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
$124
Median
$89
High
$9.0k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
698 hospitals; the 90th percentile is 7.1× 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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1,002 hospital rates
iThe hospitals that file a Cigna 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 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $39 | $39 | $0 | 1% | 52 | $38 – $39 |
| 2 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $59 | $60 | $12 | 20% | 12 | $33 – $105 |
| 3 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $47 | $57 | $39 | 69% | 6–60 | $24 – $150 |
| 4 | Arkansas Childrens Hospital Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $27 | $27 | $0 | 1% | 5–50 | $27 – $28 |
| 5 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 2 | $82 | $82 | $17 | 21% | 4–40 | $52 – $106 |
| 6 | Arkansas Childrens Northwest Springdale, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $28 | $28 | — | — | 3–30 | $28 – $28 |
| 7 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $27 | $33 | $10 | 31% | 2–20 | $24 – $47 |
| 8 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $186 | $186 | — | — | 1–10 | $186 – $186 |
| 9 | Brunswick Community Hospital, LLC Bolivia, NC percent of total billed charges · outpatientfrom % of charges | 1 | $101 | $101 | — | — | 1–10 | $101 – $101 |
| 10 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 1 | $94 | $94 | — | — | — | $94 – $94 |
| 11 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 12 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 13 | ADVENTIST HEALTH TULARE Tulare, CA percent of total billed charges · outpatientfrom % of charges | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 14 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $130 | $159 | $67 | 42% | — | $95 – $251 |
| 15 | ALBANY GENERAL HOSPITAL Albany, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 16 | ALBANY GENERAL HOSPITAL Albany, OR professional · percent of total billed charges · outpatientfrom % of charges | 2 | $82 | $82 | — | — | — | $82 – $82 |
| 17 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 2 | $152 | $152 | $40 | 26% | — | $112 – $192 |
| 18 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · inpatientfrom % of charges | 1 | $43 | $89 | $92 | 103% | — | $43 – $344 |
| 19 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 3 | $43 | $69 | $75 | 108% | — | $25 – $344 |
| 20 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH case rate · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 21 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $89 | $89 | — | — | — | $89 – $89 |
| 22 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $89 | $89 | — | — | — | $89 – $89 |
| 23 | Adena Health System Chillicothe, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 24 | Adena Health System Chillicothe, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 25 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $66 | $66 | — | — | — | $66 – $66 |
← Payers reporting HCPCS L1902 · Snapshot 20261111T120946Z-9134e7f7