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, LACER MOLDED TO PATIENT MODEL, FOR CUSTOM FABRICATED ORTHOSIS ONLY
Low
$429
Average
$675
Median
$670
High
$1.3k
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. 21 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 | Sierra Vista Hospital Inc Obispo, CA | $602 | $722 | $167 | 23% | — | $602 – $5.5k |
| 2 | State Of Mississippi-university Of Mississippi Medical Center JACKSON, MS | $970 | $1.0k | $75 | 7% | — | $342 – $1.1k |
| 3 | State Of Mississippi-university Of Mississippi Medical Center CANTON, MS | $936 | $925 | $48 | 5% | — | $215 – $970 |
| 4 | OU Health - University of Oklahoma Medical Center Oklahoma City, OK | $488 | $545 | $161 | 30% | — | $478 – $1000 |
| 5 | Nationwide Children's Hospital Columbus, OH | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 6 | Nationwide Children's Hospital Toledo, Llc Toledo, OH | $966 | $963 | $4 | 0% | — | $957 – $966 |
| 7 | Arkansas Childrens Hospital Little Rock, AR | $478 | $478 | — | — | — | $478 – $478 |
| 8 | Arkansas Childrens Northwest Springdale, AR | $602 | $602 | — | — | — | $602 – $602 |
| 9 | Allina Health Systems St Paul, MN | $472 | $448 | $118 | 26% | — | $0 – $1.4k |
| 10 | Allina Health Systems Minneapolis, MN | $456 | $429 | $128 | 30% | — | $0 – $1.2k |
Ask Claude or any MCP client for HCPCS L2330 pricing at a specific hospital — see how to connect.