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
Addition to lower extremity orthosis, ankle system, microprocessor-controlled feature plantarflexion and/or dorsiflexion, includes power source
Low
$570
Average
$2.0k
Median
$1.7k
High
$7.5k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
29 hospitals; the 90th percentile is 13.0× 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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30 hospital rates
iThe hospitals that file a Anthem 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $588 | $588 | — | — | — | $588 – $588 |
| 2 | Aspirus Divine Savior Hospital Portage, WI fee schedule · outpatient | 2 | $7.5k | $7.5k | $5.7k | 76% | — | $1.8k – $13.2k |
| 3 | Aspirus Stevens Point Hospital Stevens Point, WI fee schedule · outpatient | 2 | $7.5k | $7.5k | $5.7k | 76% | — | $1.8k – $13.2k |
| 4 | Aspirus Wausau Hospital Wausau, WI fee schedule · outpatient | 2 | $7.5k | $7.5k | $5.7k | 76% | — | $1.8k – $13.2k |
| 5 | Boulder Community Health Lafayette, CO facility · case rate · outpatient | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 6 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 2 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 7 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $570 | $570 | — | — | — | $570 – $570 |
| 8 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 9 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $632 | $632 | — | — | — | $632 – $632 |
| 10 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $646 | $646 | — | — | — | $646 – $646 |
| 11 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $673 | $673 | — | — | — | $673 – $673 |
| 12 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $573 | $573 | — | — | — | $573 – $573 |
| 13 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $607 | $607 | — | — | — | $607 – $607 |
| 14 | Howard Young Medical Center Woodruff, WI fee schedule · outpatient | 2 | $7.5k | $7.5k | $5.7k | 76% | — | $1.8k – $13.2k |
| 15 | LODI COMMUNITY HOSPITAL Lodi, OH facility · case rate · outpatient | 1 | $986 | $986 | — | — | — | $986 – $986 |
| 16 | LOS ROBLES HOSPITAL AND MEDICAL CENTER THOUSAND OAKS, CA fee schedule · outpatient | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 17 | LUTHERAN HOSPITAL Cleveland, OH facility · case rate · outpatient | 1 | $577 | $577 | — | — | — | $577 – $577 |
| 18 | MARYMOUNT HOSPITAL INC Garfield Heights, OH facility · case rate · outpatient | 1 | $570 | $570 | — | — | — | $570 – $570 |
| 19 | MEDINA HOSPITAL Medina, OH facility · case rate · outpatient | 1 | $591 | $591 | — | — | — | $591 – $591 |
| 20 | THE UNION HOSPITAL ASSOCIATION Dover, OH facility · case rate · outpatient | 1 | $755 | $755 | — | — | — | $755 – $755 |
| 21 | The Cleveland Clinic Foundation Brunswick, OH facility · case rate · outpatient | 1 | $740 | $740 | — | — | — | $740 – $740 |
| 22 | University Hospitals Health System Chardon, OH facility · fee schedule · outpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 23 | University Hospitals Health System Ravenna, OH facility · fee schedule · outpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 24 | University Hospitals Health System Chardon, OH facility · fee schedule · outpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 25 | University Hospitals Health System Beachwood, OH facility · fee schedule · outpatient | 2 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
← Payers reporting HCPCS L2221 · Snapshot 20261113T090226Z-3ce6c0b8