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
Custom mold shoe remov prost
Low
$0
Average
$496
Median
$298
High
$2.8k
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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. 367 hospitals; the 90th percentile is 38.8× 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 | St. Anthony Shawnee Hospital, Inc Shawnee, OK | $316 | $316 | — | — | — | $316 – $316 |
| 2 | Fairview Health Services Edina, MN | $458 | $540 | $441 | 82% | — | $124 – $1.9k |
| 3 | Baylor Scott & White Medical Center - Frisco at PGA Parkway Frisco, TX | $45 | $42 | $7 | 16% | — | $18 – $52 |
| 4 | Mayo Regional Hospital Dover Foxcroft, ME | $164 | $144 | $59 | 41% | — | $18 – $195 |
| 5 | Hoopeston Community Memorial Hospital Hoopeston, IL | $115 | $115 | — | — | — | $115 – $115 |
| 6 | Baylor Scott & White Medical Center - Lakeway Lakeway, TX | $44 | $41 | $9 | 22% | — | $13 – $58 |
| 7 | Children's Healthcare of Atlanta Atlanta, GA | $311 | $502 | $374 | 75% | — | $152 – $1.4k |
| 8 | William Beaumont Hospital Grosse Pointe, MI | $241 | $241 | $64 | 27% | — | $176 – $305 |
| 9 | Westfield Memorial Hospital Inc WESTFIELD, NY | $330 | $246 | $103 | 42% | — | $31 – $330 |
| 10 | Sanford USD Medical Center Sioux Falls, SD | $124 | $124 | — | — | — | $124 – $124 |
Ask Claude or any MCP client for HCPCS L3250 pricing at a specific hospital — see how to connect.