Custom diabetic footwear insert, carved from a foot scan

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

FOR DIABETICS ONLY, MULTIPLE DENSITY INSERT, MADE BY DIRECT CARVING WITH CAM TECHNOLOGY FROM A RECTIFIED CAD MODEL CREATED FROM A DIGITIZED SCAN OF THE PATIENT, TOTAL CONTACT WITH PATIENT'S FOOT, INCLUDING ARCH, BASE LAYER MINIMUM OF 3/16 INCH MATERIAL OF

Blue Cross Blue Shield pricing summary

Low

Average

$96

Median

$56

High

$7.9k

Blue Cross Blue Shield rate distribution

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262 hospital rates

#		Plans
1	FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges	1	$72	$72	—	—	1–10	$72 – $72
2	ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient	1	$54	$54	—	—	—	$54 – $54
3	AMH Cath Labs LLC Arlington, TX case rate · outpatient	1	$55	$55	—	—	—	$55 – $55
4	ATHOL MEMORIAL HOSPITAL INCORPORATED Athol, MA fee schedule · outpatient	3	$62	$61	$1	2%	—	$59 – $62
5	Adventhealth Ottawa Ottawa, KS fee schedule · outpatient	1	$48	$48	—	—	—	$48 – $48
6	Alomere Health Alexandria, MN facility · fee schedule · outpatient	2	$54	$54	—	—	—	$54 – $54
7	Altru Hospital Grand Forks, ND facility · fee schedule · outpatient	2	$54	$54	—	—	—	$54 – $54
8	Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient	2	$54	$54	—	—	—	$54 – $54
9	BELTON REGIONAL MEDICAL CENTER Kansas City, MO fee schedule · outpatient	3	$55	$55	$0	0%	—	$55 – $55
10	Benson Hospital Corporation Benson, AZ facility · fee schedule · outpatient	1	$429	$429	—	—	—	$429 – $429
11	Beth Israel Deaconess Hospital - Needham Needham, MA fee schedule · outpatient	1	$75	$75	—	—	—	$75 – $75
12	Beth Israel Deaconess Hospital - Plymouth Plymouth, MA fee schedule · outpatient	2	$77	$77	$2	3%	—	$75 – $79
13	Beth Israel Deaconess Hospital-Milton Inc Milton, MA fee schedule · outpatient	1	$58	$58	—	—	—	$58 – $58
14	Beth Israel Deaconess Medical Center Boston, MA fee schedule · outpatient	2	$96	$96	$2	2%	—	$93 – $98
15	Bexar County Hospital District San Antonio, TX fee schedule · outpatient	1	$55	$55	—	—	—	$55 – $55
16	Blessing Hospital Quincy, IL professional · fee schedule · both	1	$31	$31	—	—	—	$31 – $31
17	CENTERPOINT MEDICAL CENTER Independence, MO fee schedule · outpatient	3	$55	$55	$0	0%	—	$55 – $55
18	CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient	1	$54	$54	—	—	—	$54 – $54
19	CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · case rate · outpatient	1	$55	$55	—	—	—	$55 – $55
20	CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · fee schedule · outpatient	2	$29	$50	$30	60%	—	$29 – $92
21	COLUMBIA MEMORIAL HOSPITAL Hudson, NY facility · fee schedule · outpatient	1	$93	$93	—	—	—	$93 – $93
22	Carle BroMenn Medical Center Normal, IL case rate · outpatient	1	$55	$55	—	—	—	$55 – $55
23	Covenant Medical Center Lubbock, TX fee schedule · outpatient	4	$52	$52	$1	2%	—	$52 – $54
24	Covenant Medical Center Inc Saginaw, MI facility · fee schedule · outpatient	1	$106	$106	—	—	—	$106 – $106
25	Covenant Medical Center Inc Saginaw, MI facility · fee schedule · outpatient	1	$106	$106	—	—	—	$106 – $106