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
$6
Average
$482
Median
$27
High
$11.5k
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
37 hospitals; the 90th percentile is 77.9× 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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38 hospital rates
iThe hospitals that file a Excellus 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 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 2 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 2 | $451 | $451 | $178 | 39% | — | $273 – $629 |
| 3 | Highland Hospital Rochester, NY fee schedule · outpatient | 4 | $159 | $159 | — | — | — | $159 – $159 |
| 4 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $34 | $34 | $11 | 31% | — | $23 – $44 |
| 5 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $14 | $14 | $4 | 31% | — | $9 – $18 |
| 6 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $25 | $25 | $8 | 31% | — | $17 – $33 |
| 7 | Johnson Memorial Hospital Stafford Springs, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $21 | $21 | $7 | 31% | — | $15 – $28 |
| 8 | MVHS, Inc. Utica, NY percent of total billed charges · bothfrom % of charges | 2 | $7 | $6 | $1 | 26% | — | $3 – $7 |
| 9 | Mercy Fitzgerald Hospital Darby, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $59 | $59 | $18 | 31% | — | $40 – $77 |
| 10 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $16 | $16 | $5 | 31% | — | $11 – $20 |
| 11 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $27 | $27 | $8 | 31% | — | $19 – $36 |
| 12 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $21 | $21 | $6 | 31% | — | $14 – $27 |
| 13 | Mishawaka Medical Center Mishawaka, IN facility · percent of total billed charges · bothfrom % of charges | 1 | $15 | $15 | $5 | 31% | — | $11 – $20 |
| 14 | Mount Carmel Grove City Grove City, OH professional · percent of total billed charges · inpatientfrom % of charges | 1 | $951 | $951 | $225 | 24% | — | $726 – $1.2k |
| 15 | Mount Carmel Grove City Grove City, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $882 | $882 | $294 | 33% | — | $588 – $1.2k |
| 16 | Nazareth Hospital Philadelphia, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $59 | $59 | $18 | 31% | — | $40 – $77 |
| 17 | Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient | 1 | $569 | $569 | — | — | — | $569 – $569 |
| 18 | Plymouth Medical Center Plymouth, IN facility · percent of total billed charges · bothfrom % of charges | 1 | $15 | $15 | $5 | 31% | — | $11 – $20 |
| 19 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $31 | $35 | $16 | 47% | — | $16 – $61 |
| 20 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $38 | $38 | $12 | 31% | — | $26 – $50 |
| 21 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $16 | $16 | $5 | 31% | — | $11 – $21 |
| 22 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $38 | $38 | $12 | 31% | — | $26 – $50 |
| 23 | Saint Marys Hospital Waterbury, CT facility · other · outpatient | 1 | $11.5k | $11.5k | — | — | — | $11.5k – $11.5k |
| 24 | Samaritan Hospital Troy, NY facility · percent of total billed charges · bothfrom % of charges | 4 | $18 | $19 | $10 | 51% | — | $7 – $35 |
| 25 | Samaritan Medical Center Watertown, NY facility · case rate · outpatient | 2 | $763 | $763 | $490 | 64% | — | $273 – $1.3k |
← Payers reporting HCPCS L3809 · Snapshot 20261111T120946Z-9134e7f7