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
Plastic mod low ext pad/line
Hamilton, OH
See all hospitals reporting HCPCS L2275 →Price type
Fort Hamilton Hospital’s median price of $249 is 54% above the median hospital's median price ($161), higher than 81% of the 999 hospitals reporting HCPCS L2275. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 5 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 medicare managed care plan fee schedule · outpatient | $160 | $160 | — | — | — | $160 – $160 |
| 2 | Molina medicare managed care plan fee schedule · outpatient | $168 | $168 | — | — | — | $168 – $168 |
| 3 | Caresource marketplace exchange fee schedule · outpatient | $248 | $248 | — | — | — | $248 – $248 |
| 4 | UnitedHealthcare exchange fee schedule · outpatient | $249 | $249 | — | — | — | $249 – $249 |
| 5 | Molina exchange fee schedule · outpatient | $333 | $333 | — | — | — | $333 – $333 |
Last updated: Apr 1, 2026
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