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
Fa Brace Wrist Fabrifoam Sm Lt
Low
$1
Average
$308
Median
$231
High
$8.8k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
500 hospitals; the 90th percentile is 3.6× 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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648 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Mercy Hospital Aurora Aurora, MO facility · percent of total billed charges · outpatientfrom % of charges | 7 | $16 | $19 | $13 | 67% | 7–70 | $2 – $49 |
| 2 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $31 | $31 | $11 | 34% | 2–20 | $21 – $42 |
| 3 | Mayo Clinic Health System Bloomer, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $30 | $30 | $12 | 40% | 2–20 | $18 – $42 |
| 4 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $51 | $51 | — | — | 1–10 | $51 – $51 |
| 5 | Mayo Clinic Health System Osseo, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $29 | $29 | $13 | 44% | 1–10 | $16 – $42 |
| 6 | Mayo Clinic Health System Bloomer, WI professional · fee schedule · outpatient | 4 | $49 | $49 | — | — | 1–10 | $49 – $49 |
| 7 | Mayo Clinic Health System Eau Claire 54703-5270 facility · percent of total billed charges · bothfrom % of charges | 2 | $25 | $25 | $15 | 59% | 1–10 | $10 – $39 |
| 8 | Mayo Clinic Health System Barron, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $29 | $29 | $13 | 45% | 1–10 | $16 – $42 |
| 9 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 1 | $211 | $211 | — | — | — | $211 – $211 |
| 10 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $231 | $231 | — | — | — | $231 – $231 |
| 11 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 5 | $103 | $83 | $37 | 45% | — | $18 – $115 |
| 12 | ATHOL MEMORIAL HOSPITAL INCORPORATED Athol, MA fee schedule · outpatient | 3 | $66 | $66 | — | — | — | $66 – $66 |
| 13 | AdventHealth Orlando Winter Park, FL fee schedule · outpatient | 2 | $232 | $232 | $3 | 1% | — | $229 – $236 |
| 14 | Adventhealth Ottawa Ottawa, KS fee schedule · outpatient | 1 | $204 | $204 | — | — | — | $204 – $204 |
| 15 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · fee schedule · outpatient | 2 | $764 | $759 | $40 | 5% | — | $707 – $804 |
| 16 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · fee schedule · outpatient | 2 | $775 | $769 | $41 | 5% | — | $717 – $816 |
| 17 | Advocate Christ Medical Center Oak Lawn, IL facility · fee schedule · outpatient | 2 | $750 | $745 | $39 | 5% | — | $694 – $790 |
| 18 | Advocate Condell Medical Center Libertyville, IL fee schedule · outpatient | 2 | $473 | $470 | $25 | 5% | — | $438 – $498 |
| 19 | Advocate Good Samaritan Hospital Downers Grove, IL fee schedule · outpatient | 2 | $768 | $762 | $40 | 5% | — | $710 – $809 |
| 20 | Advocate Good Shepherd Hospital Barrington, IL fee schedule · outpatient | 2 | $773 | $767 | $41 | 5% | — | $715 – $814 |
| 21 | Advocate Illinois Masonic Medical Center Chicago, IL fee schedule · outpatient | 2 | $773 | $767 | $41 | 5% | — | $715 – $814 |
| 22 | Advocate Lutheran General Hospital Park Ridge, IL fee schedule · outpatient | 2 | $761 | $755 | $40 | 5% | — | $704 – $801 |
| 23 | Advocate Sherman Hospital Elgin, IL fee schedule · outpatient | 2 | $361 | $359 | $19 | 5% | — | $334 – $380 |
| 24 | Advocate South Suburban Hospital Hazel Crest, IL fee schedule · outpatient | 2 | $771 | $765 | $40 | 5% | — | $713 – $811 |
| 25 | Advocate Trinity Hospital Chicago, IL fee schedule · outpatient | 2 | $768 | $762 | $40 | 5% | — | $710 – $809 |
← Payers reporting HCPCS L3931 · Snapshot 20261111T120946Z-9134e7f7