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
CUSTOM SHAPE COVER BK
Low
$379
Average
$879
Median
$833
High
$1.2k
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.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 16 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | OU Health - University of Oklahoma Medical Center Oklahoma City, OK | $669 | $748 | $221 | 30% | — | $656 – $1.4k |
| 2 | University Medical Center of Southern Nevada Las Vegas, NV | $579 | $579 | — | — | — | $579 – $579 |
| 3 | Allina Health Systems Shakopee, MN | $998 | $995 | $281 | 28% | — | $430 – $1.3k |
| 4 | Nationwide Children's Hospital Columbus, OH | $512 | $512 | — | — | — | $512 – $512 |
| 5 | Allina Health Systems St Paul, MN | $806 | $765 | $202 | 26% | — | $299 – $962 |
| 6 | Allina Health Systems Owatonna, MN | $1.2k | $1.1k | $374 | 33% | — | $430 – $1.7k |
| 7 | Allina Health Systems Ulm, MN | $1.2k | $1.2k | $412 | 34% | — | $449 – $1.8k |
| 8 | Allina Health Systems Rapids, MN | $778 | $733 | $218 | 30% | — | $299 – $962 |
| 9 | Montefiore Mount Vernon Hospital Mount Vernon, NY | $738 | $738 | — | — | — | $738 – $738 |
| 10 | Allina Health Systems Cambridge, MN | $1.2k | $1.1k | $374 | 33% | — | $430 – $1.7k |
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