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
Repl leath cuff kafo-afo cal
Low
$1
Average
$137
Median
$119
High
$915
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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. 769 hospitals; the 90th percentile is 2.0× 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 | $142 | $143 | $36 | 25% | — | $108 – $210 |
| 2 | Beth Israel Deaconess Hospital - Needham Needham, MA | $159 | $159 | — | — | — | $159 – $159 |
| 3 | Lewisgale Hospital Montgomery CHRISTIANSBURG, VA | $104 | $104 | $6 | 5% | — | $88 – $111 |
| 4 | Ingalls Memorial Hospital Harvey, IL | $102 | $102 | $5 | 5% | — | $97 – $107 |
| 5 | Fairview Health Services Edina, MN | $107 | $174 | $150 | 86% | — | $43 – $821 |
| 6 | Hca Florida West Hospital PENSACOLA, FL | $102 | $119 | $42 | 35% | — | $95 – $234 |
| 7 | Mayo Regional Hospital Dover Foxcroft, ME | $57 | $66 | $40 | 60% | — | $6 – $142 |
| 8 | Corewell Health Ludington Hospital Ludington, MI | $102 | $125 | $36 | 29% | — | $97 – $175 |
| 9 | Kettering Medical Center Miamisburg, OH | $151 | $167 | $55 | 33% | — | $97 – $262 |
| 10 | Hoopeston Community Memorial Hospital Hoopeston, IL | $52 | $67 | $22 | 32% | — | $52 – $97 |
Ask Claude or any MCP client for HCPCS L4110 pricing at a specific hospital — see how to connect.