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
ORTHOTIC AND PROSTHETIC SUPPLY, ACCESSORY, AND/OR SERVICE COMPONENT OF ANOTHER HCPCS "L" CODE
Low
$1
Average
$3.4k
Median
$363
High
$51.5k
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
181 hospitals; the 90th percentile is 104.5× 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
261 hospital rates
iThe hospitals that file a MultiPlan 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 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 1 | $745 | $745 | — | — | — | $745 – $745 |
| 2 | ADVENTIST HEALTH TULARE Tulare, CA percent of total billed charges · outpatientfrom % of charges | 1 | $206 | $674 | $836 | 124% | — | $164 – $2.1k |
| 3 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $36 | $57 | $36 | 63% | — | $34 – $128 |
| 4 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · inpatientfrom % of charges | 1 | $8.0k | $9.9k | $5.1k | 51% | — | $4.7k – $24.3k |
| 5 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $8.0k | $9.9k | $5.1k | 51% | — | $4.7k – $24.3k |
| 6 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $178 | $178 | $36 | 20% | — | $143 – $214 |
| 7 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $178 | $178 | $36 | 20% | — | $143 – $214 |
| 8 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $187 | $187 | $3 | 2% | — | $184 – $190 |
| 9 | Boston Children's Hospital Lexington, MA percent of total billed charges · bothfrom % of charges | 2 | $187 | $187 | $3 | 2% | — | $184 – $190 |
| 10 | Boston Children's Hospital Brookline, MA percent of total billed charges · bothfrom % of charges | 2 | $187 | $187 | $3 | 2% | — | $184 – $190 |
| 11 | Boston Children's Hospital Dartmouth, MA percent of total billed charges · bothfrom % of charges | 2 | $187 | $187 | $3 | 2% | — | $184 – $190 |
| 12 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $187 | $187 | $3 | 2% | — | $184 – $190 |
| 13 | Boston Children's Hospital Peabody, MA percent of total billed charges · bothfrom % of charges | 2 | $187 | $187 | $3 | 2% | — | $184 – $190 |
| 14 | Boston Children's Hospital Waltham, MA percent of total billed charges · bothfrom % of charges | 2 | $187 | $187 | $3 | 2% | — | $184 – $190 |
| 15 | Boston Children's Hospital Needham, MA percent of total billed charges · bothfrom % of charges | 2 | $187 | $187 | $3 | 2% | — | $184 – $190 |
| 16 | Boston Children's Hospital Weymouth, MA percent of total billed charges · bothfrom % of charges | 2 | $187 | $187 | $3 | 2% | — | $184 – $190 |
| 17 | CASTLE MEDICAL CENTER Kailua, HI percent of total billed charges · outpatientfrom % of charges | 1 | $151 | $151 | — | — | — | $151 – $151 |
| 18 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX fee schedule · inpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 19 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 20 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $51 | $78 | $52 | 67% | — | $36 – $180 |
| 21 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $625 | $611 | $263 | 43% | — | $221 – $988 |
| 22 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $743 | $765 | $463 | 61% | — | $136 – $1.4k |
| 23 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $743 | $765 | $463 | 61% | — | $136 – $1.4k |
| 24 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $743 | $765 | $463 | 61% | — | $136 – $1.4k |
| 25 | Children's Hospital of the King's Daughters Norfolk, VA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $51.5k | $51.5k | $45.1k | 88% | — | $6.3k – $96.6k |
← Payers reporting HCPCS L9900 · Snapshot 20261111T120946Z-9134e7f7