 | $579 – $821 |
| 10 | Aurora Medical Center Sheboygan County Sheboygan, WI percent of total billed charges · outpatientfrom % of charges | 5 | $579 | $628 | $97 | 15% | 1–10 | $579 – $821 |
| 11 | Brigham and Women's Faulkner Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $459 | $459 | — | — | 1–10 | $459 – $459 |
| 12 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · outpatient | 1 | $338 | $338 | — | — | 1–10 | $338 – $338 |
| 13 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $981 | $981 | — | — | 1–10 | $981 – $981 |
| 14 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 4 | $1.2k | $1.0k | $308 | 31% | 1–10 | $264 – $1.2k |
| 15 | Mayo Clinic Health System Eau Claire 54703-5270 facility · percent of total billed charges · bothfrom % of charges | 2 | $94 | $92 | $3 | 4% | 1–10 | $86 – $94 |
| 16 | North Carolina Baptist Hospital Winston Salem, NC other · outpatient | 1 | $875 | $875 | — | — | 1–10 | $875 – $875 |
| 17 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 3 | $786 | $850 | $243 | 29% | 1–10 | $590 – $1.2k |
| 18 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 1 | $878 | $878 | — | — | 1–10 | $878 – $878 |
| 19 | Self Regional Healthcare Greenwood, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $869 | $869 | — | — | 1–10 | $869 – $869 |
| 20 | Spaulding Rehabilitation Hospital Cape Cod Sandwich, MA percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 21 | University of Colorado Hospital Authority Aurora, CO percent of total billed charges · outpatientfrom % of charges | 3 | $463 | $473 | $47 | 10% | 1–10 | $421 – $535 |
| 22 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 3 | $260 | $278 | $44 | 16% | 1–10 | $238 – $353 |
| 23 | Virtua_West_Jersey_Health_System_Inc Marlton, NJ other · outpatient | 1 | $825 | $825 | — | — | 1–10 | $825 – $825 |
| 24 | Virtua_West_Jersey_Health_System_Inc Voorhees, NJ other · outpatient | 1 | $825 | $825 | — | — | 1–10 | $825 – $825 |
| 25 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $396 | $396 | — | — | 1–10 | $396 – $396 |
← Payers reporting HCPCS L3763 · Snapshot 20261111T120946Z-9134e7f7