Prefabricated hand-finger orthosis without joints

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.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC Hfo W/O Jnt Prefab Custom by Expertise Tier1

Tricare pricing summary

Low

$10

Average

$86

Median

$95

High

$231

Tricare rate distribution

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99 hospital rates

#		Plans
1	Massachusetts General Hospital Boston, MA percent of total billed charges · bothfrom % of charges	1	$57	$57	—	—	1–10	$57 – $57
2	Ascension Seton Austin, TX fee schedule · outpatient	1	$76	$76	—	—	—	$76 – $76
3	Ascension Seton Austin, TX fee schedule · outpatient	1	$76	$76	—	—	—	$76 – $76
4	Ascension Seton Austin, TX fee schedule · outpatient	1	$76	$76	—	—	—	$76 – $76
5	Ascension Seton Luling, TX fee schedule · outpatient	1	$76	$76	—	—	—	$76 – $76
6	Ascension Seton Burnet, TX fee schedule · outpatient	1	$76	$76	—	—	—	$76 – $76
7	Ascension Seton Smithville, TX fee schedule · outpatient	1	$76	$76	—	—	—	$76 – $76
8	Ascension Seton Bastrop, TX fee schedule · outpatient	1	$76	$76	—	—	—	$76 – $76
9	Ascension Seton Austin, TX fee schedule · outpatient	1	$76	$76	—	—	—	$76 – $76
10	Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges	4	$198	$231	$71	31%	—	$184 – $366
11	Aspirus Ironwood Hospital Ironwood, MI fee schedule · both	1	$103	$103	—	—	—	$103 – $103
12	Bay Park Community Hospital Oregon, OH facility · fee schedule · outpatient	1	$103	$103	—	—	—	$103 – $103
13	Bay Park Community Hospital Oregon, OH professional · fee schedule · outpatient	1	$103	$103	—	—	—	$103 – $103
14	Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient	1	$96	$96	—	—	—	$96 – $96
15	Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient	1	$103	$103	—	—	—	$103 – $103
16	Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient	1	$88	$88	—	—	—	$88 – $88
17	Central Maine Medical Center Lewiston, ME fee schedule · outpatient	1	$130	$130	—	—	—	$130 – $130
18	Clarion Hospital Clarion, PA facility · fee schedule · outpatient	1	$103	$103	—	—	—	$103 – $103
19	Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges	1	$66	$66	—	—	—	$66 – $66
20	Dukes Health System LLC Peru, IN facility · fee schedule · outpatient	1	$37	$37	—	—	—	$37 – $37
21	EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA fee schedule · outpatient	1	$96	$96	—	—	—	$96 – $96
22	Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient	1	$53	$53	—	—	—	$53 – $53
23	FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · outpatient	1	$98	$98	—	—	—	$98 – $98
24	FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient	1	$98	$98	—	—	—	$98 – $98
25	Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges	1	$151	$151	—	—	—	$151 – $151