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
O shoe add instep velcro clo
Low
$20
Average
$94
Median
$82
High
$219
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
53 payers; the 90th percentile is 2.2× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +15 other terms | 359 | $81 | $92 | $42 | 46% | — | $32 – $520 |
| 2 | UnitedHealthcare fee schedule · outpatient · +16 other terms | 356 | $81 | $79 | $20 | 25% | — | $14 – $258 |
| 3 | Humana fee schedule · outpatient · +10 other terms | 317 | $80 | $119 | $128 | 108% | — | $29 – $616 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +10 other terms | 228 | $82 | $103 | $54 | 52% | — | $0 – $386 |
| 5 | WellCare fee schedule · outpatient · +6 other terms | 210 | $83 | $84 | $13 | 16% | — | $20 – $152 |
| 6 | Devoted fee schedule · outpatient · +4 other terms | 165 | $80 | $81 | $2 | 2% | — | $77 – $97 |
| 7 | Molina fee schedule · outpatient · +6 other terms | 137 | $114 | $111 | $41 | 37% | — | $60 – $210 |
| 8 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 116 | $82 | $82 | $3 | 3% | — | $80 – $98 |
| 9 | Cigna fee schedule · outpatient · +13 other terms | 103 | $83 | $90 | $26 | 29% | — | $32 – $233 |
| 10 | Anthem fee schedule · outpatient · +10 other terms | 79 | $79 | $109 | $106 | 97% | — | $76 – $598 |
| 11 | Kaiser fee schedule · outpatient · +6 other terms | 64 | $82 | $128 | $90 | 70% | — | $77 – $571 |
| 12 | Superior Healthplan fee schedule · outpatient | 40 | $84 | $84 | $0 | 0% | — | $79 – $84 |
| 13 | Clover fee schedule · outpatient · +3 other terms | 37 | $80 | $81 | $4 | 5% | — | $76 – $95 |
| 14 | Oscar fee schedule · outpatient · +5 other terms | 36 | $84 | $93 | $20 | 21% | — | $79 – $135 |
| 15 | Ambetter facility · fee schedule · outpatient · +6 other terms | 33 | $143 | $151 | $36 | 24% | — | $76 – $200 |
| 16 | Optum fee schedule · outpatient · +4 other terms | 33 | $80 | $105 | $42 | 41% | — | $77 – $200 |
| 17 | Caresource fee schedule · outpatient · +4 other terms | 28 | $80 | $88 | $21 | 24% | — | $42 – $123 |
| 18 | Medica facility · fee schedule · outpatient · +5 other terms | 22 | $82 | $75 | $20 | 26% | — | $27 – $132 |
| 19 | Regence facility · fee schedule · outpatient · +3 other terms | 19 | $84 | $80 | $6 | 8% | — | $65 – $85 |
| 20 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 18 | $96 | $94 | $5 | 6% | — | $79 – $96 |
| 21 | Bcbs Tx fee schedule · outpatient | 18 | $79 | $79 | — | — | — | $79 – $79 |
| 22 | Medicare fee schedule · outpatient · +1 other terms | 18 | $77 | $78 | $1 | 1% | — | $77 – $79 |
| 23 | Medical Mutual facility · fee schedule · outpatient · +1 other terms | 15 | $80 | $92 | $23 | 25% | — | $43 – $126 |
| 24 | Bcbs Mn fee schedule · outpatient · +6 other terms | 13 | $72 | $72 | $17 | 23% | — | $35 – $85 |
| 25 | Wellmark fee schedule · both · +2 other terms | 13 | $74 | $73 | $3 | 3% | — | $58 – $74 |
← Hospitals reporting HCPCS L3580 · Snapshot 20261112T181611Z-3fa9fb76