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
Boot Air Walker, Equalizer
Low
$28
Average
$207
Median
$98
High
$634
Each hospital's average Medical Mutual rate, under the methodology and billing class chosen below.
71 hospitals; the 90th percentile is 11.6× 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.
Filter by billing methodology
Filter by billing class
97 hospital rates
iThe hospitals that file a Medical Mutual 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 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $94 | $84 | $18 | 22% | 5–50 | $48 – $94 |
| 2 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $634 | $634 | — | — | — | $634 – $634 |
| 3 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $424 | $424 | — | — | — | $424 – $424 |
| 4 | Benefis Hospitals Inc Helena, MT fee schedule · outpatient | 1 | $345 | $345 | — | — | — | $345 – $345 |
| 5 | Benefis Hospitals Inc Helena, MT percent of total billed charges · inpatientfrom % of charges | 1 | $305 | $305 | — | — | — | $305 – $305 |
| 6 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $325 | $325 | — | — | — | $325 – $325 |
| 7 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 1 | $634 | $634 | — | — | — | $634 – $634 |
| 8 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $43 | $36 | $10 | 28% | — | $22 – $44 |
| 9 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $43 | $36 | $10 | 28% | — | $22 – $44 |
| 10 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $92 | $77 | $21 | 28% | — | $47 – $93 |
| 11 | Covenant Medical Center Inc Waterloo, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $112 | $101 | $22 | 22% | — | $57 – $113 |
| 12 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $113 | $95 | $26 | 28% | — | $58 – $114 |
| 13 | Dupont Hospital LLC Wayne, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $314 | $314 | — | — | — | $314 – $314 |
| 14 | Dupont Hospital LLC Wayne, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $314 | $314 | — | — | — | $314 – $314 |
| 15 | Fisher-Titus Medical Center Norwalk, OH facility · fee schedule · outpatient | 1 | $312 | $312 | — | — | — | $312 – $312 |
| 16 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient | 1 | $634 | $634 | — | — | — | $634 – $634 |
| 17 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · outpatient | 1 | $634 | $634 | — | — | — | $634 – $634 |
| 18 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 2 | $77 | $94 | $25 | 27% | — | $72 – $134 |
| 19 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 4 | $243 | $242 | $31 | 13% | — | $203 – $279 |
| 20 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 3 | $270 | $281 | $32 | 11% | — | $248 – $324 |
| 21 | Mayo Clinic Health System Bloomer, WI facility · percent of total billed charges · bothfrom % of charges | 3 | $214 | $215 | $137 | 64% | — | $77 – $355 |
| 22 | Mayo Clinic Health System Sparta, WI facility · percent of total billed charges · bothfrom % of charges | 3 | $77 | $77 | $1 | 1% | — | $77 – $78 |
| 23 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 1 | $212 | $212 | $135 | 64% | — | $77 – $348 |
| 24 | McCullough-Hyde Memorial Hospital, Inc. Oxford, OH facility · fee schedule · outpatient | 1 | $325 | $325 | — | — | — | $325 – $325 |
| 25 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $87 | $74 | $20 | 28% | — | $45 – $88 |
← Payers reporting HCPCS L4360 · Snapshot 20261111T120946Z-9134e7f7