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
AFO MOLDED TO PATIENT PLASTI
Low
$0
Average
$913
Median
$808
High
$1.9k
Each hospital's average Phcs rate, under the methodology and billing class chosen below.
22 hospitals; the 90th percentile is 5.1× 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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31 hospital rates
iThe hospitals that file a Phcs 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 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · inpatientfrom % of charges | 1 | $767 | $767 | — | — | — | $767 – $767 |
| 2 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $716 | $716 | — | — | — | $716 – $716 |
| 3 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $875 | $875 | — | — | — | $875 – $875 |
| 4 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 5 | Children's Hospital of the King's Daughters Norfolk, VA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $431 | $431 | — | — | — | $431 – $431 |
| 6 | Children's Hospital of the King's Daughters Norfolk, VA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $445 | $445 | — | — | — | $445 – $445 |
| 7 | Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Forsyth Memorial Hospital, Inc. Winston-Salem, NC fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 10 | Forsyth Memorial Hospital, Inc. Kernersville, NC fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 11 | Longs Peak Hospital Longmont, CO percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 12 | Medical Center of the Rockies Loveland, CO percent of total billed charges · inpatientfrom % of charges | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 13 | Medical Center of the Rockies Loveland, CO percent of total billed charges · outpatientfrom % of charges | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 14 | Mercy Rehabilitation Hospital Northwest Arkansas Rogers, AR percent of total billed charges · inpatientfrom % of charges | 1 | $343 | $343 | — | — | — | $343 – $343 |
| 15 | Mercy Rehabilitation Hospital Springfield LLC Springfield, MO per diem · inpatient | 1 | $413 | $413 | — | — | — | $413 – $413 |
| 16 | National Rehabilitation Hospital Washington, WA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $485 | $485 | — | — | — | $485 – $485 |
| 17 | National Rehabilitation Hospital Washington, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $485 | $485 | — | — | — | $485 – $485 |
| 18 | Poudre Valley Health Care, Inc Fort Collins, CO percent of total billed charges · inpatientfrom % of charges | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 19 | Poudre Valley Health Care, Inc Fort Collins, CO percent of total billed charges · outpatientfrom % of charges | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 20 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · outpatientfrom % of charges | 1 | $950 | $950 | — | — | — | $950 – $950 |
| 21 | St Louis Childrens Hospital Saint Louis, MO percent of total billed charges · bothfrom % of charges | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 22 | Texas Health Arlington Memorial Hospital Arlington, TX percent of total billed charges · inpatientfrom % of charges | 1 | $767 | $767 | — | — | — | $767 – $767 |
| 23 | Texas Health Arlington Memorial Hospital Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $716 | $716 | — | — | — | $716 – $716 |
| 24 | Texas Health Harris Methodist Hospital HurstEulessBedford Bedford, TX percent of total billed charges · inpatientfrom % of charges | 1 | $767 | $767 | — | — | — | $767 – $767 |
| 25 | Texas Health Harris Methodist Hospital HurstEulessBedford Bedford, TX percent of total billed charges · outpatientfrom % of charges | 1 | $716 | $716 | — | — | — | $716 – $716 |
← Payers reporting HCPCS L1940 · Snapshot 20261111T120946Z-9134e7f7