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
$0
Average
$298
Median
$300
High
$1.8k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1112 hospitals; the 90th percentile is 6.2× 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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1,747 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $161 | $161 | $2 | 1% | 80 | $152 – $161 |
| 2 | Sanford USD Medical Center Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 2 | $86 | $88 | $36 | 41% | 36–360 | $46 – $211 |
| 3 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 17 | $217 | $263 | $95 | 36% | 28–280 | $96 – $409 |
| 4 | Shannon Medical Center San Angelo, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $321 | $267 | $77 | 29% | 23–230 | $62 – $322 |
| 5 | Shannon Medical Center Big Spring Big Spring, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $321 | $267 | $77 | 29% | 23–230 | $62 – $322 |
| 6 | Shannon River Crest Hospital San Angelo, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $321 | $267 | $77 | 29% | 23–230 | $62 – $322 |
| 7 | Texas Health Arlington Memorial Hospital Arlington, TX percent of total billed charges · outpatientfrom % of charges | 3 | $79 | $143 | $142 | 99% | 15–150 | $10 – $604 |
| 8 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $102 | $124 | $67 | 54% | 14–140 | $70 – $280 |
| 9 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $202 | $364 | $288 | 79% | 14–140 | $71 – $729 |
| 10 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $202 | $364 | $288 | 79% | 14–140 | $71 – $729 |
| 11 | Self Regional Healthcare Greenwood, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.8k | $1.7k | $1.3k | 79% | 13–130 | $26 – $5.4k |
| 12 | Sanford Aberdeen Medical Center Aberdeen, SD percent of total billed charges · outpatientfrom % of charges | 1 | $96 | $97 | $1 | 1% | 12–120 | $96 – $98 |
| 13 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $154 | $222 | $154 | 69% | 7–70 | $135 – $592 |
| 14 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 2 | $114 | $118 | $31 | 26% | 5–50 | $58 – $150 |
| 15 | Sanford Tracy Hospital Tracy, MN percent of total billed charges · outpatientfrom % of charges | 2 | $65 | $65 | $21 | 33% | 5–50 | $44 – $87 |
| 16 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 3 | $194 | $222 | $131 | 59% | 5–50 | $57 – $576 |
| 17 | Aurora Medical Center Summit Summit, WI percent of total billed charges · outpatientfrom % of charges | 5 | $87 | $135 | $61 | 46% | 3–30 | $87 – $282 |
| 18 | Aurora West Allis Medical Center West Allis, WI percent of total billed charges · outpatientfrom % of charges | 5 | $143 | $155 | $24 | 15% | 3–30 | $143 – $202 |
| 19 | Morrow County Hospital Gilead, OH percent of total billed charges · outpatientfrom % of charges | 3 | $164 | $230 | $94 | 41% | 3–30 | $164 – $362 |
| 20 | Saint Luke’s South Hospital, Inc Leawood, KS percent of total billed charges · bothfrom % of charges | 13 | $49 | $48 | $3 | 7% | 3–30 | $37 – $49 |
| 21 | St Mary Mercy Livonia Livonia, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $95 | $80 | $22 | 28% | 3–30 | $48 – $96 |
| 22 | Deaconess Health System Gibson General Hospital Princeton, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $112 | $112 | $2 | 2% | 2–20 | $110 – $114 |
| 23 | Deaconess Health System Gibson General Hospital Princeton, IN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $81 | $81 | $30 | 37% | 2–20 | $50 – $114 |
| 24 | GRMC, Inc. Oakland, MD percent of total billed charges · bothfrom % of charges | 2 | $45 | $46 | $2 | 3% | 2–20 | $44 – $48 |
| 25 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $139 | $139 | $27 | 20% | 2–20 | $112 – $166 |
← Payers reporting HCPCS L4360 · Snapshot 20261111T120946Z-9134e7f7