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 non-molded calf lace
Low
$1
Average
$413
Median
$353
High
$2.9k
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Prices here combine facility and professional fees. See them separately →Experimental
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 762 hospitals; the 90th percentile is 1.9× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | St. Anthony Shawnee Hospital, Inc Shawnee, OK | $412 | $416 | $104 | 25% | — | $313 – $610 |
| 2 | Lewisgale Hospital Montgomery CHRISTIANSBURG, VA | $307 | $308 | $16 | 5% | — | $261 – $329 |
| 3 | Ingalls Memorial Hospital Harvey, IL | $323 | $323 | $15 | 5% | — | $307 – $338 |
| 4 | Fairview Health Services Edina, MN | $337 | $550 | $472 | 86% | — | $136 – $2.6k |
| 5 | Hca Florida West Hospital PENSACOLA, FL | $323 | $374 | $132 | 35% | — | $298 – $737 |
| 6 | Mayo Regional Hospital Dover Foxcroft, ME | $183 | $225 | $144 | 64% | — | $18 – $498 |
| 7 | Corewell Health Ludington Hospital Ludington, MI | $323 | $394 | $112 | 29% | — | $307 – $553 |
| 8 | Kettering Medical Center Miamisburg, OH | $477 | $527 | $173 | 33% | — | $307 – $825 |
| 9 | Hoopeston Community Memorial Hospital Hoopeston, IL | $162 | $211 | $68 | 32% | — | $162 – $307 |
| 10 | Deaconess Hospital, Inc Newburgh, IN | $294 | $294 | — | — | — | $294 – $294 |
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