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
SPLINT ORTHO LG 11IN LT FOREARM WRIST NON-PERFORATED PALMAR/DORSAL STAY HK-LOOP CLOSURE BROWN
Low
$0
Average
$337
Median
$281
High
$11.5k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
583 hospitals; the 90th percentile is 11.7× 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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751 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 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 4 | $31 | $93 | $134 | 145% | 32–320 | $3 – $473 |
| 2 | Allina Health Systems Owatonna, MN facility · other · outpatient | 5 | $325 | $342 | $111 | 33% | 31–58 | $156 – $482 |
| 3 | Allina Health Systems Shakopee, MN facility · other · outpatient | 5 | $325 | $342 | $111 | 33% | 30–57 | $156 – $482 |
| 4 | Allina Health Systems Cambridge, MN facility · other · outpatient | 5 | $325 | $342 | $111 | 33% | 30–57 | $156 – $482 |
| 5 | Allina Health Systems Buffalo, MN facility · other · outpatient | 5 | $325 | $342 | $111 | 33% | 30–57 | $156 – $482 |
| 6 | Allina Health Systems Faribualt, MN facility · other · outpatient | 5 | $325 | $342 | $111 | 33% | 29–47 | $156 – $482 |
| 7 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 4 | $3 | $3 | $1 | 23% | 12–120 | $2 – $4 |
| 8 | Northern Hospital District of Surry County Mount Airy, NC facility · percent of total billed charges · bothfrom % of charges | 1 | $160 | $160 | $77 | 48% | 4–40 | $83 – $236 |
| 9 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 3 | $61 | $62 | $22 | 36% | 4–40 | $35 – $105 |
| 10 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 3 | $61 | $62 | $22 | 36% | 4–40 | $35 – $105 |
| 11 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $43 | $39 | $9 | 24% | 3–30 | $26 – $48 |
| 12 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 6 | $372 | $389 | $31 | 8% | 2–20 | $372 – $446 |
| 13 | Northern Hospital District of Surry County Mount Airy, NC facility · fee schedule · both | 1 | $97 | $97 | — | — | 2–20 | $97 – $97 |
| 14 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC percent of total billed charges · bothfrom % of charges | 4 | $34 | $39 | $14 | 35% | 2–20 | $27 – $63 |
| 15 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 4 | $34 | $39 | $14 | 35% | 2–20 | $27 – $63 |
| 16 | Arkansas Childrens Northwest Springdale, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $33 | $33 | — | — | 1–10 | $33 – $33 |
| 17 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 8 | $33 | $34 | $2 | 5% | 1–10 | $31 – $37 |
| 18 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $17 | $17 | $6 | 34% | 1–10 | $11 – $22 |
| 19 | St. Joseph's Hospital of Buckhannon, Inc. Buckhannon, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | — | — | 1–10 | $20 – $20 |
| 20 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 1 | $268 | $268 | — | — | — | $268 – $268 |
| 21 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $281 | $281 | — | — | — | $281 – $281 |
| 22 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 5 | $59 | $49 | $22 | 46% | — | $10 – $73 |
| 23 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 6 | $34 | $28 | $9 | 32% | — | $15 – $34 |
| 24 | AdventHealth Orlando Winter Park, FL fee schedule · outpatient | 2 | $285 | $285 | $4 | 1% | — | $281 – $290 |
| 25 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · percent of total billed charges · outpatientfrom % of charges | 4 | $128 | $132 | $7 | 5% | — | $126 – $144 |
← Payers reporting HCPCS L3809 · Snapshot 20261111T120946Z-9134e7f7