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 COLLES ADLT RT PADDED
Low
$13
Average
$83
Median
$38
High
$420
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
41 hospitals; the 90th percentile is 18.0× 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.
Filter by billing methodology
Filter by billing class
48 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 | MVHS, Inc. Utica, NY percent of total billed charges · bothfrom % of charges | 3 | $44 | $61 | $30 | 49% | 10–100 | $34 – $114 |
| 2 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 1 | $363 | $363 | — | — | — | $363 – $363 |
| 3 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $180 | $180 | $102 | 57% | — | $77 – $282 |
| 4 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY professional · fee schedule · both | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 5 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 2 | $148 | $148 | $59 | 39% | — | $90 – $207 |
| 6 | Highland Hospital Rochester, NY fee schedule · outpatient | 4 | $48 | $48 | — | — | — | $48 – $48 |
| 7 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $26 | $38 | $28 | 73% | — | $10 – $115 |
| 8 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $11 | $16 | $11 | 71% | — | $4 – $46 |
| 9 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $19 | $28 | $20 | 73% | — | $8 – $84 |
| 10 | Johnson Memorial Hospital Stafford Springs, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $17 | $24 | $18 | 73% | — | $6 – $72 |
| 11 | MVHS, Inc. Utica, NY fee schedule · outpatient | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 12 | Mercy Fitzgerald Hospital Darby, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $46 | $67 | $49 | 73% | — | $18 – $198 |
| 13 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $12 | $18 | $13 | 73% | — | $5 – $53 |
| 14 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $21 | $31 | $22 | 73% | — | $8 – $92 |
| 15 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $16 | $23 | $17 | 73% | — | $6 – $70 |
| 16 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · inpatient | 3 | $64 | $59 | $9 | 16% | — | $46 – $67 |
| 17 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · outpatient | 3 | $64 | $59 | $9 | 16% | — | $46 – $67 |
| 18 | Mercy Medical Center - New Hampton New Hampton, IA professional · fee schedule · inpatient | 3 | $64 | $59 | $9 | 16% | — | $46 – $67 |
| 19 | Mercy Medical Center - New Hampton New Hampton, IA professional · fee schedule · outpatient | 3 | $64 | $59 | $9 | 16% | — | $46 – $67 |
| 20 | Mishawaka Medical Center Mishawaka, IN facility · percent of total billed charges · bothfrom % of charges | 1 | $12 | $18 | $13 | 73% | — | $5 – $52 |
| 21 | Mount Carmel East Reynoldsburg, OH facility · fee schedule · both | 1 | $269 | $269 | — | — | — | $269 – $269 |
| 22 | Mount Carmel Grove City Grove City, OH facility · fee schedule · both | 1 | $269 | $269 | — | — | — | $269 – $269 |
| 23 | Mount Carmel St Ann's Lewis Center, OH facility · fee schedule · both | 1 | $269 | $269 | — | — | — | $269 – $269 |
| 24 | Nazareth Hospital Philadelphia, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $46 | $67 | $49 | 73% | — | $18 – $198 |
| 25 | Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient | 1 | $187 | $187 | — | — | — | $187 – $187 |
← Payers reporting HCPCS L3908 · Snapshot 20261111T120946Z-9134e7f7