Ft arch suprt premold longit cost at US hospitals

Ft arch suprt premold longit · HCPCS L3040

$16.20

lowest cash price

$79.82

national median

$113.60

highest cash price

26

hospitals with a published cash price

Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $16.20–$113.60 — the variation is the story.

Median cash price over time

Jan 1, 2026 ($113.60) → Jun 1, 2026 ($41.60)

By state

State Hospitals Lowest cash Median Highest
Alaska 1 not published by hospital not published by hospital not published by hospital
Colorado 8 not published by hospital not published by hospital not published by hospital
Florida 4 $41.60 $41.60 $41.60
Georgia 2 not published by hospital not published by hospital not published by hospital
Illinois 7 $16.80 $16.80 $113.60
Iowa 14 $16.20 $113.60 $113.60
Kansas 1 not published by hospital not published by hospital not published by hospital
Maine 3 not published by hospital not published by hospital not published by hospital
Michigan 9 $79.82 $79.82 $79.82
Minnesota 2 not published by hospital not published by hospital not published by hospital
Missouri 1 not published by hospital not published by hospital not published by hospital
Nevada 3 $71.55 $79.23 $99.82
New Hampshire 1 not published by hospital not published by hospital not published by hospital
New Jersey 7 not published by hospital not published by hospital not published by hospital
North Carolina 10 not published by hospital not published by hospital not published by hospital
North Dakota 2 $70.66 $70.66 $70.66
Ohio 14 $36.02 $36.02 $36.02
South Carolina 2 not published by hospital not published by hospital not published by hospital
South Dakota 2 not published by hospital not published by hospital not published by hospital
Texas 5 not published by hospital not published by hospital not published by hospital
Virginia 8 not published by hospital not published by hospital not published by hospital
Washington 5 not published by hospital not published by hospital not published by hospital
Wisconsin 2 $37.10 $37.10 $37.10

All hospitals

Hospital Location Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport, IA $16.20 not published
MercyOne Genesis Davenport Medical Center Davenport, IA $16.80 not published
MercyOne Genesis Silvis Medical Center Silvis, IL $16.80 $25.76 – $28.00
MercyOne Genesis DeWitt Medical Center DeWitt, IA $16.80 $20.44 – $2,679.00
MercyOne Genesis Aledo Medical Center Aledo, IL $16.80 $28.00 – $2,970.16
cleveland clinic main campus Cleveland, OH $36.02 $1.10 – $73.43
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon, WI $37.10 $47.16 – $68.22
cleveland clinic florida weston hospital Weston, FL $41.60 $22.27 – $87.91
SSM Health Good Samaritan Hospital - Mt. Vernon Mount Vernon, IL $55.70 not published
Sanford Fargo Medical Center Fargo, ND $70.66 $36.21 – $79.49
San Martin Hospital Las Vegas, NV $71.55 $104.70 – $240.81
Siena Hospital Henderson, NV $79.23 $104.70 – $240.81
Henry Ford Macomb Hospital Clinton Twp, MI $79.82 $53.21 – $78.08
Rose de Lima Hospital Henderson, NV $99.82 $104.70 – $240.81
UnityPoint Health - Allen Hospital Waterloo, IA $113.60 $28.16 – $71.66
UnityPoint Health - Finley Hospital Dubuque, IA $113.60 $28.16 – $130.64
UnityPoint Health - Grinnell Regional Medical Center Grinnell, IA $113.60 $28.16 – $71.66
UnityPoint Health - Iowa Lutheran Hospital Des Moines, IA $113.60 $28.16 – $71.66
UnityPoint Health - Jones Regional Medical Center Anamosa, IA $113.60 $28.16 – $71.66
UnityPoint Health - Marshalltown Marshalltown, IA $113.60 $28.16 – $71.66
UnityPoint Health - St. Lukes Downtown Sioux City, IA $113.60 $28.16 – $71.66
UnityPoint Health - Trinity Bettendorf Bettendorf, IA $113.60 $28.16 – $90.30
UnityPoint Health - Trinity Moline Rock Island, IL $113.60 $28.16 – $90.74
UnityPoint Health - Trinity Muscatine Muscatine, IA $113.60 $28.16 – $108.06
UnityPoint Health - Trinity Regional Medical Center Fort Dodge, IA $113.60 $28.16 – $71.66
UnityPoint Health - St. Luke's Hospital Cedar Rapids, IA $113.60 $28.16 – $71.66
University Hospitals Ahuja Medical Center Beachwood, OH not published $57.84 – $104.11
Atrium Health University City Charlotte, NC not published $58.15 – $71.26
Carolinas Rehabilitation Charlotte Charlotte, NC not published $58.15 – $60.04
south pointe hospital Warrensville Heights, OH not published $28.79 – $33.34
mercy hospital Canton, OH not published $25.84 – $28.42
medina hospital Medina, OH not published $25.32 – $29.32
indian river hospital Vero Beach, FL not published $105.33 – $105.33
HENRICO DOCTORS HOSPITAL RICHMOND, VA not published $47.98 – $60.40
Monmouth Medical Center Long Branch, NJ not published $55.34 – $110.13
Jersey City Medical Center Jersey City, NJ not published $39.07 – $110.13
Atrium Health Union Monroe, NC not published $58.15 – $71.26
marymount hospital Garfield Heights, OH not published $24.41 – $28.26
martin north hospital Stuart, FL not published $84.00 – $84.00
lodi hospital Lodi, OH not published $42.21 – $48.87
Atrium Health Lincoln Lincolnton, NC not published $58.15 – $71.26
Atrium Health Cabarrus Concord, NC not published $58.15 – $71.26
Atrium Health Cleveland Shelby, NC not published $68.89 – $71.13
hillcrest hospital Mayfield Heights, OH not published $27.05 – $31.32
Atrium Health Stanly Albermarle, NC not published $68.89 – $71.13
lutheran hospital Cleveland, OH not published $24.72 – $28.62
fairview hospital Cleveland, OH not published $25.96 – $30.06
euclid hospital Euclid, OH not published $27.64 – $32.00
cleveland clinic childrens hospital for rehabilitation Cleveland, OH not published $44.04 – $51.00
avon hospital Avon, OH not published $26.97 – $27.49

Related procedures procedures