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
$9
Average
$232
Median
$242
High
$2.0k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
422 hospitals; the 90th percentile is 2.7× 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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471 hospital rates
iThe hospitals that file a WellCare 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 | Baptist Health Medical Center - Arkadelphia Arkadelphia, AR other · outpatient | 1 | $87 | $87 | — | — | 1–10 | $87 – $87 |
| 2 | Fairview Health Services Wyoming, MN other · inpatient | 1 | $228 | $228 | — | — | 1–10 | $228 – $228 |
| 3 | NYU Langone Brooklyn, NY percent of total billed charges · bothfrom % of charges | 1 | $23 | $23 | — | — | 1–10 | $23 – $23 |
| 4 | NYU Langone New York, NY percent of total billed charges · bothfrom % of charges | 1 | $23 | $23 | — | — | 1–10 | $23 – $23 |
| 5 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 1 | $57 | $57 | — | — | 1–10 | $57 – $57 |
| 6 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 1 | $57 | $57 | — | — | 1–10 | $57 – $57 |
| 7 | The Charlotte Mecklenburg Hospital Authority Waxhaw, NC percent of total billed charges · outpatientfrom % of charges | 1 | $31 | $31 | — | — | 1–10 | $31 – $31 |
| 8 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $258 | $258 | $6 | 2% | — | $252 – $264 |
| 9 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 1 | $233 | $233 | — | — | — | $233 – $233 |
| 10 | Agnesian Healthcare Inc. Fond Du Lac, WI fee schedule · outpatient | 1 | $243 | $243 | — | — | — | $243 – $243 |
| 11 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $233 | $233 | — | — | — | $233 – $233 |
| 12 | Appalachian Regional Behavioral Health Hospital Linville, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 13 | Arkansas Childrens Hospital Little Rock, AR facility · other · outpatient | 1 | $240 | $240 | — | — | — | $240 – $240 |
| 14 | Arkansas Childrens Northwest Springdale, AR facility · other · outpatient | 1 | $233 | $233 | — | — | — | $233 – $233 |
| 15 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 16 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 17 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 18 | BELTON REGIONAL MEDICAL CENTER Kansas City, MO fee schedule · outpatient | 1 | $242 | $242 | — | — | — | $242 – $242 |
| 19 | Bartow Regional Medical Center Bartow, FL facility · fee schedule · outpatient | 1 | $329 | $329 | — | — | — | $329 – $329 |
| 20 | Baycare Hospital Wesley Chapel Chapel, FL facility · fee schedule · outpatient | 1 | $329 | $329 | — | — | — | $329 – $329 |
| 21 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $235 | $235 | — | — | — | $235 – $235 |
| 22 | Benefis Hospitals Inc Helena, MT fee schedule · outpatient | 1 | $241 | $241 | — | — | — | $241 – $241 |
| 23 | Benefis Senior Services Great Falls, MT fee schedule · outpatient | 1 | $241 | $241 | — | — | — | $241 – $241 |
| 24 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $242 | $242 | — | — | — | $242 – $242 |
| 25 | Blue Hill Memorial Hospital Hill, ME facility · percent of total billed charges · outpatientfrom % of charges | 1 | $263 | $263 | — | — | — | $263 – $263 |
← Payers reporting HCPCS L3933 · Snapshot 20261111T120946Z-9134e7f7