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
$0
Average
$1.4k
Median
$899
High
$6.7k
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
64 hospitals; the 90th percentile is 9.0× 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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97 hospital rates
iThe hospitals that file a MultiPlan 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 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · inpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 2 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 3 | BAKERSFIELD MEMORIAL HOSPITAL Bakersfield, CA fee schedule · inpatient | 1 | $2.1k | $2.1k | $1.2k | 58% | — | $889 – $3.3k |
| 4 | BAKERSFIELD MEMORIAL HOSPITAL Bakersfield, CA fee schedule · outpatient | 1 | $2.1k | $2.1k | $1.2k | 58% | — | $889 – $3.3k |
| 5 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $469 | $469 | — | — | — | $469 – $469 |
| 6 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $766 | $766 | — | — | — | $766 – $766 |
| 7 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO percent of total billed charges · inpatientfrom % of charges | 2 | $873 | $873 | $226 | 26% | — | $647 – $1.1k |
| 8 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO percent of total billed charges · outpatientfrom % of charges | 2 | $873 | $873 | $226 | 26% | — | $647 – $1.1k |
| 9 | COMMONSPIRIT KANSAS, INC. Garden City, KS percent of total billed charges · inpatientfrom % of charges | 2 | $729 | $729 | $12 | 2% | — | $717 – $741 |
| 10 | COMMONSPIRIT KANSAS, INC. Garden City, KS percent of total billed charges · outpatientfrom % of charges | 2 | $729 | $729 | $12 | 2% | — | $717 – $741 |
| 11 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $251 | $251 | — | — | — | $251 – $251 |
| 12 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $251 | $251 | — | — | — | $251 – $251 |
| 13 | DIGNITY HEALTH Bakersfield, CA fee schedule · inpatient | 1 | $2.1k | $2.1k | $1.2k | 58% | — | $900 – $3.4k |
| 14 | DIGNITY HEALTH Bakersfield, CA fee schedule · outpatient | 1 | $2.1k | $2.1k | $1.2k | 58% | — | $900 – $3.4k |
| 15 | DIGNITY HEALTH Merced, CA fee schedule · inpatient | 1 | $1.0k | $1.0k | $578 | 58% | — | $423 – $1.6k |
| 16 | DIGNITY HEALTH Merced, CA fee schedule · outpatient | 1 | $1.0k | $1.0k | $578 | 58% | — | $423 – $1.6k |
| 17 | Deaconess Health System Henderson Hospital Henderson, KY professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $383 | $422 | $172 | 41% | — | $261 – $1.1k |
| 20 | Forsyth Memorial Hospital, Inc. Winston-Salem, NC fee schedule · outpatient | 1 | $478 | $478 | — | — | — | $478 – $478 |
| 21 | GILLETTE CHILDREN'S SPECIALTY HEALTHCARE PAUL, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $820 | $820 | $519 | 63% | — | $301 – $1.3k |
| 22 | GILLETTE CHILDREN'S SPECIALTY HEALTHCARE PAUL, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $820 | $820 | $519 | 63% | — | $301 – $1.3k |
| 23 | Geisinger Medical Center Muncy, PA percent of total billed charges · inpatientfrom % of charges | 2 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 24 | Geisinger Medical Center Muncy, PA percent of total billed charges · outpatientfrom % of charges | 2 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 25 | Geisinger Wyoming Valley Wilkes-Barre, PA percent of total billed charges · inpatientfrom % of charges | 2 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
← Payers reporting HCPCS L2330 · Snapshot 20261111T120946Z-9134e7f7