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
$0
Average
$82
Median
$62
High
$560
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
68 hospitals; the 90th percentile is 5.0× 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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73 hospital rates
iThe hospitals that file a Cigna 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 percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 2 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 3 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 4 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $94 | $94 | — | — | — | $94 – $94 |
| 5 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 3 | $75 | $74 | $15 | 21% | — | $55 – $92 |
| 6 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 3 | $75 | $74 | $15 | 21% | — | $55 – $92 |
| 7 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 8 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 9 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 10 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 11 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 2 | $20 | $20 | — | — | — | $20 – $20 |
| 12 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | Deaconess Health System Henderson Hospital Henderson, KY professional · percent of total billed charges · bothfrom % of charges | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 14 | Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | Deaconess Illinois Crossroads Inc Mount Vernon, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 18 | Deaconess Illinois Union County Hospital Inc Anna, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 19 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 20 | Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 21 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $36 | $36 | $3 | 9% | — | $32 – $39 |
| 22 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · outpatient | 1 | $75 | $75 | $7 | 9% | — | $68 – $81 |
| 23 | Grinnell Regional Medical Center Grinnell, IA fee schedule · both | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 24 | HOLY ROSARY HEALTHCARE DBA INTERMOUNTAIN HEALTH HOLY ROSARY HOSPITAL CITY, MT professional · fee schedule · outpatient | 4 | $43 | $43 | — | — | — | $43 – $43 |
| 25 | Indiana University Health Arnett Inc. Lafayette, IN fee schedule · outpatient | 1 | $78 | $78 | — | — | — | $78 – $78 |
← Payers reporting HCPCS L3209 · Snapshot 20261112T181611Z-3fa9fb76