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
C ADDITION TO LOWER EXTREMITY, FOOT PLATE, MOLDED TO PATIENT MODEL, STIRRUP ATTACHMENT
Low
$390
Average
$620
Median
$610
High
$1.3k
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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. 19 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 | Mary Bridge Children's Hospital Tacoma, WA | $430 | $430 | — | — | 1–10 | $430 – $4.0k |
| 2 | State Of Mississippi-university Of Mississippi Medical Center JACKSON, MS | $798 | $872 | $105 | 12% | — | $239 – $1.0k |
| 3 | State Of Mississippi-university Of Mississippi Medical Center CANTON, MS | $798 | $792 | $10 | 1% | — | $177 – $817 |
| 4 | Nationwide Children's Hospital Columbus, OH | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 5 | Nationwide Children's Hospital Toledo, Llc Toledo, OH | $966 | $963 | $4 | 0% | — | $957 – $966 |
| 6 | Arkansas Childrens Hospital Little Rock, AR | $408 | $408 | — | — | — | $408 – $408 |
| 7 | Arkansas Childrens Northwest Springdale, AR | $544 | $544 | — | — | — | $544 – $544 |
| 8 | Allina Health Systems St Paul, MN | $430 | $408 | $108 | 26% | — | $0 – $1.3k |
| 9 | Allina Health Systems Minneapolis, MN | $415 | $390 | $116 | 30% | — | $0 – $1.1k |
| 10 | Allina Health Systems Rapids, MN | $415 | $390 | $116 | 30% | — | $0 – $1.1k |
Ask Claude or any MCP client for HCPCS L2250 pricing at a specific hospital — see how to connect.