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
Splint Roll Quick Step Dbl 4 In
Low
$1
Average
$107
Median
$25
High
$792
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
159 hospitals; the 90th percentile is 40.8× 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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199 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 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 5 | $22 | $36 | $39 | 109% | 26 | $1 – $184 |
| 2 | Allina Health Systems Shakopee, MN facility · percent of total billed charges · inpatientfrom % of charges | 3 | $245 | $262 | $34 | 13% | — | $232 – $309 |
| 3 | Allina Health Systems Shakopee, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $246 | $263 | $34 | 13% | — | $233 – $310 |
| 4 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $196 | $222 | $45 | 20% | — | $184 – $285 |
| 5 | Allina Health Systems Owatonna, MN facility · percent of total billed charges · inpatientfrom % of charges | 3 | $245 | $262 | $34 | 13% | — | $232 – $309 |
| 6 | Allina Health Systems Owatonna, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $246 | $263 | $34 | 13% | — | $233 – $310 |
| 7 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $196 | $222 | $45 | 20% | — | $184 – $285 |
| 8 | Allina Health Systems Cambridge, MN facility · percent of total billed charges · inpatientfrom % of charges | 3 | $245 | $262 | $34 | 13% | — | $232 – $309 |
| 9 | Allina Health Systems Cambridge, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $246 | $263 | $34 | 13% | — | $233 – $310 |
| 10 | Allina Health Systems Faribualt, MN facility · percent of total billed charges · inpatientfrom % of charges | 3 | $245 | $262 | $34 | 13% | — | $232 – $309 |
| 11 | Allina Health Systems Faribualt, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $246 | $263 | $34 | 13% | — | $233 – $310 |
| 12 | Allina Health Systems River Falls, WI facility · percent of total billed charges · inpatientfrom % of charges | 3 | $346 | $369 | $52 | 14% | — | $320 – $442 |
| 13 | Allina Health Systems River Falls, WI facility · percent of total billed charges · outpatientfrom % of charges | 3 | $349 | $373 | $53 | 14% | — | $323 – $446 |
| 14 | Allina Health Systems Minneapolis, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $196 | $222 | $45 | 20% | — | $184 – $285 |
| 15 | Allina Health Systems Buffalo, MN facility · percent of total billed charges · inpatientfrom % of charges | 3 | $245 | $262 | $34 | 13% | — | $232 – $309 |
| 16 | Allina Health Systems Buffalo, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $246 | $263 | $34 | 13% | — | $233 – $310 |
| 17 | Astera Health Wadena, MN percent of total billed charges · inpatientfrom % of charges | 1 | $233 | $233 | — | — | — | $233 – $233 |
| 18 | Astera Health Wadena, MN percent of total billed charges · outpatientfrom % of charges | 1 | $233 | $233 | — | — | — | $233 – $233 |
| 19 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 20 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · inpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 21 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient | 2 | $7 | $7 | $3 | 44% | — | $4 – $10 |
| 22 | Benefis Hospitals Inc Helena, MT percent of total billed charges · bothfrom % of charges | 1 | $232 | $232 | $81 | 35% | — | $151 – $313 |
| 23 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $35 | $35 | $0 | 1% | — | $35 – $36 |
| 24 | Blessing Hospital Quincy, IL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 25 | Blessing Hospital Quincy, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
← Payers reporting HCPCS Q4051 · Snapshot 20261111T120946Z-9134e7f7