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
Shoe molded to pt silicone s
Low
$0
Average
$588
Median
$546
High
$2.5k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
46 hospitals; the 90th percentile is 47.1× 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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53 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Adventhealth Ottawa Ottawa, KS fee schedule · outpatient | 1 | $146 | $146 | — | — | — | $146 – $146 |
| 2 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · outpatient | 4 | $1 | $1 | $0 | 43% | — | $0 – $1 |
| 3 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 6 | $90 | $90 | $9 | 10% | — | $80 – $107 |
| 4 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 9 | $80 | $82 | $15 | 18% | — | $58 – $107 |
| 5 | Benson Hospital Corporation Benson, AZ facility · fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 6 | Blessing Hospital Quincy, IL professional · fee schedule · both | 1 | $19 | $18 | $2 | 13% | — | $15 – $19 |
| 7 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · fee schedule · outpatient | 1 | $255 | $255 | — | — | — | $255 – $255 |
| 8 | COMMUNITY HOSPITAL OF SAN BERNARDINO San Bernardino, CA fee schedule · inpatient | 2 | $497 | $497 | — | — | — | $497 – $497 |
| 9 | COMMUNITY HOSPITAL OF SAN BERNARDINO San Bernardino, CA fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 10 | Covenant Medical Center Inc Saginaw, MI facility · fee schedule · outpatient | 1 | $955 | $955 | — | — | — | $955 – $955 |
| 11 | Covenant Medical Center Inc Saginaw, MI facility · fee schedule · outpatient | 1 | $955 | $955 | — | — | — | $955 – $955 |
| 12 | DIGNITY COMMUNITY CARE Glendale, CA fee schedule · inpatient | 3 | $1.2k | $1.2k | $176 | 14% | — | $993 – $1.4k |
| 13 | DIGNITY COMMUNITY CARE Glendale, CA fee schedule · outpatient | 1 | $993 | $993 | — | — | — | $993 – $993 |
| 14 | DIGNITY HEALTH San Bernardino, CA fee schedule · inpatient | 2 | $712 | $712 | $149 | 21% | — | $563 – $861 |
| 15 | DIGNITY HEALTH San Bernardino, CA fee schedule · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 16 | DIGNITY HEALTH Long Beach, CA fee schedule · inpatient | 2 | $794 | $794 | $116 | 15% | — | $679 – $910 |
| 17 | DIGNITY HEALTH Long Beach, CA fee schedule · outpatient | 2 | $1.5k | $1.5k | $378 | 26% | — | $1.1k – $1.8k |
| 18 | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER Fresno, CA facility · fee schedule · outpatient | 1 | $255 | $255 | — | — | — | $255 – $255 |
| 19 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $205 | $205 | — | — | — | $205 – $205 |
| 20 | GILLETTE CHILDREN'S SPECIALTY HEALTHCARE PAUL, MN professional · fee schedule · outpatient | 1 | $188 | $188 | — | — | — | $188 – $188 |
| 21 | Gerald Champion Regional Medical Center Alamogordo, NM fee schedule · outpatient | 2 | $359 | $359 | — | — | — | $359 – $359 |
| 22 | Henry Ford Health System West Bloomfield, MI facility · fee schedule · outpatient | 3 | $958 | $1.1k | $170 | 16% | — | $958 – $1.3k |
| 23 | Henry Ford Health System Plymouth, MI facility · fee schedule · outpatient | 3 | $1.9k | $1.7k | $282 | 16% | — | $1.3k – $1.9k |
| 24 | Henry Ford Macomb Hospital Corporation Clinton Twp, MI facility · fee schedule · outpatient | 3 | $835 | $996 | $228 | 23% | — | $835 – $1.3k |
| 25 | Henry Ford Wyandotte Hospital Brownstown Charter Twp., MI facility · fee schedule · outpatient | 3 | $964 | $1.1k | $167 | 15% | — | $964 – $1.3k |
← Payers reporting HCPCS L3251 · Snapshot 20261112T181611Z-3fa9fb76