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
$1.7k
Average
$2.0k
Median
$1.8k
High
$4.4k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
39 hospitals; the 90th percentile is 1.5× 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.
Filter by billing methodology
Filter by billing class
39 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Agnesian Healthcare Inc. Fond Du Lac, WI fee schedule · outpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 2 | Billings Clinic Billings, MT fee schedule · outpatient | 2 | $3.2k | $3.2k | $1.0k | 32% | — | $2.2k – $4.2k |
| 3 | HCA FLORIDA NORTH FLORIDA HOSPITAL GAINESVILLE, FL fee schedule · outpatient | 2 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 4 | HEART HOSP OF AUSTIN Austin, TX fee schedule · outpatient | 2 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 5 | HEART HOSP OF AUSTIN AT ST. DAVID'S ROUND ROCK ROUND ROCK, TX fee schedule · outpatient | 2 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 6 | Holy Redeemer Health System Meadowbrook, PA facility · case rate · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 7 | LOS ROBLES HOSPITAL AND MEDICAL CENTER THOUSAND OAKS, CA fee schedule · outpatient | 5 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 8 | Long Beach Memorial Medical Center Long Beach, CA fee schedule · outpatient | 5 | $3.9k | $4.4k | $1.9k | 43% | — | $2.3k – $7.1k |
| 9 | MEMORIAL SATILLA HEALTH Waycross, GA fee schedule · outpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 10 | METHODIST HOSPITAL HELOTES, TX fee schedule · outpatient | 3 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 11 | METHODIST HOSPITAL ATASCOSA Jourdanton, TX fee schedule · outpatient | 3 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 12 | METHODIST HOSPITAL LANDMARK SAN ANTONIO, TX fee schedule · outpatient | 3 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 13 | METHODIST HOSPITAL HILL COUNTRY Fredericksburg, TX fee schedule · outpatient | 3 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 14 | METHODIST HOSPITAL STONE OAK SPRING BRANCH, TX fee schedule · outpatient | 3 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 15 | METHODIST HOSPITAL WESTOVER HILLS SAN ANTONIO, TX fee schedule · outpatient | 3 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 16 | METHODIST SPECIALTY AND TRANSPLANT SAN ANTONIO, TX fee schedule · outpatient | 3 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 17 | METHODIST TEXSAN HOSPITAL SAN ANTONIO, TX fee schedule · outpatient | 3 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 18 | METHODIST TEXSAN HOSPITAL REHAB SAN ANTONIO, TX fee schedule · outpatient | 3 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 19 | METROPOLITAN METHODIST SAN ANTONIO, TX fee schedule · outpatient | 3 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 20 | New Liberty Hospital Corporation Liberty, MO facility · fee schedule · outpatient | 2 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 21 | OSF Saint Francis Medical Center Peoria, IL fee schedule · outpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 22 | Parkview Dekalb Hospital Auburn, IN facility · fee schedule · outpatient | 1 | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 23 | Parkview Huntington Hospital Huntington, IN facility · fee schedule · outpatient | 1 | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 24 | Parkview Ortho Hospital Fort Wayne, IN facility · fee schedule · outpatient | 1 | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 25 | Parkview Regional Medical Center Fort Wayne, IN facility · fee schedule · outpatient | 1 | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
← Payers reporting HCPCS L2221 · Snapshot 20261113T090226Z-3ce6c0b8