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 Select
Low
$1
Average
$281
Median
$187
High
$3.4k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
32 hospitals; the 90th percentile is 159.5× 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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34 hospital rates
iThe hospitals that file a Medicaid 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 | Eskenazi Health Indianapolis, IN facility · fee schedule · both | 1 | $179 | $179 | — | — | 4–40 | $179 – $179 |
| 2 | Eskenazi Health Indianapolis, IN facility · fee schedule · outpatient | 1 | $179 | $179 | — | — | 1–10 | $179 – $179 |
| 3 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · other · outpatient | 1 | $14 | $14 | — | — | 1–10 | $14 – $14 |
| 4 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $175 | $130 | $64 | 49% | — | $34 – $175 |
| 5 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $142 | $106 | $52 | 49% | — | $28 – $142 |
| 6 | Allina Health Systems Shakopee, MN facility · fee schedule · outpatient | 1 | $178 | $194 | $76 | 39% | — | $90 – $318 |
| 7 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · fee schedule · outpatient | 1 | $178 | $194 | $76 | 39% | — | $90 – $318 |
| 8 | Allina Health Systems Owatonna, MN facility · fee schedule · outpatient | 1 | $178 | $194 | $76 | 39% | — | $90 – $318 |
| 9 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $91 | $87 | $29 | 33% | — | $50 – $133 |
| 10 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · fee schedule · outpatient | 1 | $178 | $194 | $76 | 39% | — | $90 – $318 |
| 11 | Allina Health Systems Cambridge, MN facility · fee schedule · outpatient | 1 | $178 | $194 | $76 | 39% | — | $90 – $318 |
| 12 | Allina Health Systems River Falls, WI facility · fee schedule · outpatient | 1 | $178 | $194 | $76 | 39% | — | $90 – $318 |
| 13 | Allina Health Systems Minneapolis, MN facility · fee schedule · outpatient | 1 | $178 | $194 | $76 | 39% | — | $90 – $318 |
| 14 | Allina Health Systems Buffalo, MN facility · fee schedule · outpatient | 1 | $178 | $194 | $76 | 39% | — | $90 – $318 |
| 15 | Brookings Health System Brookings, SD fee schedule · outpatient | 1 | $62 | $71 | $15 | 21% | — | $62 – $96 |
| 16 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $286 | $286 | — | — | — | $286 – $286 |
| 17 | CentraState Medical Center Freehold Township, NJ percent of total billed charges · bothfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 18 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MUNSTER MUNSTER, IN fee schedule · both | 2 | $343 | $343 | $31 | 9% | — | $312 – $374 |
| 19 | Geisinger Community Medical Center Scranton, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 20 | Geisinger Medical Center Muncy, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 21 | Geisinger Wyoming Valley Wilkes-Barre, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 22 | MELROSEWAKEFIELD HEALTHCARE Medford, MA percent of total billed charges · bothfrom % of charges | 1 | $832 | $832 | — | — | — | $832 – $832 |
| 23 | Maple Grove Hospital Corporation Grove, MN facility · fee schedule · both | 1 | $252 | $252 | — | — | — | $252 – $252 |
| 24 | Mercy Hospital Lincoln Troy, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 25 | Morristown Medical Center Morristown, NJ percent of total billed charges · bothfrom % of charges | 1 | $24 | $24 | $1 | 3% | — | $23 – $24 |
← Payers reporting HCPCS L4361 · Snapshot 20261111T120946Z-9134e7f7