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
$11
Average
$2.3k
Median
$1.9k
High
$6.4k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
43 hospitals; the 90th percentile is 4.1× 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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53 hospital rates
iThe hospitals that file a Anthem 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 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 4 | $3.2k | $3.0k | $802 | 27% | 3–30 | $1.8k – $4.2k |
| 2 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 2 | $2.3k | $2.3k | $287 | 12% | — | $2.0k – $2.6k |
| 3 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 4 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 2 | $1.6k | $1.3k | $797 | 62% | — | $210 – $2.1k |
| 5 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 2 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 6 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 2 | $1.6k | $1.3k | $797 | 62% | — | $210 – $2.1k |
| 7 | Children's Hospital of the King's Daughters Norfolk, VA facility · fee schedule · outpatient | 2 | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 8 | Covenant Medical Center Inc Saginaw, MI facility · fee schedule · outpatient | 1 | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 9 | Covenant Medical Center Inc Saginaw, MI facility · fee schedule · outpatient | 1 | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 10 | Deaconess Hospital, Inc Newburgh, IN facility · case rate · outpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 11 | Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient | 2 | $1.6k | $1.3k | $797 | 62% | — | $210 – $2.1k |
| 12 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · fee schedule · outpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 13 | Little Company of Mary Hospital of Indiana Inc Jasper, IN professional · fee schedule · both | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 14 | Maine Coast Regional Health Facilities Ellsworth, ME professional · fee schedule · outpatient | 2 | $1.6k | $1.3k | $797 | 62% | — | $210 – $2.1k |
| 15 | Marshfield Medical Center - Eau Claire Eau Claire, WI facility · percent of total billed charges · inpatientfrom % of charges | 3 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 16 | Marshfield Medical Center - Eau Claire Eau Claire, WI facility · percent of total billed charges · outpatientfrom % of charges | 3 | $2.4k | $2.4k | $131 | 5% | — | $2.2k – $2.6k |
| 17 | Marshfield Medical Center - Ladysmith Ladysmith, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 18 | Marshfield Medical Center - Marshfield Marshfield, WI facility · percent of total billed charges · inpatientfrom % of charges | 3 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 19 | Marshfield Medical Center - Marshfield Marshfield, WI facility · percent of total billed charges · outpatientfrom % of charges | 3 | $1.4k | $1.4k | $68 | 5% | — | $1.3k – $1.4k |
| 20 | Marshfield Medical Center - Minocqua Minocqua, WI facility · percent of total billed charges · inpatientfrom % of charges | 3 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 21 | Marshfield Medical Center - Minocqua Minocqua, WI facility · percent of total billed charges · outpatientfrom % of charges | 3 | $2.4k | $2.4k | $142 | 6% | — | $2.2k – $2.6k |
| 22 | Marshfield Medical Center - Neillsville Neillsville, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 23 | Marshfield Medical Center - Park Falls Park Falls, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 24 | Marshfield Medical Center - Rice Lake Rice Lake, WI facility · percent of total billed charges · inpatientfrom % of charges | 3 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 25 | Marshfield Medical Center - Rice Lake Rice Lake, WI facility · percent of total billed charges · outpatientfrom % of charges | 3 | $2.4k | $2.4k | $142 | 6% | — | $2.3k – $2.6k |
← Payers reporting HCPCS S1040 · Snapshot 20261111T120946Z-9134e7f7