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
Replace Quad Socket Brim Custom L4030
Low
$167
Average
$1.4k
Median
$254
High
$8.7k
Filter by billing methodology
Prices here combine facility and professional fees. See them separately →Experimental
Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 8 hospitals; the 90th percentile is 20.1× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Children's Healthcare of Atlanta Atlanta, GA | $1.3k | $1.4k | $212 | 15% | — | $1.2k – $1.9k |
| 2 | Mercy Hospital Healdton Inc Healdton, OK | $131 | $167 | $80 | 48% | — | $87 – $284 |
| 3 | Covenant Medical Center Inc Saginaw, MI | $256 | $295 | $75 | 25% | — | $210 – $419 |
| 4 | Mercy Hospital Oklahoma City Inc City, OK | $180 | $184 | $33 | 18% | — | $95 – $300 |
| 5 | Covenant Medical Center Inc Saginaw, MI | $256 | $295 | $75 | 25% | — | $210 – $419 |
| 6 | St. Mary's Regional Medical Center Enid, OK | $6.5k | $8.7k | $2.9k | 33% | — | $6.0k – $12.5k |
| 7 | Mercy Love County Marietta, OK | $192 | $214 | $45 | 21% | — | $107 – $284 |
| 8 | Mercy Hospital Ardmore Inc Ardmore, OK | $180 | $190 | $36 | 19% | — | $115 – $300 |
Ask Claude or any MCP client for HCPCS L4030 pricing at a specific hospital — see how to connect.