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
1054476 - IMMOBILIZER KN UNV L22 IN ORTHO REBOUND OD10.25-26.5 IN 3
Summit, WI
See all hospitals reporting HCPCS L1820 →Price type
Aurora Medical Center Summit’s median price of $24 is 86% below the median hospital's median price ($169), higher than 2% of the 1,239 hospitals reporting HCPCS L1820. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 21 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna hmo percent of total billed charges · outpatientfrom % of charges | $18 | $18 | — | — | — | $18 – $18 |
| 2 | UnitedHealthcare charter percent of total billed charges · outpatientfrom % of charges | $22 | $22 | — | — | — | $22 – $22 |
| 3 | UnitedHealthcare exchange percent of total billed charges · outpatientfrom % of charges | $22 | $22 | — | — | — | $22 – $22 |
| 4 | UnitedHealthcare hmo percent of total billed charges · outpatientfrom % of charges | $22 | $22 | — | — | — | $22 – $22 |
| 5 | UnitedHealthcare nexus percent of total billed charges · outpatientfrom % of charges | $22 | $22 | — | — | — | $22 – $22 |
| 6 | Anthem blue priority percent of total billed charges · outpatientfrom % of charges | $22 | $22 | — | — | — | $22 – $22 |
| 7 | Healthpartners employee trust fund percent of total billed charges · outpatientfrom % of charges | $22 | $22 | — | — | — | $22 – $22 |
| 8 | Molina commercial percent of total billed charges · outpatientfrom % of charges | $22 | $22 | — | — | — | $22 – $22 |
| 9 | Anthem blue preferred percent of total billed charges · outpatientfrom % of charges | $24 | $24 | — | — | — | $24 – $24 |
| 10 | Cigna ppo-gppo percent of total billed charges · outpatientfrom % of charges | $28 | $28 | — | — | — | $28 – $28 |
| 11 | Healthpartners broad percent of total billed charges · inpatientfrom % of charges | $28 | $28 | — | — | — | $28 – $28 |
| 12 | Healthpartners broad percent of total billed charges · outpatientfrom % of charges | $28 | $28 | — | — | — | $28 – $28 |
| 13 | Healthpartners robin percent of total billed charges · outpatientfrom % of charges | $28 | $28 | — | — | — | $28 – $28 |
| 14 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $31 | $31 | — | — | — | $31 – $31 |
| 15 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $31 | $31 | — | — | — | $31 – $31 |
| 16 | UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges | $32 | $32 | — | — | — | $32 – $32 |
| 17 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $32 | $32 | — | — | — | $32 – $32 |
| 18 | Cigna ppo percent of total billed charges · inpatientfrom % of charges | $32 | $32 | — | — | — | $32 – $32 |
| 19 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $32 | $32 | — | — | — | $32 – $32 |
| 20 | Anthem ppo percent of total billed charges · inpatientfrom % of charges | $32 | $32 | — | — | — | $32 – $32 |
| 21 | Anthem ppo percent of total billed charges · outpatientfrom % of charges | $32 | $32 | — | — | — | $32 – $32 |
Last updated: Nov 21, 2025
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