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
Br-Hmii Belt Modular Lrg
Low
$118
Average
$242
Median
$213
High
$1.2k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
332 hospitals; the 90th percentile is 1.8× 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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341 hospital rates
iThe hospitals that file a WellCare 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 | NYU Langone New York, NY percent of total billed charges · bothfrom % of charges | 1 | $231 | $231 | — | — | 1–10 | $231 – $231 |
| 2 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $222 | $222 | $5 | 2% | — | $217 – $227 |
| 3 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 1 | $571 | $611 | $58 | 9% | — | $571 – $693 |
| 4 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 1 | $201 | $201 | — | — | — | $201 – $201 |
| 5 | Agnesian Healthcare Inc. Fond Du Lac, WI fee schedule · outpatient | 1 | $210 | $210 | — | — | — | $210 – $210 |
| 6 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $201 | $201 | — | — | — | $201 – $201 |
| 7 | BELTON REGIONAL MEDICAL CENTER Kansas City, MO fee schedule · outpatient | 1 | $209 | $209 | — | — | — | $209 – $209 |
| 8 | BLUE RIDGE REGIONAL HOSPITAL Spruce Pine, NC percent of total billed charges · outpatientfrom % of charges | 1 | $535 | $573 | $54 | 9% | — | $535 – $650 |
| 9 | Bartow Regional Medical Center Bartow, FL facility · fee schedule · outpatient | 1 | $284 | $284 | — | — | — | $284 – $284 |
| 10 | Baycare Hospital Wesley Chapel Chapel, FL facility · fee schedule · outpatient | 1 | $284 | $284 | — | — | — | $284 – $284 |
| 11 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $203 | $203 | — | — | — | $203 – $203 |
| 12 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $209 | $209 | — | — | — | $209 – $209 |
| 13 | CAREPARTNERS REHABILITATION HOSPITAL Asheville, NC fee schedule · outpatient | 1 | $213 | $213 | — | — | — | $213 – $213 |
| 14 | CENTENNIAL HOSPITAL A CAMPUS OF TMCA ENGLEWOOD, CO fee schedule · outpatient | 1 | $214 | $214 | — | — | — | $214 – $214 |
| 15 | CENTERPOINT MEDICAL CENTER Independence, MO fee schedule · outpatient | 1 | $209 | $209 | — | — | — | $209 – $209 |
| 16 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient | 1 | $203 | $203 | — | — | — | $203 – $203 |
| 17 | CHRISTUS Hospital - Orange Orange, TX fee schedule · outpatient | 1 | $203 | $203 | — | — | — | $203 – $203 |
| 18 | CHRISTUS West Beaumont Beaumont, TX fee schedule · outpatient | 1 | $203 | $203 | — | — | — | $203 – $203 |
| 19 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · case rate · inpatient | 1 | $201 | $201 | — | — | — | $201 – $201 |
| 20 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 2 | $205 | $205 | — | — | — | $205 – $205 |
| 21 | Carle BroMenn Medical Center Normal, IL case rate · outpatient | 1 | $206 | $206 | — | — | — | $206 – $206 |
| 22 | Carle Eureka Hospital Eureka, IL case rate · outpatient | 1 | $206 | $206 | — | — | — | $206 – $206 |
| 23 | CentraState Medical Center Freehold Township, NJ fee schedule · outpatient | 2 | $210 | $209 | $2 | 1% | — | $206 – $210 |
| 24 | Cheshire Medical Center Keene, NH facility · fee schedule · outpatient | 1 | $197 | $197 | — | — | — | $197 – $197 |
| 25 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $164 | $164 | — | — | — | $164 – $164 |
← Payers reporting HCPCS Q0499 · Snapshot 20261111T120946Z-9134e7f7