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
$335
Median
$313
High
$1.9k
Each hospital's average Phcs rate, under the methodology and billing class chosen below.
96 hospitals; the 90th percentile is 13.2× 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
121 hospital rates
iThe hospitals that file a Phcs 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 | BSA Hospital Amarillo, TX facility · percent of total billed charges · bothfrom % of charges | 2 | $171 | $171 | — | — | — | $171 – $171 |
| 2 | Berkshire Medical Center Great Barrington, MA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $554 | $554 | — | — | — | $554 – $554 |
| 3 | Berkshire Medical Center Great Barrington, MA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $554 | $554 | — | — | — | $554 – $554 |
| 4 | Berkshire Medical Center Great Barrington, MA professional · fee schedule · outpatient | 1 | $554 | $554 | — | — | — | $554 – $554 |
| 5 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $371 | $371 | — | — | — | $371 – $371 |
| 6 | CentraState Medical Center Freehold Township, NJ percent of total billed charges · bothfrom % of charges | 1 | $276 | $276 | — | — | — | $276 – $276 |
| 7 | Cheshire Medical Center Keene, NH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $569 | $569 | — | — | — | $569 – $569 |
| 8 | Cheshire Medical Center Keene, NH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $569 | $569 | — | — | — | $569 – $569 |
| 9 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges | 1 | $365 | $365 | — | — | — | $365 – $365 |
| 10 | Crestview Hospital Corporation Crestview, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $458 | $458 | — | — | — | $458 – $458 |
| 11 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 12 | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER Fresno, CA facility · fee schedule · inpatient | 1 | $524 | $524 | — | — | — | $524 – $524 |
| 13 | Fairview Hospital Great Barrington, MA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $554 | $554 | — | — | — | $554 – $554 |
| 14 | Fairview Hospital Great Barrington, MA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $554 | $554 | — | — | — | $554 – $554 |
| 15 | Fairview Hospital Great Barrington, MA professional · fee schedule · outpatient | 1 | $554 | $554 | — | — | — | $554 – $554 |
| 16 | Forsyth Memorial Hospital, Inc. Winston-Salem, NC fee schedule · outpatient | 1 | $475 | $475 | — | — | — | $475 – $475 |
| 17 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA percent of total billed charges · outpatientfrom % of charges | 1 | $280 | $280 | — | — | — | $280 – $280 |
| 18 | HANFORD COMMUNITY HOSPITAL Selma, CA percent of total billed charges · outpatientfrom % of charges | 1 | $752 | $752 | — | — | — | $752 – $752 |
| 19 | Hackettstown Medical Center Hackettstown, NJ percent of total billed charges · bothfrom % of charges | 1 | $392 | $392 | — | — | — | $392 – $392 |
| 20 | Harrington Cancer Center Amarillo, TX facility · percent of total billed charges · bothfrom % of charges | 2 | $171 | $171 | — | — | — | $171 – $171 |
| 21 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $278 | $278 | $254 | 91% | — | $24 – $533 |
| 22 | Johnson Memorial Hospital Stafford Springs, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 23 | Longs Peak Hospital Longmont, CO percent of total billed charges · outpatientfrom % of charges | 1 | $385 | $385 | — | — | — | $385 – $385 |
| 24 | MEMORIAL HEALTH SYSTEM OF EAST TEXAS Lufkin, TX fee schedule · inpatient | 1 | $633 | $633 | — | — | — | $633 – $633 |
| 25 | MEMORIAL HEALTH SYSTEM OF EAST TEXAS Lufkin, TX fee schedule · outpatient | 1 | $538 | $538 | — | — | — | $538 – $538 |
← Payers reporting HCPCS L3933 · Snapshot 20261111T120946Z-9134e7f7