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
$312
Median
$33
High
$11.5k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
71 hospitals; the 90th percentile is 30.2× 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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102 hospital rates
iThe hospitals that file a Wellmark 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 | Lakes Regional Hospital Spirit Lake, IA case rate · outpatient | 2 | $29 | $29 | — | — | 8–80 | $29 – $29 |
| 2 | Avera Queen of Peace Mitchell, SD outpatient | 1 | $6 | $6 | — | — | 6–60 | $6 – $6 |
| 3 | Avera Queen of Peace Mitchell, SD case rate · outpatient | 1 | $6 | $6 | — | — | 6–60 | $6 – $6 |
| 4 | St Michael's Hospital Tyndall, SD outpatient | 1 | $20 | $20 | — | — | 6–60 | $20 – $20 |
| 5 | St Michael's Hospital Tyndall, SD percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | — | — | 6–60 | $20 – $20 |
| 6 | Avera St. Anthony's Hospital O'Neill, NE inpatient | 1 | $22 | $22 | — | — | 1–10 | $22 – $22 |
| 7 | Avera St. Anthony's Hospital O'Neill, NE percent of total billed charges · inpatientfrom % of charges | 1 | $21 | $31 | $17 | 56% | 1–10 | $20 – $60 |
| 8 | Avera St. Luke's Aberdeen, SD outpatient | 1 | $33 | $33 | — | — | 1–10 | $33 – $33 |
| 9 | Avera St. Luke's Aberdeen, SD case rate · outpatient | 1 | $33 | $33 | — | — | 1–10 | $33 – $33 |
| 10 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $278 | $278 | — | — | — | $278 – $278 |
| 11 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 3 | $259 | $259 | — | — | — | $259 – $259 |
| 12 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $557 | $557 | — | — | — | $557 – $557 |
| 13 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $557 | $557 | — | — | — | $557 – $557 |
| 14 | Avera Creighton Hospital Creighton, NE percent of total billed charges · inpatientfrom % of charges | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 15 | Avera Creighton Hospital Creighton, NE percent of total billed charges · outpatientfrom % of charges | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 16 | Avera DeSmet De Smet, SD percent of total billed charges · inpatientfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 17 | Avera DeSmet De Smet, SD percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 18 | Avera Flandreau Hospital Flandreau, SD percent of total billed charges · inpatientfrom % of charges | 1 | $16 | $33 | $23 | 70% | — | $16 – $65 |
| 19 | Avera Flandreau Hospital Flandreau, SD percent of total billed charges · outpatientfrom % of charges | 1 | $16 | $33 | $23 | 70% | — | $16 – $65 |
| 20 | Avera Gregory Hospital Gregory, SD percent of total billed charges · inpatientfrom % of charges | 1 | $21 | $24 | $6 | 24% | — | $21 – $35 |
| 21 | Avera Gregory Hospital Gregory, SD percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $24 | $6 | 24% | — | $21 – $35 |
| 22 | Avera Milbank Hospital Milbank, SD percent of total billed charges · inpatientfrom % of charges | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 23 | Avera Milbank Hospital Milbank, SD percent of total billed charges · outpatientfrom % of charges | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 24 | Avera Missouri River Health Center Gettysburg, SD percent of total billed charges · inpatientfrom % of charges | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 25 | Avera Missouri River Health Center Gettysburg, SD percent of total billed charges · outpatientfrom % of charges | 1 | $54 | $54 | — | — | — | $54 – $54 |
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