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
L-ARM SPLINT FIBERGLS 0-10 YRS
Williamsport, PA
See all hospitals reporting HCPCS Q4020 →Price type
UPMC Williamsport’s median price of $75 is 694% above the median hospital's median price ($9), higher than 97% of the 783 hospitals reporting HCPCS Q4020. 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 medicare facility · percent of total billed charges · outpatientfrom % of charges | $30 | $30 | — | — | — | $30 – $30 |
| 2 | Highmark managed care - social mission facility · percent of total billed charges · outpatientfrom % of charges | $45 | $45 | — | — | — | $45 – $45 |
| 3 | Aetna pebtf custom network facility · percent of total billed charges · outpatientfrom % of charges | $45 | $45 | — | — | — | $45 – $45 |
| 4 | Aetna pebtf custom network facility · percent of total billed charges · inpatientfrom % of charges | $48 | $48 | — | — | — | $48 – $48 |
| 5 | Highmark bluecare hmo/fplic ppo/traditional products facility · percent of total billed charges · outpatientfrom % of charges | $52 | $52 | — | — | — | $52 – $52 |
| 6 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $53 | $53 | — | — | — | $53 – $53 |
| 7 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $56 | $56 | — | — | — | $56 – $56 |
| 8 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $56 | $56 | — | — | — | $56 – $56 |
| 9 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $59 | $59 | — | — | — | $59 – $59 |
| 10 | Aetna first health facility · percent of total billed charges · inpatientfrom % of charges | $74 | $74 | — | — | — | $74 – $74 |
| 11 | Aetna first health facility · percent of total billed charges · outpatientfrom % of charges | $74 | $74 | — | — | — | $74 – $74 |
| 12 | First Health fh-medical rental facility · percent of total billed charges · inpatientfrom % of charges | $75 | $75 | — | — | — | $75 – $75 |
| 13 | First Health fh-medical rental facility · percent of total billed charges · outpatientfrom % of charges | $75 | $75 | — | — | — | $75 – $75 |
| 14 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $77 | $77 | — | — | — | $77 – $77 |
| 15 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $77 | $77 | — | — | — | $77 – $77 |
| 16 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $77 | $77 | — | — | — | $77 – $77 |
| 17 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $77 | $77 | — | — | — | $77 – $77 |
| 18 | MultiPlan auto facility · percent of total billed charges · inpatientfrom % of charges | $87 | $87 | — | — | — | $87 – $87 |
| 19 | MultiPlan auto facility · percent of total billed charges · outpatientfrom % of charges | $87 | $87 | — | — | — | $87 – $87 |
| 20 | MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · inpatientfrom % of charges | $87 | $87 | — | — | — | $87 – $87 |
| 21 | MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · outpatientfrom % of charges | $87 | $87 | — | — | — | $87 – $87 |
Last updated: Mar 6, 2026
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