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
HC SPLINT LONG ARM PED FIBERGLASS
Low
$5
Average
$51
Median
$30
High
$632
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
72 hospitals; the 90th percentile is 7.8× 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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111 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 3 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 4 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 5 | Bronson Battle Creek Hospital Battle Creek, MI professional · fee schedule · both | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 6 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 7 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 8 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 9 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 10 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 11 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 12 | Cleveland Clinic Mercy Hospital Canton, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 13 | Cleveland Clinic Mercy Hospital Canton, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 14 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 15 | Covenant Medical Center Inc Waterloo, IA professional · percent of total billed charges · inpatientfrom % of charges | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 16 | Covenant Medical Center Inc Waterloo, IA professional · percent of total billed charges · outpatientfrom % of charges | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 17 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 18 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 19 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 20 | Fairview Hospital Cleveland, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 21 | GLENCOE REGIONAL HEALTH SERVICES Glencoe, MN facility · fee schedule · both | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 22 | GLENCOE REGIONAL HEALTH SERVICES Glencoe, MN professional · fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 23 | Geisinger Jersey Shore Hospital Jersey Shore, PA percent of total billed charges · inpatientfrom % of charges | 1 | $216 | $216 | — | — | — | $216 – $216 |
| 24 | Geisinger Jersey Shore Hospital Jersey Shore, PA percent of total billed charges · outpatientfrom % of charges | 1 | $216 | $216 | — | — | — | $216 – $216 |
| 25 | Geisinger Lewistown Hospital Lewistown, PA percent of total billed charges · inpatientfrom % of charges | 1 | $164 | $164 | — | — | — | $164 – $164 |
← Payers reporting HCPCS Q4020 · Snapshot 20261111T120946Z-9134e7f7