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 plastazote cust
Low
$0
Average
$115
Median
$81
High
$973
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Prices here combine facility and professional fees. See them separately →Experimental
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 325 hospitals; the 90th percentile is 10.9× 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 | $43 | $43 | — | — | — | $43 – $43 |
| 2 | Fairview Health Services Edina, MN | $76 | $149 | $153 | 103% | — | $32 – $737 |
| 3 | Mayo Regional Hospital Dover Foxcroft, ME | $33 | $36 | $20 | 55% | — | $7 – $68 |
| 4 | Hoopeston Community Memorial Hospital Hoopeston, IL | $16 | $16 | — | — | — | $16 – $16 |
| 5 | St. Mary's Health, Inc. Evansville, IN | $68 | $50 | $24 | 49% | — | $7 – $68 |
| 6 | William Beaumont Hospital Grosse Pointe, MI | $66 | $66 | $24 | 37% | — | $42 – $90 |
| 7 | Westfield Memorial Hospital Inc WESTFIELD, NY | $60 | $54 | $18 | 32% | — | $19 – $76 |
| 8 | Sanford USD Medical Center Sioux Falls, SD | $186 | $186 | — | — | — | $186 – $186 |
| 9 | Munson Healthcare Charlevoix Hospital Charlevoix, MI | $72 | $72 | $54 | 75% | — | $17 – $127 |
| 10 | Gundersen Luthern Medical Center Inc La Crosse, WI | $186 | $186 | — | — | — | $186 – $186 |
Ask Claude or any MCP client for HCPCS L3253 pricing at a specific hospital — see how to connect.