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
Orth foot non-stndard size/w
Low
$8
Average
$37
Median
$23
High
$126
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
29 hospitals; the 90th percentile is 15.9× 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.
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35 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 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 2 | COMMUNITY HOSPITAL OF SAN BERNARDINO San Bernardino, CA fee schedule · inpatient | 2 | $112 | $112 | — | — | — | $112 – $112 |
| 3 | COMMUNITY HOSPITAL OF SAN BERNARDINO San Bernardino, CA fee schedule · outpatient | 2 | $140 | $140 | — | — | — | $140 – $140 |
| 4 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 5 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 2 | $8 | $8 | — | — | — | $8 – $8 |
| 6 | DIGNITY COMMUNITY CARE Glendale, CA fee schedule · inpatient | 2 | $77 | $77 | — | — | — | $77 – $77 |
| 7 | DIGNITY COMMUNITY CARE Glendale, CA fee schedule · outpatient | 2 | $173 | $173 | — | — | — | $173 – $173 |
| 8 | DIGNITY HEALTH San Bernardino, CA fee schedule · inpatient | 2 | $112 | $112 | — | — | — | $112 – $112 |
| 9 | DIGNITY HEALTH San Bernardino, CA fee schedule · outpatient | 2 | $140 | $140 | — | — | — | $140 – $140 |
| 10 | DIGNITY HEALTH Long Beach, CA fee schedule · inpatient | 2 | $77 | $77 | — | — | — | $77 – $77 |
| 11 | DIGNITY HEALTH Long Beach, CA fee schedule · outpatient | 2 | $173 | $173 | — | — | — | $173 – $173 |
| 12 | Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 13 | HMH HOSPITALS CORPORATION Hackensack, NJ facility · percent of total billed charges · bothfrom % of charges | 2 | $25 | $25 | — | — | — | $25 – $25 |
| 14 | HMH HOSPITALS CORPORATION Hackensack, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 15 | HMH HOSPITALS CORPORATION Red Bank, NJ facility · percent of total billed charges · bothfrom % of charges | 3 | $23 | $28 | $7 | 24% | — | $23 – $38 |
| 16 | HMH HOSPITALS CORPORATION Edison, NJ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $17 | $17 | — | — | — | $17 – $17 |
| 17 | HMH HOSPITALS CORPORATION Manahawkin, NJ facility · percent of total billed charges · bothfrom % of charges | 3 | $23 | $28 | $7 | 24% | — | $23 – $38 |
| 18 | HMH HOSPITALS CORPORATION Brick, NJ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $17 | $17 | — | — | — | $17 – $17 |
| 19 | HMH HOSPITALS CORPORATION Neptune City, NJ facility · percent of total billed charges · bothfrom % of charges | 3 | $23 | $28 | $7 | 24% | — | $23 – $38 |
| 20 | HMH HOSPITALS CORPORATION Edison, NJ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $17 | $17 | — | — | — | $17 – $17 |
| 21 | HMH HOSPITALS CORPORATION North Bergen, NJ facility · percent of total billed charges · bothfrom % of charges | 2 | $23 | $23 | — | — | — | $23 – $23 |
| 22 | HMH HOSPITALS CORPORATION Holmdel, NJ facility · percent of total billed charges · bothfrom % of charges | 3 | $23 | $28 | $7 | 24% | — | $23 – $38 |
| 23 | HMH HOSPITALS CORPORATION Old Bridge, NJ facility · percent of total billed charges · bothfrom % of charges | 3 | $23 | $28 | $7 | 24% | — | $23 – $38 |
| 24 | HMH HOSPITALS CORPORATION Point Pleasant, NJ facility · percent of total billed charges · bothfrom % of charges | 2 | $23 | $23 | — | — | — | $23 – $23 |
| 25 | HMH HOSPITALS CORPORATION Point Pleasant, NJ facility · percent of total billed charges · inpatientfrom % of charges | 2 | $23 | $23 | — | — | — | $23 – $23 |
← Payers reporting HCPCS L3254 · Snapshot 20261113T090226Z-3ce6c0b8