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
Ak sleeve susp neoprene/equa
Low
$138
Average
$591
Median
$617
High
$877
Each hospital's average Phcs rate, under the methodology and billing class chosen below.
17 hospitals; the 90th percentile is 2.2× 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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20 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 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $374 | $374 | — | — | — | $374 – $374 |
| 2 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · fee schedule · inpatient | 1 | $450 | $450 | — | — | — | $450 – $450 |
| 3 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $579 | $579 | — | — | — | $579 – $579 |
| 4 | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER Fresno, CA facility · fee schedule · inpatient | 1 | $450 | $450 | — | — | — | $450 – $450 |
| 5 | MedStar Franklin Square Medical Center Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $711 | $711 | — | — | — | $711 – $711 |
| 6 | MedStar Georgetown Hospital Washington, DC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $675 | $675 | — | — | — | $675 – $675 |
| 7 | MedStar Georgetown Hospital Washington, DC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $675 | $675 | — | — | — | $675 – $675 |
| 8 | MedStar Good Samaritan Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $877 | $877 | — | — | — | $877 – $877 |
| 9 | MedStar Harbor Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $583 | $583 | — | — | — | $583 – $583 |
| 10 | MedStar Montgomery Medical Center Olney, MD percent of total billed charges · outpatientfrom % of charges | 1 | $623 | $623 | — | — | — | $623 – $623 |
| 11 | MedStar Southern Hospital Center Clinton, MD percent of total billed charges · outpatientfrom % of charges | 1 | $820 | $820 | — | — | — | $820 – $820 |
| 12 | MedStar St. Mary's Hospital Leonardtown, MD percent of total billed charges · outpatientfrom % of charges | 1 | $839 | $839 | — | — | — | $839 – $839 |
| 13 | MedStar Union Memorial Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $545 | $545 | — | — | — | $545 – $545 |
| 14 | MedStar Washington Hospital Center NW, WA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $617 | $617 | — | — | — | $617 – $617 |
| 15 | MedStar Washington Hospital Center NW, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $617 | $617 | — | — | — | $617 – $617 |
| 16 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $138 | $138 | — | — | — | $138 – $138 |
| 17 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX percent of total billed charges · inpatientfrom % of charges | 1 | $354 | $354 | — | — | — | $354 – $354 |
| 18 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges | 1 | $381 | $381 | — | — | — | $381 – $381 |
| 19 | UCHMHS Colorado Springs, CO percent of total billed charges · outpatientfrom % of charges | 1 | $703 | $703 | — | — | — | $703 – $703 |
| 20 | UCHMHS Colorado Springs, CO percent of total billed charges · outpatientfrom % of charges | 1 | $703 | $703 | — | — | — | $703 – $703 |
← Payers reporting HCPCS L5695 · Snapshot 20261112T181611Z-3fa9fb76