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
$300
Median
$209
High
$22.0k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
660 hospitals; the 90th percentile is 21.0× 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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924 hospital rates
iThe hospitals that file a Cigna 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 | 3 | $44 | $153 | $231 | 151% | 16–160 | $5 – $948 |
| 2 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $5 | $5 | $2 | 34% | 6–60 | $3 – $9 |
| 3 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 4 | $40 | $109 | $138 | 126% | 2–20 | $4 – $436 |
| 4 | Saint Marys Hospital Waterbury, CT facility · percent of total billed charges · bothfrom % of charges | 2 | $20 | $21 | $8 | 37% | 2–20 | $12 – $34 |
| 5 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $92 | $129 | $94 | 73% | 1–10 | $18 – $275 |
| 6 | Arkansas Childrens Northwest Springdale, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $42 | $42 | — | — | 1–10 | $42 – $42 |
| 7 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 3 | $357 | $357 | $15 | 4% | 1–10 | $342 – $372 |
| 8 | Saint Marys Hospital Waterbury, CT facility · case rate · outpatient | 1 | $11.8k | $11.8k | — | — | 1–10 | $11.8k – $11.8k |
| 9 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 2 | $140 | $140 | — | — | 1–10 | $140 – $140 |
| 10 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $274 | $274 | $145 | 53% | — | $129 – $419 |
| 11 | ALBANY GENERAL HOSPITAL Albany, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $72 | $79 | $28 | 35% | — | $51 – $120 |
| 12 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 2 | $388 | $388 | $102 | 26% | — | $286 – $490 |
| 13 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · inpatientfrom % of charges | 1 | $114 | $114 | $9 | 8% | — | $106 – $123 |
| 14 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 3 | $85 | $89 | $21 | 23% | — | $62 – $123 |
| 15 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 4 | $30 | $35 | $9 | 24% | — | $30 – $50 |
| 16 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $250 | $250 | $5 | 2% | — | $245 – $255 |
| 17 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $250 | $250 | $5 | 2% | — | $245 – $255 |
| 18 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $245 | $245 | $7 | 3% | — | $235 – $255 |
| 19 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $245 | $245 | $7 | 3% | — | $235 – $255 |
| 20 | Advocate Lutheran General Hospital Park Ridge, IL percent of total billed charges · inpatientfrom % of charges | 1 | $240 | $240 | $5 | 2% | — | $235 – $244 |
| 21 | Advocate Lutheran General Hospital Park Ridge, IL percent of total billed charges · outpatientfrom % of charges | 1 | $240 | $240 | $5 | 2% | — | $235 – $244 |
| 22 | Advocate South Suburban Hospital Hazel Crest, IL percent of total billed charges · inpatientfrom % of charges | 1 | $240 | $240 | $5 | 2% | — | $235 – $244 |
| 23 | Advocate South Suburban Hospital Hazel Crest, IL percent of total billed charges · outpatientfrom % of charges | 1 | $240 | $240 | $5 | 2% | — | $235 – $244 |
| 24 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $11 | $11 | $2 | 14% | — | $9 – $12 |
| 25 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $11 | $11 | $2 | 14% | — | $9 – $12 |
← Payers reporting HCPCS L3809 · Snapshot 20261111T120946Z-9134e7f7