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
$0
Average
$8
Median
$7
High
$24
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
14 hospitals; the 90th percentile is 2045.4× 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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14 hospital rates
iThe hospitals that file a Ambetter 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 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 2 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 3 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 4 | MADISON ST JOSEPH HEALTH CENTER Madisonville, TX fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 5 | Mercy Hospital of Franciscan Sisters Inc Oelwein, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 6 | Mercy Medical Center - Dyersville Dyersville, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 7 | Mercy Medical Center - New Hampton New Hampton, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 8 | ST JOSEPH REGIONAL HEALTH CENTER Navasota, TX fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 9 | St. Joseph's Mercy Hospital, Centerville Centerville, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 10 | The Methodist Hospitals, Inc. Gary, IN facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Vanderbilt Bedford Hospital Shelbyville, TN fee schedule · both | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | Vanderbilt Tullahoma-Harton Hospital Tullahoma, TN fee schedule · both | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | Vanderbilt University Medical Center Nashville, TN fee schedule · both | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | Vanderbilt Wilson County Hospital Lebanon, TN fee schedule · both | 2 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting HCPCS Q4051 · Snapshot 20261111T120946Z-9134e7f7