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
STATIC OR DYNAMI AFO PRE OTS
Low
$3
Average
$400
Median
$471
High
$758
Each hospital's average Phcs rate, under the methodology and billing class chosen below.
27 hospitals; the 90th percentile is 7.9× 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.
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35 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 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · inpatientfrom % of charges | 1 | $312 | $312 | $206 | 66% | — | $106 – $517 |
| 2 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $291 | $291 | $192 | 66% | — | $99 – $483 |
| 3 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $315 | $315 | — | — | — | $315 – $315 |
| 4 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $326 | $326 | — | — | — | $326 – $326 |
| 5 | Crestview Hospital Corporation Crestview, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $595 | $595 | — | — | — | $595 – $595 |
| 6 | Durant HMA LLC Durant, OK facility · percent of total billed charges · inpatientfrom % of charges | 1 | $135 | $135 | — | — | — | $135 – $135 |
| 7 | Durant HMA LLC Durant, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $135 | $135 | — | — | — | $135 – $135 |
| 8 | Forsyth Memorial Hospital, Inc. Winston-Salem, NC fee schedule · outpatient | 1 | $209 | $209 | — | — | — | $209 – $209 |
| 9 | Longs Peak Hospital Longmont, CO percent of total billed charges · outpatientfrom % of charges | 1 | $475 | $475 | — | — | — | $475 – $475 |
| 10 | Marshall County HMA, LLC Madill, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $135 | $135 | — | — | — | $135 – $135 |
| 11 | MedStar Franklin Square Medical Center Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $614 | $614 | — | — | — | $614 – $614 |
| 12 | MedStar Georgetown Hospital Washington, DC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $583 | $583 | — | — | — | $583 – $583 |
| 13 | MedStar Georgetown Hospital Washington, DC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $583 | $583 | — | — | — | $583 – $583 |
| 14 | MedStar Good Samaritan Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $758 | $758 | — | — | — | $758 – $758 |
| 15 | MedStar Harbor Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $503 | $503 | — | — | — | $503 – $503 |
| 16 | MedStar Montgomery Medical Center Olney, MD percent of total billed charges · outpatientfrom % of charges | 1 | $538 | $538 | — | — | — | $538 – $538 |
| 17 | MedStar Southern Hospital Center Clinton, MD percent of total billed charges · outpatientfrom % of charges | 1 | $708 | $708 | — | — | — | $708 – $708 |
| 18 | MedStar St. Mary's Hospital Leonardtown, MD percent of total billed charges · outpatientfrom % of charges | 1 | $724 | $724 | — | — | — | $724 – $724 |
| 19 | MedStar Union Memorial Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $471 | $471 | — | — | — | $471 – $471 |
| 20 | MedStar Washington Hospital Center NW, WA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $533 | $533 | — | — | — | $533 – $533 |
| 21 | MedStar Washington Hospital Center NW, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $533 | $533 | — | — | — | $533 – $533 |
| 22 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · outpatientfrom % of charges | 1 | $401 | $401 | — | — | — | $401 – $401 |
| 23 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 24 | St Joseph Mercy Chelsea Chelsea, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 25 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
← Payers reporting HCPCS L4397 · Snapshot 20261111T120946Z-9134e7f7