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
FOR DIABETICS ONLY, FITTING (INCLUDING FOLLOW-UP), CUSTOM PREPARATION AND SUPPLY OF OFF-THE-SHELF DEPTH-INLAY SHOE MANUFACTURED TO ACCOMMODATE MULTI-DENSITY INSERT(S), PER SHOE
Low
$40
Average
$106
Median
$101
High
$232
Each hospital's average Highmark rate, under the methodology and billing class chosen below.
35 hospitals; the 90th percentile is 2.5× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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46 hospital rates
iThe hospitals that file a Highmark rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Strong Memorial Hospital Rochester, NY percent of total billed charges · outpatientfrom % of charges | 1 | $207 | $207 | — | — | 1–10 | $207 – $207 |
| 2 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 11 | $73 | $73 | — | — | — | $73 – $73 |
| 3 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 19 | $82 | $92 | $26 | 29% | — | $43 – $147 |
| 4 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 5 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · inpatient | 11 | $73 | $73 | — | — | — | $73 – $73 |
| 6 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 19 | $82 | $90 | $25 | 27% | — | $43 – $140 |
| 7 | Davis Medical Center Elkins, WV facility · case rate · outpatient | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 8 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 9 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 2 | $40 | $40 | — | — | — | $40 – $40 |
| 10 | Fox Chase Cancer Center Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $101 | $101 | $1 | 1% | — | $100 – $102 |
| 11 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · inpatient | 11 | $73 | $73 | — | — | — | $73 – $73 |
| 12 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient | 19 | $82 | $113 | $54 | 48% | — | $71 – $213 |
| 13 | Holy Redeemer Health System Meadowbrook, PA facility · case rate · outpatient | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 14 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · inpatient | 11 | $73 | $73 | — | — | — | $73 – $73 |
| 15 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · outpatient | 19 | $82 | $94 | $27 | 29% | — | $43 – $151 |
| 16 | Jefferson Health - Northeast Langhorne, PA facility · fee schedule · outpatient | 2 | $106 | $153 | $74 | 48% | — | $95 – $256 |
| 17 | Jefferson Health - Northeast Philadelphia, PA facility · fee schedule · outpatient | 3 | $160 | $166 | $67 | 40% | — | $95 – $251 |
| 18 | Jefferson Health - Northeast Philadelphia, PA facility · fee schedule · outpatient | 2 | $232 | $232 | $19 | 8% | — | $213 – $251 |
| 19 | Kennedy University Hospital, Inc Turnersville, NJ facility · fee schedule · outpatient | 3 | $149 | $157 | $65 | 41% | — | $91 – $238 |
| 20 | Kennedy University Hospital, Inc Cherry Hill, NJ facility · fee schedule · outpatient | 3 | $149 | $157 | $65 | 41% | — | $91 – $238 |
| 21 | Magee Rehabilitation Hospital Philadelphia, PA facility · fee schedule · outpatient | 1 | $101 | $101 | $5 | 5% | — | $95 – $106 |
| 22 | Nicholas H. Noyes Memorial Hospital Dansville, NY fee schedule · outpatient | 2 | $40 | $40 | — | — | — | $40 – $40 |
| 23 | SAINT VINCENT HEALTH CENTER ERIE, PA fee schedule · inpatient | 11 | $73 | $73 | — | — | — | $73 – $73 |
| 24 | SAINT VINCENT HEALTH CENTER ERIE, PA fee schedule · outpatient | 20 | $83 | $92 | $25 | 27% | — | $42 – $140 |
| 25 | St. James Hospital Hornell, NY fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
← Payers reporting HCPCS A5500 · Snapshot 20261111T120946Z-9134e7f7