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
BRACE ANKLE ADULT UNIVERSAL GEL AIR LINER ANATOMICALLY SHAPE HOOK LOOP STRAP CS/25EA
Low
$0
Average
$177
Median
$115
High
$8.9k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
716 hospitals; the 90th percentile is 4.6× 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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1,027 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Allina Health Systems Cambridge, MN facility · other · outpatient | 5 | $138 | $145 | $47 | 33% | 62–71 | $66 – $205 |
| 2 | Allina Health Systems Buffalo, MN facility · other · outpatient | 5 | $138 | $145 | $47 | 33% | 62–71 | $66 – $205 |
| 3 | Allina Health Systems Shakopee, MN facility · other · outpatient | 5 | $138 | $145 | $47 | 33% | 61–70 | $66 – $205 |
| 4 | Allina Health Systems Owatonna, MN facility · other · outpatient | 5 | $138 | $145 | $47 | 33% | 61–70 | $66 – $205 |
| 5 | Allina Health Systems Faribualt, MN facility · other · outpatient | 5 | $138 | $145 | $47 | 33% | 61–70 | $66 – $205 |
| 6 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 4 | $5 | $5 | $1 | 20% | 36–360 | $3 – $6 |
| 7 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 4 | $8 | $7 | $3 | 44% | 24–240 | $2 – $11 |
| 8 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $87 | $88 | $9 | 10% | 11 | $76 – $101 |
| 9 | Northern Hospital District of Surry County Mount Airy, NC facility · fee schedule · both | 1 | $42 | $42 | — | — | 11 | $42 – $42 |
| 10 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 2 | $63 | $56 | $19 | 33% | 8–80 | $7 – $63 |
| 11 | Northern Hospital District of Surry County Mount Airy, NC facility · percent of total billed charges · bothfrom % of charges | 1 | $89 | $93 | $6 | 7% | 6–60 | $89 – $102 |
| 12 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $76 | $70 | $17 | 24% | 4–40 | $30 – $90 |
| 13 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · percent of total billed charges · bothfrom % of charges | 3 | $9 | $9 | $5 | 59% | 4–40 | $1 – $16 |
| 14 | Novant Health Mint Hill Medical Center, LLC Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 3 | $137 | $131 | $8 | 6% | 3–30 | $120 – $137 |
| 15 | Arkansas Childrens Northwest Springdale, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $48 | $48 | — | — | 2–20 | $48 – $48 |
| 16 | Connecticut Children's Hartford, CT percent of total billed charges · outpatientfrom % of charges | 2 | $30 | $30 | $15 | 48% | 2–20 | $16 – $45 |
| 17 | Covenant Medical Center Inc Saginaw, MI professional · other · both | 1 | $117 | $117 | — | — | 2–20 | $117 – $117 |
| 18 | Brunswick Community Hospital, LLC Bolivia, NC percent of total billed charges · outpatientfrom % of charges | 1 | $42 | $42 | — | — | 1–10 | $42 – $42 |
| 19 | Novant Health Matthews Medical Center LLC Matthews, NC percent of total billed charges · outpatientfrom % of charges | 1 | $41 | $41 | — | — | 1–10 | $41 – $41 |
| 20 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA case rate · outpatient | 3 | $119 | $116 | $6 | 5% | — | $107 – $121 |
| 21 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 5 | $39 | $77 | $48 | 63% | — | $37 – $137 |
| 22 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 4 | $129 | $132 | $13 | 10% | — | $117 – $152 |
| 23 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 4 | $121 | $100 | $46 | 46% | — | $21 – $137 |
| 24 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 5 | $137 | $116 | $33 | 28% | — | $68 – $152 |
| 25 | ADVENTIST HEALTH TULARE Tulare, CA case rate · outpatient | 2 | $104 | $104 | $5 | 5% | — | $98 – $109 |
← Payers reporting HCPCS L4350 · Snapshot 20261111T120946Z-9134e7f7