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
L3030 Adult formed to patients foot CMH
Low
$1
Average
$166
Median
$94
High
$1.1k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
25 hospitals; the 90th percentile is 3.1× 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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26 hospital rates
iThe hospitals that file a Medicaid 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 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $224 | $224 | — | — | — | $224 – $224 |
| 2 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $224 | $224 | — | — | — | $224 – $224 |
| 3 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 4 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 5 | Allina Health Systems Shakopee, MN facility · fee schedule · outpatient | 1 | $94 | $94 | — | — | — | $94 – $94 |
| 6 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · fee schedule · outpatient | 1 | $94 | $94 | — | — | — | $94 – $94 |
| 7 | Allina Health Systems Owatonna, MN facility · fee schedule · outpatient | 1 | $94 | $94 | — | — | — | $94 – $94 |
| 8 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $94 | $94 | — | — | — | $94 – $94 |
| 9 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · fee schedule · outpatient | 1 | $94 | $94 | — | — | — | $94 – $94 |
| 10 | Allina Health Systems Cambridge, MN facility · fee schedule · outpatient | 1 | $94 | $94 | — | — | — | $94 – $94 |
| 11 | Allina Health Systems River Falls, WI facility · fee schedule · outpatient | 1 | $94 | $94 | — | — | — | $94 – $94 |
| 12 | Allina Health Systems Minneapolis, MN facility · fee schedule · outpatient | 1 | $94 | $94 | — | — | — | $94 – $94 |
| 13 | Allina Health Systems Buffalo, MN facility · fee schedule · outpatient | 1 | $94 | $94 | — | — | — | $94 – $94 |
| 14 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 15 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CARMEL CARMEL, IN fee schedule · both | 2 | $101 | $101 | $9 | 9% | — | $92 – $110 |
| 16 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN fee schedule · both | 16 | $92 | $96 | $8 | 8% | — | $92 – $110 |
| 17 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE MOORESVILLE, IN fee schedule · both | 2 | $101 | $101 | $9 | 9% | — | $92 – $110 |
| 18 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 1 | $224 | $224 | — | — | — | $224 – $224 |
| 19 | Ohio State University Hospitals Columbus, OH fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 20 | REEDLEY COMMUNITY HOSPITAL Reedley, CA fee schedule · outpatient | 1 | $224 | $224 | — | — | — | $224 – $224 |
| 21 | SIERRA VISTA HOSPITAL INC Obispo, CA fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 22 | SONORA COMMUNITY HOSPITAL Sonora, CA fee schedule · outpatient | 1 | $241 | $241 | $17 | 7% | — | $224 – $258 |
| 23 | UKIAH ADVENTIST HOSPITAL Ukiah, CA fee schedule · outpatient | 1 | $224 | $224 | — | — | — | $224 – $224 |
| 24 | UNIVERSITY OF MICHIGAN HEALTH Ann Arbor, MI facility · fee schedule · outpatient | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 25 | WILLITS HOSPITAL INC Willits, CA fee schedule · outpatient | 1 | $224 | $224 | — | — | — | $224 – $224 |
← Payers reporting HCPCS L3030 · Snapshot 20261111T120946Z-9134e7f7