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
Fo W/O Joint Custom T1
Low
$23
Average
$139
Median
$97
High
$288
Each hospital's average Amerihealth Caritas rate, under the methodology and billing class chosen below.
72 hospitals; the 90th percentile is 8.9× 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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82 hospital rates
iThe hospitals that file a Amerihealth Caritas 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 | Appalachian Regional Behavioral Health Hospital Linville, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $73 | $73 | — | — | — | $73 – $73 |
| 2 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 3 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 4 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 5 | Bayhealth Hospital, Sussex Campus Milton, DE fee schedule · outpatient | 1 | $238 | $238 | — | — | — | $238 – $238 |
| 6 | Bayhealth Medical Center, Kent Campus Dover, DE fee schedule · outpatient | 1 | $238 | $238 | — | — | — | $238 – $238 |
| 7 | CAREPARTNERS REHABILITATION HOSPITAL Asheville, NC fee schedule · outpatient | 1 | $274 | $274 | — | — | — | $274 – $274 |
| 8 | CAREPARTNERS REHABILITATION HOSPITAL Asheville, NC percent of total billed charges · outpatientfrom % of charges | 1 | $220 | $220 | — | — | — | $220 – $220 |
| 9 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 10 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 11 | Carolinas Medical Center Davidson, NC percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 12 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 13 | CentraState Medical Center Freehold Township, NJ fee schedule · both | 1 | $231 | $231 | — | — | — | $231 – $231 |
| 14 | CentraState Medical Center Freehold Township, NJ fee schedule · outpatient | 1 | $231 | $231 | — | — | — | $231 – $231 |
| 15 | Charles A. Cannon Jr. Memorial Hospital, Inc Cannon, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $115 | $115 | — | — | — | $115 – $115 |
| 16 | Cheshire Medical Center Keene, NH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 17 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $117 | $117 | — | — | — | $117 – $117 |
| 18 | Chilton Medical Center Pompton Plains, NJ fee schedule · both | 1 | $231 | $231 | — | — | — | $231 – $231 |
| 19 | Chilton Medical Center Pompton Plains, NJ fee schedule · outpatient | 1 | $231 | $231 | — | — | — | $231 – $231 |
| 20 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 21 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA other · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 22 | HCA FLORIDA AVENTURA HOSPITAL AVENTURA, FL fee schedule · outpatient | 1 | $288 | $288 | — | — | — | $288 – $288 |
| 23 | HCA FLORIDA HIGHLANDS HOSPITAL Sebring, FL fee schedule · outpatient | 1 | $288 | $288 | — | — | — | $288 – $288 |
| 24 | HCA FLORIDA JFK HOSPITAL ATLANTIS, FL fee schedule · outpatient | 1 | $288 | $288 | — | — | — | $288 – $288 |
| 25 | HCA FLORIDA JFK NORTH HOSPITAL West Palm Beach, FL fee schedule · outpatient | 1 | $288 | $288 | — | — | — | $288 – $288 |
← Payers reporting HCPCS L3933 · Snapshot 20261111T120946Z-9134e7f7