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
HC AFO TIBIAL FX ORTHOSIS SEMI-RIGID PREFAB
Low
$1
Average
$900
Median
$869
High
$1.4k
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 54 hospitals; the 90th percentile is 2.2× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI | $152 | $152 | — | — | 2–20 | $152 – $784 |
| 2 | IOM Health System LP Fort Wayne, IN | $478 | $684 | $552 | 81% | — | $25 – $2.3k |
| 3 | Bluffton Health System LLC Bluffton, IN | $621 | $748 | $426 | 57% | — | $64 – $2.3k |
| 4 | Dukes Health System LLC Peru, IN | $462 | $453 | $81 | 18% | — | $268 – $1.4k |
| 5 | Warsaw Health System LLC Warsaw, IN | $1.2k | $1.2k | $209 | 17% | — | $303 – $2.3k |
| 6 | Lutheran Musculoskeletal Center LLC Fort Wayne, IN | $1.3k | $1.2k | $252 | 21% | — | $346 – $2.3k |
| 7 | St. Joseph Health System, LLC Wayne, IN | $1.4k | $1.3k | $247 | 20% | — | $347 – $2.3k |
| 8 | Dupont Hospital LLC Wayne, IN | $1.2k | $1.2k | $228 | 19% | — | $350 – $2.3k |
| 9 | Glendale Adventist Medical Center Glendale, CA | $889 | $1.1k | $345 | 32% | — | $263 – $2.0k |
| 10 | Adventist Health Tulare Tulare, CA | $872 | $1.2k | $419 | 36% | — | $280 – $2.3k |
Ask Claude or any MCP client for HCPCS L2114 pricing at a specific hospital — see how to connect.