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
$104
Average
$257
Median
$246
High
$430
Filter by billing methodology
Prices here combine facility and professional fees. See them separately →Experimental
Reflects a payer-specific billing methodology not covered by the standard categories.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Nationwide Children's Hospital Columbus, OH | $140 | $140 | — | — | — | $140 – $140 |
| 2 | Montefiore Mount Vernon Hospital Mount Vernon, NY | $352 | $352 | — | — | — | $352 – $352 |
| 3 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Albuquerque, NM | $313 | $430 | $174 | 40% | — | $282 – $767 |
| 4 | Nationwide Children's Hospital Toledo, Llc Toledo, OH | $104 | $104 | $0 | 0% | — | $103 – $104 |
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