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
ORTHOPEDIC SHOE; HIGHTOP WITH SUPINATOR OR PRONATOR; INFANT
Based on 1–10 billing samples across every hospital reporting.
Low
$0
Average
$102
Median
$55
High
$877
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Prices here combine facility and professional fees. See them separately →Experimental
Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 316 hospitals; the 90th percentile is 11.4× 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 | Arkansas Childrens Hospital Little Rock, AR | $129 | $129 | — | — | 1–10 | $129 – $129 |
| 2 | St. Anthony Shawnee Hospital, Inc Shawnee, OK | $48 | $48 | — | — | — | $48 – $48 |
| 3 | USA Health University Hospital Mobile, AL | $35 | $35 | — | — | — | $35 – $35 |
| 4 | Fairview Health Services Edina, MN | $71 | $98 | $73 | 75% | — | $36 – $294 |
| 5 | Mayo Regional Hospital Dover Foxcroft, ME | $28 | $28 | $13 | 48% | — | $5 – $49 |
| 6 | Hoopeston Community Memorial Hospital Hoopeston, IL | $18 | $18 | — | — | — | $18 – $18 |
| 7 | Children's Healthcare of Atlanta Atlanta, GA | $80 | $77 | $27 | 35% | — | $29 – $117 |
| 8 | William Beaumont Hospital Grosse Pointe, MI | $36 | $36 | $11 | 31% | — | $25 – $47 |
| 9 | Westfield Memorial Hospital Inc WESTFIELD, NY | $39 | $34 | $6 | 19% | — | $21 – $39 |
| 10 | Sanford USD Medical Center Sioux Falls, SD | $56 | $56 | — | — | — | $56 – $56 |
Ask Claude or any MCP client for HCPCS L3204 pricing at a specific hospital — see how to connect.