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 AK
Low
$762
Average
$1.7k
Median
$1.6k
High
$2.2k
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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. 15 hospitals; the 90th percentile is 1.9× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | OU Health - University of Oklahoma Medical Center Oklahoma City, OK | $1.2k | $1.3k | $395 | 30% | — | $1.2k – $2.5k |
| 2 | Allina Health Systems Shakopee, MN | $1.8k | $1.8k | $516 | 28% | — | $788 – $2.4k |
| 3 | Nationwide Children's Hospital Columbus, OH | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 4 | Allina Health Systems St Paul, MN | $1.5k | $1.4k | $370 | 26% | — | $549 – $1.8k |
| 5 | Allina Health Systems Owatonna, MN | $2.2k | $2.1k | $686 | 33% | — | $788 – $3.2k |
| 6 | Allina Health Systems Ulm, MN | $2.3k | $2.2k | $756 | 34% | — | $822 – $3.3k |
| 7 | Allina Health Systems Rapids, MN | $1.4k | $1.3k | $400 | 30% | — | $549 – $1.8k |
| 8 | Montefiore Mount Vernon Hospital Mount Vernon, NY | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 9 | Allina Health Systems Cambridge, MN | $2.2k | $2.1k | $686 | 33% | — | $788 – $3.2k |
| 10 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Albuquerque, NM | $1.2k | $1.6k | $650 | 40% | — | $1.1k – $2.9k |
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