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
IMPLANT MEDPOR ORBITAL 3D RT LG
Low
$29
Average
$526
Median
$417
High
$2.6k
Each hospital's average Humana rate, under the methodology and billing class chosen below.
480 hospitals; the 90th percentile is 2.2× 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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497 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 | ALASKA REGIONAL HOSPITAL Anchorage, AK fee schedule · outpatient | 2 | $344 | $344 | $7 | 2% | — | $337 – $352 |
| 2 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · outpatient | 1 | $89 | $89 | $45 | 50% | — | $45 – $134 |
| 3 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · outpatient | 1 | $63 | $63 | $31 | 50% | — | $31 – $94 |
| 4 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · outpatient | 1 | $51 | $51 | $26 | 50% | — | $26 – $77 |
| 5 | ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER Schuyler, NE fee schedule · outpatient | 1 | $75 | $75 | $37 | 50% | — | $37 – $112 |
| 6 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $387 | $387 | — | — | — | $387 – $387 |
| 7 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $480 | $480 | — | — | — | $480 – $480 |
| 8 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $497 | $497 | — | — | — | $497 – $497 |
| 9 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $511 | $511 | — | — | — | $511 – $511 |
| 10 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $365 | $365 | — | — | — | $365 – $365 |
| 11 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · outpatient | 1 | $391 | $391 | — | — | — | $391 – $391 |
| 12 | Atrium Health Hospitals Inc Kings Mountain, NC fee schedule · outpatient | 1 | $497 | $497 | — | — | — | $497 – $497 |
| 13 | Atrium Health Hospitals Inc Lincolnton, NC fee schedule · outpatient | 1 | $401 | $401 | — | — | — | $401 – $401 |
| 14 | Atrium Health Hospitals Inc Wadesboro, NC fee schedule · outpatient | 1 | $401 | $401 | — | — | — | $401 – $401 |
| 15 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 1 | $497 | $497 | — | — | — | $497 – $497 |
| 16 | BELTON REGIONAL MEDICAL CENTER Kansas City, MO fee schedule · outpatient | 3 | $497 | $497 | — | — | — | $497 – $497 |
| 17 | Bartow Regional Medical Center Bartow, FL facility · fee schedule · outpatient | 2 | $436 | $436 | $55 | 13% | — | $381 – $491 |
| 18 | Baycare Hospital Wesley Chapel Chapel, FL facility · fee schedule · outpatient | 2 | $436 | $436 | $55 | 13% | — | $381 – $491 |
| 19 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $393 | $393 | — | — | — | $393 – $393 |
| 20 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $452 | $452 | — | — | — | $452 – $452 |
| 21 | Boulder Community Health Lafayette, CO facility · case rate · outpatient | 1 | $507 | $507 | — | — | — | $507 – $507 |
| 22 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $497 | $497 | — | — | — | $497 – $497 |
| 23 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $380 | $380 | — | — | — | $380 – $380 |
| 24 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 1 | $387 | $387 | — | — | — | $387 – $387 |
| 25 | CAREPARTNERS REHABILITATION HOSPITAL Asheville, NC fee schedule · outpatient | 2 | $415 | $415 | $2 | 0% | — | $413 – $417 |
← Payers reporting HCPCS V2628 · Snapshot 20261111T120946Z-9134e7f7