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
$113
Average
$425
Median
$477
High
$487
Each hospital's average Medicare rate, under the methodology and billing class chosen below.
29 hospitals; the 90th percentile is 1.3× 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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29 hospital rates
iThe hospitals that file a Medicare 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 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 1 | $477 | $477 | — | — | — | $477 – $477 |
| 2 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient | 1 | $477 | $477 | — | — | — | $477 – $477 |
| 3 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $477 | $477 | — | — | — | $477 – $477 |
| 4 | CATHOLIC HEALTH INITIATIVES COLORADO West Valley City, UT fee schedule · outpatient | 2 | $477 | $477 | — | — | — | $477 – $477 |
| 5 | CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT fee schedule · outpatient | 2 | $477 | $477 | — | — | — | $477 – $477 |
| 6 | CATHOLIC HEALTH INITIATIVES COLORADO Lehi, UT fee schedule · outpatient | 2 | $477 | $477 | — | — | — | $477 – $477 |
| 7 | CATHOLIC HEALTH INITIATIVES COLORADO Layton, UT fee schedule · outpatient | 1 | $477 | $477 | — | — | — | $477 – $477 |
| 8 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO fee schedule · outpatient | 1 | $477 | $477 | — | — | — | $477 – $477 |
| 9 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO fee schedule · outpatient | 1 | $487 | $487 | — | — | — | $487 – $487 |
| 10 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO fee schedule · outpatient | 1 | $477 | $477 | — | — | — | $477 – $477 |
| 11 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $477 | $477 | — | — | — | $477 – $477 |
| 12 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 2 | $477 | $477 | — | — | — | $477 – $477 |
| 13 | CATHOLIC HEALTH INITIATIVES COLORADO Fort Morgan, CO fee schedule · outpatient | 1 | $477 | $477 | — | — | — | $477 – $477 |
| 14 | COMMONSPIRIT KANSAS, INC. Dodge City, KS fee schedule · outpatient | 1 | $487 | $487 | — | — | — | $487 – $487 |
| 15 | COMMONSPIRIT KANSAS, INC. Garden City, KS fee schedule · outpatient | 1 | $487 | $487 | — | — | — | $487 – $487 |
| 16 | COMMONSPIRIT KANSAS, INC. Ulysses, KS percent of total billed charges · outpatientfrom % of charges | 1 | $357 | $357 | — | — | — | $357 – $357 |
| 17 | Grady Memorial Hospital Atlanta, GA facility · fee schedule · outpatient | 1 | $393 | $393 | — | — | — | $393 – $393 |
| 18 | LONGMONT UNITED HOSPITAL Longmont, CO fee schedule · outpatient | 1 | $487 | $487 | — | — | — | $487 – $487 |
| 19 | Lakewood Medical Center Kansas City, MO facility · fee schedule · outpatient | 1 | $113 | $113 | $25 | 22% | — | $88 – $137 |
| 20 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN fee schedule · both | 1 | $393 | $393 | — | — | — | $393 – $393 |
| 21 | METHODIST LEBONHEUR GERMANTOWN HOSP GERMANTOWN, TN fee schedule · both | 1 | $393 | $393 | — | — | — | $393 – $393 |
| 22 | METHODIST NORTH HOSPITAL MEMPHIS, TN fee schedule · both | 1 | $393 | $393 | — | — | — | $393 – $393 |
| 23 | METHODIST OLIVE BRANCH HOSPITAL OLIVE BRANCH, MS fee schedule · both | 1 | $393 | $393 | — | — | — | $393 – $393 |
| 24 | METHODIST SOUTH HOSPITAL MEMPHIS, TN fee schedule · both | 1 | $393 | $393 | — | — | — | $393 – $393 |
| 25 | METHODIST UNIVERSITY HOSPITAL MEMPHIS, TN fee schedule · both | 1 | $393 | $393 | — | — | — | $393 – $393 |
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