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
FOOT, INSERT, REMOVABLE, MOLDED TO PATIENT MODEL, LONGITUDINAL/ METATARSAL SUPPORT, EACH
Low
$0
Average
$242
Median
$245
High
$897
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
713 hospitals; the 90th percentile is 2.5× 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.
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983 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $156 | $214 | $213 | 100% | 45–450 | $52 – $1.9k |
| 2 | Aurora Medical Center Kenosha Kenosha, WI percent of total billed charges · outpatientfrom % of charges | 5 | $172 | $187 | $29 | 15% | 23–59 | $172 – $244 |
| 3 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI percent of total billed charges · outpatientfrom % of charges | 5 | $172 | $187 | $29 | 15% | 23–59 | $172 – $244 |
| 4 | Aurora Medical Center Washington County Hartford, WI percent of total billed charges · outpatientfrom % of charges | 5 | $172 | $187 | $29 | 15% | 2–20 | $172 – $244 |
| 5 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 5 | $172 | $187 | $29 | 15% | 2–20 | $172 – $244 |
| 6 | Mayo Clinic Health System Eau Claire 54703-5270 facility · percent of total billed charges · bothfrom % of charges | 2 | $122 | $127 | $35 | 28% | 2–20 | $85 – $164 |
| 7 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · outpatientfrom % of charges | 5 | $172 | $187 | $29 | 15% | 1–10 | $172 – $244 |
| 8 | Aurora Medical Center Fond du Lac Fond Du Lac, WI percent of total billed charges · outpatientfrom % of charges | 5 | $172 | $187 | $29 | 15% | 1–10 | $172 – $244 |
| 9 | Aurora Medical Center Grafton Grafton, WI percent of total billed charges · outpatientfrom % of charges | 5 | $172 | $187 | $29 | 15% | 1–10 | $172 – $244 |
| 10 | Aurora Medical Center Oshkosh Oshkosh, WI percent of total billed charges · outpatientfrom % of charges | 5 | $172 | $187 | $29 | 15% | 1–10 | $172 – $244 |
| 11 | WINNESHIEK MEDICAL CENTER Decorah, IA percent of total billed charges · outpatientfrom % of charges | 1 | $152 | $152 | — | — | 1–10 | $152 – $152 |
| 12 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $308 | $308 | — | — | — | $308 – $308 |
| 13 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $101 | $101 | — | — | — | $101 – $101 |
| 14 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 3 | $152 | $159 | $10 | 6% | — | $152 – $173 |
| 15 | ALASKA REGIONAL HOSPITAL Anchorage, AK fee schedule · outpatient | 1 | $243 | $243 | — | — | — | $243 – $243 |
| 16 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 3 | $126 | $124 | $3 | 2% | — | $120 – $126 |
| 17 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 8 | $126 | $161 | $80 | 49% | — | $50 – $252 |
| 18 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $275 | $275 | $2 | 1% | — | $272 – $277 |
| 19 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $204 | $204 | $71 | 35% | — | $133 – $275 |
| 20 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 2 | $208 | $208 | $100 | 48% | — | $108 – $308 |
| 21 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 1 | $238 | $238 | — | — | — | $238 – $238 |
| 22 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $323 | $323 | — | — | — | $323 – $323 |
| 23 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $290 | $290 | — | — | — | $290 – $290 |
| 24 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $161 | $164 | $45 | 27% | — | $110 – $228 |
| 25 | Advocate Condell Medical Center Libertyville, IL percent of total billed charges · outpatientfrom % of charges | 2 | $166 | $167 | $21 | 12% | — | $140 – $198 |
← Payers reporting HCPCS L3020 · Snapshot 20261111T120946Z-9134e7f7