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
Bk molded distal cushion
Low
$78
Average
$559
Median
$411
High
$3.2k
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
99 hospitals; the 90th percentile is 8.2× 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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148 hospital rates
iThe hospitals that file a MultiPlan 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 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $201 | $201 | — | — | — | $201 – $201 |
| 2 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $201 | $201 | — | — | — | $201 – $201 |
| 3 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $162 | $162 | — | — | — | $162 – $162 |
| 4 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $190 | $190 | — | — | — | $190 – $190 |
| 5 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO percent of total billed charges · inpatientfrom % of charges | 2 | $118 | $118 | $30 | 26% | — | $87 – $148 |
| 6 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO percent of total billed charges · outpatientfrom % of charges | 2 | $118 | $118 | $30 | 26% | — | $87 – $148 |
| 7 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO percent of total billed charges · inpatientfrom % of charges | 2 | $118 | $118 | $30 | 26% | — | $87 – $148 |
| 8 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO percent of total billed charges · outpatientfrom % of charges | 2 | $118 | $118 | $30 | 26% | — | $87 – $148 |
| 9 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO percent of total billed charges · inpatientfrom % of charges | 2 | $118 | $118 | $30 | 26% | — | $87 – $148 |
| 10 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO percent of total billed charges · outpatientfrom % of charges | 2 | $118 | $118 | $30 | 26% | — | $87 – $148 |
| 11 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO percent of total billed charges · inpatientfrom % of charges | 2 | $118 | $118 | $30 | 26% | — | $87 – $148 |
| 12 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO percent of total billed charges · outpatientfrom % of charges | 2 | $118 | $118 | $30 | 26% | — | $87 – $148 |
| 13 | CENTENNIAL HOSPITAL A CAMPUS OF TMCA ENGLEWOOD, CO percent of total billed charges · outpatientfrom % of charges | 3 | $1.1k | $1.0k | $108 | 10% | — | $886 – $1.1k |
| 14 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · fee schedule · inpatient | 1 | $754 | $754 | — | — | — | $754 – $754 |
| 15 | COMMONSPIRIT KANSAS, INC. Garden City, KS percent of total billed charges · inpatientfrom % of charges | 2 | $191 | $191 | $3 | 2% | — | $188 – $194 |
| 16 | COMMONSPIRIT KANSAS, INC. Garden City, KS percent of total billed charges · outpatientfrom % of charges | 2 | $191 | $191 | $3 | 2% | — | $188 – $194 |
| 17 | COMMUNITY HOSPITAL OF SAN BERNARDINO San Bernardino, CA fee schedule · inpatient | 1 | $684 | $684 | $332 | 49% | — | $352 – $1.0k |
| 18 | COMMUNITY HOSPITAL OF SAN BERNARDINO San Bernardino, CA fee schedule · outpatient | 1 | $684 | $684 | $332 | 49% | — | $352 – $1.0k |
| 19 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $746 | $746 | — | — | — | $746 – $746 |
| 20 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $483 | $483 | — | — | — | $483 – $483 |
| 21 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 22 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 23 | DIGNITY COMMUNITY CARE Glendale, CA fee schedule · inpatient | 1 | $684 | $684 | $332 | 49% | — | $352 – $1.0k |
| 24 | DIGNITY COMMUNITY CARE Glendale, CA fee schedule · outpatient | 1 | $684 | $684 | $332 | 49% | — | $352 – $1.0k |
| 25 | DIGNITY HEALTH Henderson, NV fee schedule · inpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
← Payers reporting HCPCS L5668 · Snapshot 20261112T181611Z-3fa9fb76