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
PO-REPLACE LEATHER CUFF KAFO PROX
Low
$49
Average
$127
Median
$106
High
$500
Filter by billing methodology
Prices here combine facility and professional fees. See them separately →Experimental
Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 16 hospitals; the 90th percentile is 1.8× 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 | Hmh Hospitals Corporation Hackensack, NJ | $128 | $125 | $39 | 31% | — | $33 – $181 |
| 2 | Hmh Hospitals Corporation Red Bank, NJ | $93 | $101 | $37 | 37% | — | $33 – $158 |
| 3 | Hmh Hospitals Corporation Edison, NJ | $104 | $112 | $38 | 34% | — | $33 – $186 |
| 4 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX | $138 | $144 | $24 | 17% | — | $108 – $177 |
| 5 | Hmh Hospitals Corporation Manahawkin, NJ | $93 | $103 | $36 | 35% | — | $33 – $169 |
| 6 | Hmh Hospitals Corporation Brick, NJ | $104 | $112 | $38 | 34% | — | $33 – $186 |
| 7 | Hmh Hospitals Corporation Neptune City, NJ | $94 | $101 | $35 | 34% | — | $33 – $158 |
| 8 | Hmh Hospitals Corporation Edison, NJ | $93 | $103 | $46 | 45% | — | $30 – $186 |
| 9 | Hmh Hospitals Corporation North Bergen, NJ | $93 | $111 | $40 | 36% | — | $33 – $174 |
| 10 | University of Wisconsin Hospital and Clinics Authority Madison, WI | $476 | $500 | $98 | 20% | — | $299 – $732 |
Ask Claude or any MCP client for HCPCS L4100 pricing at a specific hospital — see how to connect.