9100010 — Ot Custom Splint - Level 1
Cite this view
HANK Price Transparency. (n.d.). OT CUSTOM SPLINT - LEVEL 1 (CDM 9100010) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/9100010?code_type=CDM
“OT CUSTOM SPLINT - LEVEL 1 (CDM 9100010) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/9100010?code_type=CDM. Accessed .
“OT CUSTOM SPLINT - LEVEL 1 (CDM 9100010) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/9100010?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $18–$18,165 (25th–75th percentile) across 2 hospitals · 11 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 9100010 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $1.87 | $77.65 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $2.06 | $77.65 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER InpatientFacility | Qualcare | PPO/HMO/WC | $11.65 | $77.65 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | NJ Health | $15.53 | $77.65 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER InpatientFacility | New Jersey Carpenters Health Fund | Self Funded Medical Benefit Plan | $17.08 | $77.65 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER InpatientFacility | MagnaCare | PPO/Direct Plus/Exchange/WC | $18.79 | $77.65 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Indemnity | $19.80 | $77.65 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Managed Care | $19.80 | $77.65 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | PPO | $19.80 | $77.65 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $23.30 | $77.65 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Aetna | Commercial | $29.51 | $77.65 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Cigna | Commercial | $38.83 | $77.65 | — | 2026-08-17 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Both | Health Spring | Commercial | $14,700.00 | $42,000.00 | $10,080.00 | 2026-04-01 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Both | Aetna | Commercial | $19,320.00 | $42,000.00 | $10,080.00 | 2026-04-01 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Both | Blue Cross Blue Shield of Alabama | Medicare Advantage | $42,000.00 | $42,000.00 | $10,080.00 | 2026-04-01 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Both | Humana | PPO | $42,000.00 | $42,000.00 | $10,080.00 | 2026-04-01 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Both | Humana | Medicare Advantage | $42,000.00 | $42,000.00 | $10,080.00 | 2026-04-01 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Both | Humana | HMO | $42,000.00 | $42,000.00 | $10,080.00 | 2026-04-01 | MRF ↗ |