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
Form Fit Ankle W/Speedlace
Low
$0
Average
$118
Median
$96
High
$9.8k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1035 hospitals; the 90th percentile is 4.3× 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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1,553 hospital rates
iThe hospitals that file a Aetna 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 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $50 | $50 | $14 | 29% | 76 | $20 – $108 |
| 2 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $43 | $43 | $0 | 1% | 25 | $42 – $43 |
| 3 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $69 | $67 | $28 | 42% | 12–120 | $8 – $105 |
| 4 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $32 | $57 | $49 | 85% | 12–120 | $18 – $213 |
| 5 | Texas Health Harris Methodist Hospital HurstEulessBedford Bedford, TX percent of total billed charges · outpatientfrom % of charges | 5 | $32 | $47 | $57 | 121% | 9–90 | $5 – $257 |
| 6 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $25 | $33 | $17 | 52% | 4–40 | $18 – $66 |
| 7 | St. Joseph's Hospital of Buckhannon, Inc. Buckhannon, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | $0 | 2% | 3–30 | $20 – $20 |
| 8 | Arkansas Childrens Hospital Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | — | — | 2–20 | $26 – $26 |
| 9 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $107 | $107 | — | — | 1–10 | $107 – $107 |
| 10 | Brunswick Community Hospital, LLC Bolivia, NC percent of total billed charges · outpatientfrom % of charges | 1 | $117 | $117 | — | — | 1–10 | $117 – $117 |
| 11 | North Carolina Baptist Hospital Winston Salem, NC other · outpatient | 1 | $93 | $93 | — | — | 1–10 | $93 – $93 |
| 12 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 13 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 14 | ADVENTIST HEALTH TULARE Tulare, CA percent of total billed charges · outpatientfrom % of charges | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 15 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · bothfrom % of charges | 2 | $143 | $174 | $78 | 45% | — | $89 – $314 |
| 16 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 4 | $91 | $110 | $63 | 57% | — | $26 – $220 |
| 17 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · percent of total billed charges · outpatientfrom % of charges | 3 | $89 | $94 | $12 | 13% | — | $83 – $111 |
| 18 | ALBANY GENERAL HOSPITAL Albany, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 19 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 2 | $187 | $187 | $78 | 42% | — | $109 – $265 |
| 20 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 5 | $32 | $46 | $57 | 122% | — | $5 – $257 |
| 21 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 1 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 22 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 3 | $94 | $83 | $25 | 31% | — | $42 – $107 |
| 23 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 6 | $67 | $71 | $29 | 41% | — | $34 – $107 |
| 24 | Abington Memorial Hospital Abington, PA facility · fee schedule · outpatient | 3 | $114 | $115 | $19 | 17% | — | $92 – $139 |
| 25 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 1 | $106 | $106 | — | — | — | $106 – $106 |
← Payers reporting HCPCS L1902 · Snapshot 20261111T120946Z-9134e7f7