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
$2
Average
$157
Median
$51
High
$1.3k
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
98 hospitals; the 90th percentile is 40.2× 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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137 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 | Astera Health Wadena, MN percent of total billed charges · inpatientfrom % of charges | 1 | $207 | $207 | — | — | — | $207 – $207 |
| 2 | Astera Health Wadena, MN percent of total billed charges · outpatientfrom % of charges | 1 | $207 | $207 | — | — | — | $207 – $207 |
| 3 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · inpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 4 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 5 | Bronson Battle Creek Hospital Battle Creek, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 6 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 7 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 8 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 1 | $86 | $89 | $21 | 23% | — | $65 – $116 |
| 9 | Carle Eureka Hospital Eureka, IL percent of total billed charges · outpatientfrom % of charges | 1 | $86 | $89 | $21 | 23% | — | $65 – $116 |
| 10 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $201 | $201 | — | — | — | $201 – $201 |
| 11 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | $1 | 33% | — | $3 – $6 |
| 12 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 13 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 14 | GLENCOE REGIONAL HEALTH SERVICES Glencoe, MN facility · fee schedule · both | 1 | $84 | $84 | $28 | 34% | — | $49 – $119 |
| 15 | GLENCOE REGIONAL HEALTH SERVICES Glencoe, MN professional · fee schedule · outpatient | 1 | $84 | $84 | $28 | 34% | — | $49 – $119 |
| 16 | Geisinger Bloomsburg Hospital Bloomsburg, PA percent of total billed charges · inpatientfrom % of charges | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 17 | Geisinger Bloomsburg Hospital Bloomsburg, PA percent of total billed charges · outpatientfrom % of charges | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 18 | Geisinger Lewistown Hospital Lewistown, PA percent of total billed charges · inpatientfrom % of charges | 1 | $224 | $224 | $78 | 35% | — | $146 – $303 |
| 19 | Geisinger Lewistown Hospital Lewistown, PA percent of total billed charges · outpatientfrom % of charges | 1 | $224 | $224 | $78 | 35% | — | $146 – $303 |
| 20 | Geisinger Medical Center Muncy, PA percent of total billed charges · inpatientfrom % of charges | 2 | $502 | $502 | $66 | 13% | — | $436 – $569 |
| 21 | Geisinger Medical Center Muncy, PA percent of total billed charges · outpatientfrom % of charges | 2 | $502 | $502 | $66 | 13% | — | $436 – $569 |
| 22 | Geisinger Wyoming Valley Wilkes-Barre, PA percent of total billed charges · inpatientfrom % of charges | 2 | $288 | $288 | $37 | 13% | — | $251 – $325 |
| 23 | Geisinger Wyoming Valley Wilkes-Barre, PA percent of total billed charges · outpatientfrom % of charges | 2 | $288 | $288 | $37 | 13% | — | $251 – $325 |
| 24 | Good Samaritan Hospital Puyallup, WA percent of total billed charges · inpatientfrom % of charges | 1 | $365 | $310 | $112 | 36% | — | $153 – $411 |
| 25 | Good Samaritan Hospital Puyallup, WA percent of total billed charges · outpatientfrom % of charges | 1 | $365 | $310 | $112 | 36% | — | $153 – $411 |
← Payers reporting HCPCS Q4051 · Snapshot 20261111T120946Z-9134e7f7