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
Surgical boot each child
Low
$10
Average
$74
Median
$24
High
$354
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
43 hospitals; the 90th percentile is 23.5× 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.
Filter by billing methodology
Filter by billing class
51 hospital rates
iThe hospitals that file a Anthem 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 2 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 2 | $43 | $43 | $5 | 12% | — | $38 – $49 |
| 3 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 4 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 2 | $29 | $24 | $15 | 62% | — | $4 – $39 |
| 5 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 2 | $22 | $22 | — | — | — | $22 – $22 |
| 6 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 7 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 8 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 9 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 10 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 11 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 2 | $29 | $24 | $15 | 62% | — | $4 – $39 |
| 12 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 13 | Covenant Medical Center Inc Saginaw, MI facility · fee schedule · outpatient | 1 | $141 | $141 | — | — | — | $141 – $141 |
| 14 | Covenant Medical Center Inc Saginaw, MI facility · fee schedule · outpatient | 1 | $141 | $141 | — | — | — | $141 – $141 |
| 15 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 3 | $0 | $13 | $18 | 141% | — | $0 – $39 |
| 16 | Deaconess Health System Henderson Hospital Henderson, KY professional · fee schedule · both | 6 | $39 | $29 | $17 | 58% | — | $0 – $39 |
| 17 | Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both | 5 | $39 | $28 | $18 | 63% | — | $0 – $39 |
| 18 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 4 | $0 | $16 | $19 | 122% | — | $0 – $39 |
| 19 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 5 | $0 | $11 | $18 | 158% | — | $0 – $39 |
| 20 | Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient | 2 | $29 | $24 | $15 | 62% | — | $4 – $39 |
| 21 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 22 | Fisher-Titus Medical Center Norwalk, OH facility · case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 23 | LODI COMMUNITY HOSPITAL Lodi, OH facility · case rate · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 24 | LUTHERAN HOSPITAL Cleveland, OH facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 25 | Longs Peak Hospital Longmont, CO percent of total billed charges · inpatientfrom % of charges | 1 | $318 | $318 | — | — | — | $318 – $318 |
← Payers reporting HCPCS L3209 · Snapshot 20261112T181611Z-3fa9fb76