Elbow orthosis, double upright with forearm/arm cuffs, free motion, custom fabricated cost in Indiana
$713
Cash from
$713–$1,502
Cash range · 10 distinct prices
$97
Insurer rates from
12
Hospitals
Lowest published amounts at each hospital, from each hospital's own price file. Newest file: Mar 2026; each row shows its own date.
Prices by hospital
| Hospital | City | Cash | Insurer from | Data date |
|---|---|---|---|---|
| Indiana University Health Tipton Hospital Inc. | Tipton | $1,265 | $97 | Mar 2026205 days old |
| Indiana University Health Inc. | Indianapolis | $953 | $97 | Mar 2026205 days old |
| Indiana University Health Arnett Inc. | Lafayette | $839 | $97 | Mar 2026205 days old |
| Indiana University Health North Hospital Inc. | Carmel | $953 | $97 | Mar 2026205 days old |
| Indiana University Health Bedford Inc. | Bedford | $959 | $97 | Mar 2026205 days old |
| Indiana University Health Frankfort Inc. | Frankfort | $1,356 | $97 | Mar 2026205 days old |
| Indiana University Health Jay Inc. | Portland | $1,502 | $97 | Mar 2026205 days old |
| Indiana University Health White Memorial Hospital Inc. | Monticello | $1,047 | $97 | Mar 2026205 days old |
| Indiana University Health West Hospital Inc. | Avon | $953 | $97 | Mar 2026205 days old |
| Indiana University Health Paoli Inc. | Paoli | $1,288 | $97 | Mar 2026205 days old |
| Indiana University Health Ball Memorial Hospital Inc. | Muncie | $713 | $97 | Mar 2026205 days old |
| Indiana University Health Bloomington Inc. | Bloomington | $827 | $97 | Mar 2026205 days old |
Where this procedure name comes from
This is the HCPCS Level II descriptor published by CMS — a US government work in the public domain.
What the hospitals published for this code, in their own words:
- Beavercreek Medical CenterHc Eo, Double Upright, Custom
- Berger HospitalForearm/arm cuffs free motio
- Bethesda Hospital Inc.HC Orthotic L Elbow Hinge Custom
- Clinton Memorial HospitalForearm/arm cuffs free motio
- Dayton Osteopathic HospitalHc Eo, Double Upright, Custom
- Fairview HospitalForearm/arm cuffs free motio
- Fort Hamilton HospitalHc Eo, Double Upright, Custom
- Greene Memorial Hospital IncHc Eo, Double Upright, Custom
- HEART HOSP OF AUSTINElbow orthosis, double upright with forearm/arm cuffs, free motion, custom fabricated
- HEART HOSP OF AUSTIN AT ST. DAVID'S ROUND ROCKElbow orthosis, double upright with forearm/arm cuffs, free motion, custom fabricated
Compare prices near you
See published prices for this procedure near your ZIP, for your insurer or for cash, with the source and date of each.
Price it for me →Estimates from published hospital rates — not your exact bill.