Custom molded plastazote shoe insert

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Shoe molded plastazote cust

Humana pricing summary

Low

$15

Average

$170

Median

$113

High

$690

Humana rate distribution

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82 hospital rates

#		Plans
1	Boulder Community Health Lafayette, CO professional · fee schedule · both	1	$32	$32	—	—	—	$32 – $32
2	CHI St. Vincent Hospital Hot Springs Hot Springs, AR fee schedule · outpatient	1	$67	$67	—	—	—	$67 – $67
3	Carle BroMenn Medical Center Normal, IL fee schedule · inpatient	1	$15	$15	—	—	—	$15 – $15
4	Carle BroMenn Medical Center Normal, IL fee schedule · outpatient	1	$15	$15	—	—	—	$15 – $15
5	Carle Eureka Hospital Eureka, IL fee schedule · inpatient	1	$15	$15	—	—	—	$15 – $15
6	Carle Eureka Hospital Eureka, IL fee schedule · outpatient	1	$15	$15	—	—	—	$15 – $15
7	Centennial Hills Las Vegas, NV fee schedule · both	2	$31	$31	—	—	—	$31 – $31
8	Central Georgia Rehabilitation LLC Macon, GA fee schedule · both	2	$39	$39	—	—	—	$39 – $39
9	Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges	1	$41	$41	—	—	—	$41 – $41
10	Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges	1	$41	$41	—	—	—	$41 – $41
11	Deaconess Health System Henderson Hospital Henderson, KY facility · percent of total billed charges · inpatientfrom % of charges	1	$155	$155	—	—	—	$155 – $155
12	Deaconess Health System Henderson Hospital Henderson, KY facility · percent of total billed charges · outpatientfrom % of charges	2	$97	$97	$58	60%	—	$39 – $155
13	Deaconess Hospital, Inc Newburgh, IN facility · percent of total billed charges · outpatientfrom % of charges	1	$49	$49	—	—	—	$49 – $49
14	Duke Regional Hospital Durham, NC facility · percent of total billed charges · inpatientfrom % of charges	1	$490	$490	—	—	—	$490 – $490
15	Duke Regional Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges	1	$490	$490	—	—	—	$490 – $490
16	Florida Coast Medical and Surgical Center, Inc. Port St. Lucie, FL fee schedule · outpatient	6	$68	$71	$21	30%	—	$45 – $106
17	Forsyth Memorial Hospital, Inc. Winston-Salem, NC fee schedule · outpatient	1	$690	$690	—	—	—	$690 – $690
18	Forsyth Memorial Hospital, Inc. Kernersville, NC fee schedule · outpatient	1	$690	$690	—	—	—	$690 – $690
19	HCA HOUSTON HEALTHCARE CLEAR LAKE WEBSTER, TX fee schedule · outpatient	2	$296	$296	—	—	—	$296 – $296
20	HCA HOUSTON HEALTHCARE CONROE CONROE, TX fee schedule · outpatient	2	$296	$296	—	—	—	$296 – $296
21	HCA HOUSTON HEALTHCARE KINGWOOD KINGWOOD, TX fee schedule · outpatient	2	$296	$296	—	—	—	$296 – $296
22	HCA HOUSTON HEALTHCARE MEDICAL CENTER HOUSTON, TX fee schedule · outpatient	2	$296	$296	—	—	—	$296 – $296
23	HCA HOUSTON HEALTHCARE NORTHWEST HOUSTON, TX fee schedule · outpatient	2	$296	$296	—	—	—	$296 – $296
24	HCA HOUSTON HEALTHCARE PEARLAND HOUSTON, TX fee schedule · outpatient	2	$296	$296	—	—	—	$296 – $296
25	HCA HOUSTON HEALTHCARE SOUTHEAST HOUSTON, TX fee schedule · outpatient	2	$296	$296	—	—	—	$296 – $296