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 CRANIAL REMOLDING ORTHOSIS, PEDIATRIC, RIGID, WITH SOFT INTERFACE MATERIAL, CUSTOM FABRICATED, INCLUDES FITTING AND ADJUSTMENT(S)
Low
$0
Average
$2.9k
Median
$2.7k
High
$7.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
42 payers; the 90th percentile is 3.9× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Premera other · outpatient · +1 other terms | 1 | $1.8k | $1.8k | — | — | 60 | $1.8k – $1.8k |
| 2 | Regence facility · percent of total billed charges · bothfrom % of charges | 1 | $3.5k | $3.5k | $642 | 19% | 4–40 | $2.9k – $4.5k |
| 3 | Blue Cross Blue Shield facility · fee schedule · outpatient · +13 other terms | 38 | $2.8k | $4.9k | $3.6k | 74% | — | $1.3k – $16.9k |
| 4 | MultiPlan percent of total billed charges · outpatientfrom % of charges · +7 other terms | 25 | $4.0k | $4.7k | $1.4k | 29% | — | $2.6k – $6.5k |
| 5 | Aetna fee schedule · outpatient · +14 other terms | 22 | $1.2k | $2.6k | $2.4k | 94% | — | $1.2k – $12.0k |
| 6 | UnitedHealthcare fee schedule · outpatient · +11 other terms | 22 | $2.7k | $2.6k | $1.2k | 45% | — | $1 – $6.1k |
| 7 | Anthem facility · fee schedule · outpatient · +8 other terms | 19 | $1.9k | $4.0k | $1.9k | 48% | — | $1.9k – $6.4k |
| 8 | Cigna facility · fee schedule · outpatient · +11 other terms | 18 | $1.9k | $2.2k | $1.2k | 54% | — | $1.2k – $7.6k |
| 9 | Wellmark fee schedule · both · +4 other terms | 13 | $2.6k | $2.6k | $104 | 4% | — | $2k – $2.6k |
| 10 | Bcbs Mn fee schedule · outpatient · +5 other terms | 12 | $5.6k | $4.6k | $2.0k | 44% | — | $2.8k – $7.0k |
| 11 | Sanford Health Plan percent of total billed charges · outpatientfrom % of charges · +3 other terms | 11 | $4.5k | $3.2k | $1.4k | 43% | — | $819 – $4.5k |
| 12 | Highmark fee schedule · outpatient · +2 other terms | 10 | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 13 | Medica fee schedule · both · +6 other terms | 9 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 14 | Ucare fee schedule · both · +5 other terms | 9 | $2.8k | $2.9k | $139 | 5% | — | $2.7k – $3.0k |
| 15 | Aetna Better Health fee schedule · inpatient · +3 other terms | 7 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 16 | Humana fee schedule · outpatient · +9 other terms | 6 | $1.2k | $1.3k | $268 | 20% | — | $1.2k – $1.9k |
| 17 | Molina facility · fee schedule · outpatient · +8 other terms | 5 | $2.0k | $1.6k | $1.1k | 67% | — | $271 – $2.7k |
| 18 | Ambetter fee schedule · both · +3 other terms | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | Oscar percent of total billed charges · bothfrom % of charges · +4 other terms | 4 | $719 | $719 | — | — | — | $719 – $719 |
| 20 | Phcs percent of total billed charges · bothfrom % of charges · +3 other terms | 4 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 21 | WellCare percent of total billed charges · bothfrom % of charges · +1 other terms | 4 | $1.2k | $1.1k | $372 | 35% | — | $310 – $1.2k |
| 22 | Caresource fee schedule · outpatient · +3 other terms | 3 | $1.9k | $2.0k | $83 | 4% | — | $1.9k – $2.1k |
| 23 | First Health professional · fee schedule · both · +7 other terms | 3 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 24 | Amerihealth Caritas professional · fee schedule · outpatient · +1 other terms | 2 | $2.5k | $2.5k | $35 | 1% | — | $2.4k – $2.5k |
| 25 | Carefirst percent of total billed charges · bothfrom % of charges | 2 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
← Hospitals reporting HCPCS S1040 · Snapshot 20261111T120946Z-9134e7f7