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
$115
Median
$17
High
$2.0k
Each hospital's average Humana rate, under the methodology and billing class chosen below.
62 hospitals; the 90th percentile is 25.9× 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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73 hospital rates
iThe hospitals that file a Humana 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 | ALBANY GENERAL HOSPITAL Albany, OR professional · percent of total billed charges · outpatientfrom % of charges | 4 | $18 | $29 | $30 | 101% | — | $3 – $103 |
| 2 | Aspirus Wausau Hospital Wausau, WI fee schedule · both | 1 | $119 | $119 | — | — | — | $119 – $119 |
| 3 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 4 | Blessing Hospital Quincy, IL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 5 | Blessing Hospital Quincy, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 6 | Blessing Hospital Quincy, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 7 | Carle Eureka Hospital Eureka, IL percent of total billed charges · outpatientfrom % of charges | 1 | $52 | $53 | $12 | 23% | — | $39 – $69 |
| 8 | Cogdell Memorial Hospital dba Cogdell Memorial Hospital Snyder, TX fee schedule · outpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 9 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 2 | $10 | $10 | — | — | — | $10 – $10 |
| 10 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 11 | GLENCOE REGIONAL HEALTH SERVICES Glencoe, MN facility · fee schedule · both | 3 | $42 | $42 | $14 | 34% | — | $25 – $59 |
| 12 | GOOD SAMARITAN HOSPITAL CORVALLIS Corvallis, OR professional · percent of total billed charges · outpatientfrom % of charges | 4 | $18 | $29 | $30 | 101% | — | $3 – $103 |
| 13 | Geisinger Bloomsburg Hospital Bloomsburg, PA percent of total billed charges · inpatientfrom % of charges | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 14 | Geisinger Bloomsburg Hospital Bloomsburg, PA percent of total billed charges · outpatientfrom % of charges | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 15 | Greenbrier Valley Medical Center Ronceverte, WV percent of total billed charges · bothfrom % of charges | 1 | $421 | $412 | $195 | 47% | — | $185 – $621 |
| 16 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 3 | $16 | $16 | $1 | 4% | — | $15 – $16 |
| 17 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 3 | $12 | $11 | $0 | 4% | — | $11 – $12 |
| 18 | Hoopeston Community Memorial Hospital Hoopeston, IL per diem · inpatient | 1 | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 19 | Hoopeston Community Memorial Hospital Hoopeston, IL percent of total billed charges · outpatientfrom % of charges | 1 | $36 | $37 | $9 | 23% | — | $28 – $48 |
| 20 | Kalkaska Memorial Health Center Kalkaska, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $122 | $155 | $127 | 82% | — | $41 – $410 |
| 21 | Kalkaska Memorial Health Center Kalkaska, MI facility · percent of total billed charges · outpatientfrom % of charges | 2 | $68 | $115 | $108 | 94% | — | $19 – $410 |
| 22 | Kirby Medical Center Monticello, IL professional · fee schedule · both | 1 | $250 | $250 | — | — | — | $250 – $250 |
| 23 | Limestone Medical Center Groesbeck, TX percent of total billed charges · inpatientfrom % of charges | 1 | $154 | $140 | $23 | 16% | — | $101 – $154 |
| 24 | Limestone Medical Center Groesbeck, TX percent of total billed charges · outpatientfrom % of charges | 2 | $80 | $97 | $46 | 48% | — | $39 – $154 |
| 25 | MADISON ST JOSEPH HEALTH CENTER Madisonville, TX fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
← Payers reporting HCPCS Q4051 · Snapshot 20261111T120946Z-9134e7f7