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 CTUO FOOT INSERT, REMOVABLE, MOLDED TO PATIENT MODEL, CUSTOM (BA)
Low
$0
Average
$583
Median
$478
High
$1.4k
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
94 hospitals; the 90th percentile is 6.8× 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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147 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 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $694 | $694 | — | — | — | $694 – $694 |
| 2 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $694 | $694 | — | — | — | $694 – $694 |
| 3 | Aspirus Wausau Hospital Wausau, WI fee schedule · both | 1 | $518 | $518 | — | — | — | $518 – $518 |
| 4 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $381 | $381 | — | — | — | $381 – $381 |
| 5 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $160 | $160 | — | — | — | $160 – $160 |
| 6 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $160 | $160 | — | — | — | $160 – $160 |
| 7 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $601 | $601 | — | — | — | $601 – $601 |
| 8 | Bronson Battle Creek Hospital Battle Creek, MI professional · fee schedule · both | 1 | $360 | $360 | — | — | — | $360 – $360 |
| 9 | COMMUNITY HOSPITAL OF SAN BERNARDINO San Bernardino, CA fee schedule · inpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 10 | COMMUNITY HOSPITAL OF SAN BERNARDINO San Bernardino, CA fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 11 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 1 | $203 | $203 | — | — | — | $203 – $203 |
| 12 | Carle Eureka Hospital Eureka, IL percent of total billed charges · outpatientfrom % of charges | 1 | $203 | $203 | — | — | — | $203 – $203 |
| 13 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $971 | $971 | — | — | — | $971 – $971 |
| 14 | Children's Mercy Hospital Kansas City, MO facility · percent of total billed charges · inpatientfrom % of charges | 1 | $178 | $178 | — | — | — | $178 – $178 |
| 15 | Children's Mercy Hospital Kansas City, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $178 | $178 | — | — | — | $178 – $178 |
| 16 | Children's Mercy Hospital Kansas Overland Park, KS facility · percent of total billed charges · inpatientfrom % of charges | 1 | $178 | $178 | — | — | — | $178 – $178 |
| 17 | Children's Mercy Hospital Kansas Overland Park, KS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $178 | $178 | — | — | — | $178 – $178 |
| 18 | Covenant Medical Center Inc Waterloo, IA professional · percent of total billed charges · inpatientfrom % of charges | 1 | $677 | $677 | — | — | — | $677 – $677 |
| 19 | Covenant Medical Center Inc Waterloo, IA professional · percent of total billed charges · outpatientfrom % of charges | 1 | $514 | $514 | — | — | — | $514 – $514 |
| 20 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $215 | $215 | — | — | — | $215 – $215 |
| 21 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $215 | $215 | — | — | — | $215 – $215 |
| 22 | DIGNITY COMMUNITY CARE Glendale, CA fee schedule · inpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 23 | DIGNITY COMMUNITY CARE Glendale, CA fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 24 | DIGNITY HEALTH San Bernardino, CA fee schedule · inpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 25 | DIGNITY HEALTH San Bernardino, CA fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
← Payers reporting HCPCS L3000 · Snapshot 20261111T120946Z-9134e7f7