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
UNLISTED MISC PROSTHETIC SER
Low
$26
Average
$724
Median
$84
High
$6.2k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
89 hospitals; the 90th percentile is 70.2× 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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104 hospital rates
iThe hospitals that file a Aetna 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 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $6.2k | $6.2k | $1.0k | 17% | — | $5.2k – $7.2k |
| 2 | Boston Children's Hospital Lexington, MA percent of total billed charges · bothfrom % of charges | 2 | $6.2k | $6.2k | $1.0k | 17% | — | $5.2k – $7.2k |
| 3 | Boston Children's Hospital Brookline, MA percent of total billed charges · bothfrom % of charges | 2 | $6.2k | $6.2k | $1.0k | 17% | — | $5.2k – $7.2k |
| 4 | Boston Children's Hospital Dartmouth, MA percent of total billed charges · bothfrom % of charges | 2 | $6.2k | $6.2k | $1.0k | 17% | — | $5.2k – $7.2k |
| 5 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $6.2k | $6.2k | $1.0k | 17% | — | $5.2k – $7.2k |
| 6 | Boston Children's Hospital Peabody, MA percent of total billed charges · bothfrom % of charges | 2 | $6.2k | $6.2k | $1.0k | 17% | — | $5.2k – $7.2k |
| 7 | Boston Children's Hospital Waltham, MA percent of total billed charges · bothfrom % of charges | 2 | $6.2k | $6.2k | $1.0k | 17% | — | $5.2k – $7.2k |
| 8 | Boston Children's Hospital Needham, MA percent of total billed charges · bothfrom % of charges | 2 | $6.2k | $6.2k | $1.0k | 17% | — | $5.2k – $7.2k |
| 9 | Boston Children's Hospital Weymouth, MA percent of total billed charges · bothfrom % of charges | 2 | $6.2k | $6.2k | $1.0k | 17% | — | $5.2k – $7.2k |
| 10 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $42 | $41 | $4 | 9% | — | $36 – $45 |
| 11 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $42 | $41 | $4 | 9% | — | $36 – $45 |
| 12 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 2 | $76 | $78 | $14 | 18% | — | $54 – $95 |
| 13 | Children's Hospital of the King's Daughters Norfolk, VA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 14 | Connecticut Children's Hartford, CT percent of total billed charges · bothfrom % of charges | 2 | $91 | $91 | $5 | 5% | — | $86 – $96 |
| 15 | Covenant Medical Center Inc Waterloo, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $108 | $105 | $11 | 10% | — | $90 – $116 |
| 16 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 4 | $76 | $86 | $29 | 33% | — | $55 – $154 |
| 17 | Gottlieb Memorial Hospital Melrose Park, IL facility · percent of total billed charges · bothfrom % of charges | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 18 | Gottlieb Memorial Hospital Melrose Park, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $73 | $73 | — | — | — | $73 – $73 |
| 19 | HMH HOSPITALS CORPORATION Hackensack, NJ facility · percent of total billed charges · outpatientfrom % of charges | 5 | $199 | $142 | $70 | 49% | — | $52 – $199 |
| 20 | HMH HOSPITALS CORPORATION Red Bank, NJ facility · percent of total billed charges · bothfrom % of charges | 1 | $164 | $164 | — | — | — | $164 – $164 |
| 21 | HMH HOSPITALS CORPORATION Red Bank, NJ facility · percent of total billed charges · outpatientfrom % of charges | 4 | $116 | $112 | $76 | 68% | — | $29 – $188 |
| 22 | HMH HOSPITALS CORPORATION Edison, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 23 | HMH HOSPITALS CORPORATION Manahawkin, NJ facility · percent of total billed charges · bothfrom % of charges | 1 | $164 | $164 | — | — | — | $164 – $164 |
| 24 | HMH HOSPITALS CORPORATION Manahawkin, NJ facility · percent of total billed charges · outpatientfrom % of charges | 4 | $116 | $115 | $74 | 64% | — | $39 – $188 |
| 25 | HMH HOSPITALS CORPORATION Brick, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $43 | $43 | — | — | — | $43 – $43 |
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