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
$28
Average
$55
Median
$41
High
$203
Each hospital's average Oscar rate, under the methodology and billing class chosen below.
15 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.
Filter by billing methodology
Filter by billing class
16 hospital rates
iThe hospitals that file a Oscar 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 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $42 | $41 | $4 | 9% | — | $36 – $45 |
| 2 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 1 | $203 | $203 | — | — | — | $203 – $203 |
| 3 | Mercy Fitzgerald Hospital Darby, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $59 | $58 | $5 | 9% | — | $51 – $63 |
| 4 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $42 | $41 | $4 | 9% | — | $36 – $45 |
| 5 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $33 | $32 | $3 | 9% | — | $28 – $35 |
| 6 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $42 | $41 | $4 | 9% | — | $36 – $45 |
| 7 | Mercy Medical Center - New Hampton New Hampton, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $84 | $82 | $8 | 9% | — | $72 – $90 |
| 8 | Mount Carmel Dublin Dublin, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $36 | $36 | $3 | 9% | — | $31 – $39 |
| 9 | Mount Carmel East Reynoldsburg, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $36 | $36 | $3 | 9% | — | $31 – $39 |
| 10 | Mount Carmel Grove City Grove City, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $36 | $36 | $3 | 9% | — | $31 – $39 |
| 11 | Mount Carmel New Albany Surgical Hospital New Albany, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $36 | $36 | $3 | 9% | — | $31 – $39 |
| 12 | Mount Carmel St Ann's Lewis Center, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $36 | $36 | $3 | 9% | — | $31 – $39 |
| 13 | Nazareth Hospital Philadelphia, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $59 | $58 | $5 | 9% | — | $51 – $63 |
| 14 | St Mary Medical Center Langhorne, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $59 | $58 | $5 | 9% | — | $51 – $63 |
| 15 | The Cleveland Clinic Foundation Brunswick, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 16 | The Cleveland Clinic Foundation Brunswick, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $25 | $25 | — | — | — | $25 – $25 |
← Payers reporting HCPCS L8499 · Snapshot 20261111T120946Z-9134e7f7