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
$8
Average
$402
Median
$42
High
$11.5k
Each hospital's average Highmark rate, under the methodology and billing class chosen below.
55 hospitals; the 90th percentile is 44.8× 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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70 hospital rates
iThe hospitals that file a Highmark 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 | GRMC, Inc. Oakland, MD percent of total billed charges · bothfrom % of charges | 3 | $24 | $32 | $18 | 57% | 14–140 | $17 – $89 |
| 2 | Lancaster General Health Lancaster, PA facility · other · outpatient | 5 | $18 | $20 | $9 | 44% | 3–30 | $9 – $37 |
| 3 | Strong Memorial Hospital Rochester, NY percent of total billed charges · outpatientfrom % of charges | 1 | $91 | $91 | — | — | 1–10 | $91 – $91 |
| 4 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 11 | $221 | $221 | — | — | — | $221 – $221 |
| 5 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 19 | $248 | $277 | $79 | 29% | — | $130 – $444 |
| 6 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $197 | $197 | — | — | — | $197 – $197 |
| 7 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 3 | $453 | $449 | $137 | 31% | — | $262 – $627 |
| 8 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · inpatient | 11 | $221 | $221 | — | — | — | $221 – $221 |
| 9 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 19 | $246 | $273 | $74 | 27% | — | $130 – $423 |
| 10 | Chambersburg Hospital Chambersburg, PA fee schedule · outpatient | 7 | $1.2k | $790 | $451 | 57% | — | $209 – $1.2k |
| 11 | Charleston Area Medical Center Charleston, WV fee schedule · both | 1 | $225 | $219 | $47 | 22% | — | $158 – $273 |
| 12 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 4 | $160 | $238 | $163 | 68% | — | $44 – $546 |
| 13 | Children's Hospital of Philadelphia, The Philadelphia, PA percent of total billed charges · outpatientfrom % of charges | 1 | $36 | $37 | $11 | 31% | — | $24 – $52 |
| 14 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 2 | $355 | $394 | $140 | 35% | — | $265 – $601 |
| 15 | Davis Medical Center Elkins, WV facility · case rate · outpatient | 1 | $330 | $330 | — | — | — | $330 – $330 |
| 16 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $197 | $197 | — | — | — | $197 – $197 |
| 17 | Ephrata Community Hospital Ephrata, PA fee schedule · outpatient | 8 | $982 | $742 | $375 | 50% | — | $209 – $1.2k |
| 18 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · inpatient | 11 | $221 | $221 | — | — | — | $221 – $221 |
| 19 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient | 19 | $248 | $340 | $163 | 48% | — | $215 – $642 |
| 20 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $34 | $34 | $11 | 31% | — | $23 – $44 |
| 21 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $14 | $14 | $4 | 31% | — | $9 – $18 |
| 22 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $25 | $25 | $8 | 31% | — | $17 – $33 |
| 23 | Holy Redeemer Health System Meadowbrook, PA facility · case rate · outpatient | 1 | $291 | $291 | — | — | — | $291 – $291 |
| 24 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · inpatient | 11 | $221 | $221 | — | — | — | $221 – $221 |
| 25 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · outpatient | 19 | $248 | $282 | $82 | 29% | — | $130 – $456 |
← Payers reporting HCPCS L3809 · Snapshot 20261111T120946Z-9134e7f7