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
$253
Median
$269
High
$4.6k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
960 hospitals; the 90th percentile is 10.9× 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.
Filter by billing methodology
Filter by billing class
1,449 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 | GRMC, Inc. Oakland, MD percent of total billed charges · bothfrom % of charges | 2 | $24 | $33 | $19 | 57% | 28–280 | $17 – $95 |
| 2 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $33 | $95 | $135 | 142% | 16–160 | $4 – $441 |
| 3 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $3 | $3 | $1 | 17% | 6–60 | $2 – $4 |
| 4 | Northern Hospital District of Surry County Mount Airy, NC facility · fee schedule · both | 2 | $167 | $167 | $70 | 42% | 4–40 | $97 – $236 |
| 5 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $45 | $11 | 24% | 3–30 | $30 – $55 |
| 6 | North Carolina Baptist Hospital Winston Salem, NC other · outpatient | 1 | $276 | $276 | — | — | 3–30 | $276 – $276 |
| 7 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 2 | $336 | $336 | — | — | 2–20 | $336 – $336 |
| 8 | Northern Hospital District of Surry County Mount Airy, NC facility · percent of total billed charges · bothfrom % of charges | 1 | $121 | $121 | — | — | 2–20 | $121 – $121 |
| 9 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital Woodstock, IL percent of total billed charges · outpatientfrom % of charges | 2 | $108 | $114 | $105 | 93% | 2–20 | $8 – $230 |
| 10 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 5 | $40 | $119 | $152 | 127% | 2–20 | $11 – $436 |
| 11 | Saint Marys Hospital Waterbury, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $25 | $26 | $10 | 38% | 2–20 | $14 – $42 |
| 12 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 4 | $124 | $128 | $7 | 6% | 2–20 | $124 – $140 |
| 13 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 3 | $68 | $70 | $15 | 22% | 2–20 | $53 – $100 |
| 14 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 17 | $80 | $73 | $13 | 18% | 1–10 | $45 – $84 |
| 15 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 2 | $129 | $129 | $5 | 4% | 1–10 | $124 – $134 |
| 16 | Mayo Clinic Health System Eau Claire 54703-5270 facility · percent of total billed charges · bothfrom % of charges | 2 | $24 | $24 | $1 | 4% | 1–10 | $22 – $24 |
| 17 | Stormont Vail Healthcare, Inc Topeka, KS percent of total billed charges · bothfrom % of charges | 1 | $17.3k | $17.3k | — | — | 1–10 | $17.3k – $17.3k |
| 18 | Strong Memorial Hospital Rochester, NY percent of total billed charges · outpatientfrom % of charges | 1 | $96 | $96 | — | — | 1–10 | $96 – $96 |
| 19 | WINNESHIEK MEDICAL CENTER Decorah, IA percent of total billed charges · outpatientfrom % of charges | 1 | $182 | $182 | — | — | 1–10 | $182 – $182 |
| 20 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $308 | $308 | — | — | — | $308 – $308 |
| 21 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $288 | $288 | $153 | 53% | — | $135 – $441 |
| 22 | ALASKA REGIONAL HOSPITAL Anchorage, AK fee schedule · outpatient | 1 | $278 | $278 | — | — | — | $278 – $278 |
| 23 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 3 | $145 | $143 | $3 | 2% | — | $138 – $145 |
| 24 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 8 | $268 | $232 | $63 | 27% | — | $138 – $289 |
| 25 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $315 | $315 | $3 | 1% | — | $312 – $318 |
← Payers reporting HCPCS L3809 · Snapshot 20261112T124536Z-e251e855