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 fork strap
Low
$54
Average
$188
Median
$144
High
$450
Each hospital's average Phcs rate, under the methodology and billing class chosen below.
34 hospitals; the 90th percentile is 4.4× 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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46 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 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · inpatient | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 2 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 3 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · inpatient | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 4 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · outpatient | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 5 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · inpatient | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 6 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · outpatient | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 7 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · inpatient | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 8 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 9 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · inpatient | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 10 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 11 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE fee schedule · inpatient | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 12 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE fee schedule · outpatient | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 13 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 14 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · fee schedule · inpatient | 1 | $450 | $450 | — | — | — | $450 – $450 |
| 15 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $195 | $195 | — | — | — | $195 – $195 |
| 16 | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER Fresno, CA facility · fee schedule · inpatient | 1 | $450 | $450 | — | — | — | $450 – $450 |
| 17 | Forsyth Memorial Hospital, Inc. Winston-Salem, NC fee schedule · outpatient | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 18 | Forsyth Memorial Hospital, Inc. Kernersville, NC fee schedule · outpatient | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 19 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA percent of total billed charges · outpatientfrom % of charges | 1 | $346 | $346 | — | — | — | $346 – $346 |
| 20 | Longs Peak Hospital Longmont, CO percent of total billed charges · outpatientfrom % of charges | 1 | $270 | $270 | — | — | — | $270 – $270 |
| 21 | Northside Hospital, Inc. Lawrenceville, GA percent of total billed charges · inpatientfrom % of charges | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 22 | Northside Hospital, Inc. Lawrenceville, GA percent of total billed charges · outpatientfrom % of charges | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 23 | Northside Hospital, Inc. Atlanta, GA percent of total billed charges · inpatientfrom % of charges | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 24 | Northside Hospital, Inc. Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 25 | Northside Hospital, Inc. Cumming, GA percent of total billed charges · inpatientfrom % of charges | 1 | $93 | $93 | — | — | — | $93 – $93 |
← Payers reporting HCPCS L5684 · Snapshot 20261112T181611Z-3fa9fb76