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
$0
Average
$218
Median
$227
High
$1.1k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
805 hospitals; the 90th percentile is 3.4× 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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1,050 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 | Mercy Hospital Aurora Aurora, MO facility · percent of total billed charges · outpatientfrom % of charges | 4 | $16 | $26 | $20 | 76% | 14–140 | $2 – $56 |
| 2 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $45 | $40 | $10 | 24% | 2–20 | $21 – $45 |
| 3 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 3 | $168 | $197 | $126 | 64% | 2–20 | $61 – $475 |
| 4 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 1 | $223 | $223 | — | — | 1–10 | $223 – $223 |
| 5 | Mayo Clinic Health System Osseo, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $45 | $39 | $12 | 29% | 1–10 | $16 – $45 |
| 6 | Mayo Clinic Health System Eau Claire 54703-5270 facility · percent of total billed charges · bothfrom % of charges | 2 | $45 | $44 | $2 | 4% | 1–10 | $41 – $45 |
| 7 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $308 | $308 | — | — | — | $308 – $308 |
| 8 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $553 | $553 | — | — | — | $553 – $553 |
| 9 | ALASKA REGIONAL HOSPITAL Anchorage, AK fee schedule · outpatient | 1 | $266 | $266 | — | — | — | $266 – $266 |
| 10 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient | 2 | $9 | $9 | $5 | 61% | — | $3 – $14 |
| 11 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · outpatient | 2 | $9 | $9 | $6 | 64% | — | $3 – $14 |
| 12 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · outpatient | 2 | $11 | $11 | $3 | 23% | — | $9 – $14 |
| 13 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 2 | $9 | $9 | $5 | 63% | — | $3 – $14 |
| 14 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 2 | $9 | $9 | $5 | 63% | — | $3 – $14 |
| 15 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE fee schedule · outpatient | 2 | $8 | $8 | $6 | 68% | — | $3 – $14 |
| 16 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 3 | $109 | $107 | $3 | 2% | — | $104 – $109 |
| 17 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 8 | $184 | $170 | $46 | 27% | — | $104 – $217 |
| 18 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $259 | $259 | $2 | 1% | — | $256 – $261 |
| 19 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 3 | $130 | $95 | $54 | 57% | — | $18 – $138 |
| 20 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $270 | $293 | $123 | 42% | — | $149 – $482 |
| 21 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 2 | $266 | $299 | $162 | 54% | — | $120 – $541 |
| 22 | ATHOL MEMORIAL HOSPITAL INCORPORATED Athol, MA fee schedule · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 23 | Abbeville Area Medical Center Abbeville, SC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $47 | $47 | $17 | 37% | — | $29 – $64 |
| 24 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 1 | $232 | $232 | — | — | — | $232 – $232 |
| 25 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $315 | $315 | — | — | — | $315 – $315 |
← Payers reporting HCPCS L3931 · Snapshot 20261111T120946Z-9134e7f7