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
$20
Average
$131
Median
$92
High
$381
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
58 hospitals; the 90th percentile is 7.3× 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
79 hospital rates
iThe hospitals that file a Wellmark 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 | Avera McKennan Hospital Sioux Falls, SD case rate · outpatient | 2 | $144 | $144 | $2 | 1% | 38–380 | $136 – $144 |
| 2 | Lakes Regional Hospital Spirit Lake, IA case rate · outpatient | 2 | $128 | $128 | — | — | 4–40 | $128 – $128 |
| 3 | Avera St. Mary's Hospital Pierre, SD outpatient | 1 | $162 | $162 | — | — | 1–10 | $162 – $162 |
| 4 | Avera St. Mary's Hospital Pierre, SD case rate · outpatient | 1 | $162 | $162 | — | — | 1–10 | $162 – $162 |
| 5 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $318 | $318 | — | — | — | $318 – $318 |
| 6 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 3 | $296 | $296 | — | — | — | $296 – $296 |
| 7 | Avera Gregory Hospital Gregory, SD percent of total billed charges · inpatientfrom % of charges | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 8 | Avera Gregory Hospital Gregory, SD percent of total billed charges · outpatientfrom % of charges | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 9 | Avera Milbank Hospital Milbank, SD percent of total billed charges · inpatientfrom % of charges | 1 | $70 | $72 | $3 | 4% | — | $70 – $76 |
| 10 | Avera Milbank Hospital Milbank, SD percent of total billed charges · outpatientfrom % of charges | 1 | $70 | $72 | $3 | 4% | — | $70 – $76 |
| 11 | Avera Sacred Heart Hospital Yankton, SD percent of total billed charges · inpatientfrom % of charges | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 12 | Avera Sacred Heart Hospital Yankton, SD percent of total billed charges · outpatientfrom % of charges | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 13 | Avera St. Anthony's Hospital O'Neill, NE percent of total billed charges · inpatientfrom % of charges | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 14 | Avera St. Anthony's Hospital O'Neill, NE percent of total billed charges · outpatientfrom % of charges | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 15 | Avera St. Benedicts Parkston, SD percent of total billed charges · inpatientfrom % of charges | 1 | $106 | $106 | — | — | — | $106 – $106 |
| 16 | Avera St. Benedicts Parkston, SD percent of total billed charges · outpatientfrom % of charges | 1 | $106 | $106 | — | — | — | $106 – $106 |
| 17 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $64 | $64 | — | — | — | $64 – $64 |
| 18 | Central Iowa Hospital Corporation Des Moines, IA case rate · outpatient | 1 | $318 | $318 | — | — | — | $318 – $318 |
| 19 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 3 | $296 | $296 | — | — | — | $296 – $296 |
| 20 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 3 | $296 | $296 | — | — | — | $296 – $296 |
| 21 | Grinnell Regional Medical Center Grinnell, IA case rate · outpatient | 1 | $424 | $424 | — | — | — | $424 – $424 |
| 22 | Grinnell Regional Medical Center Grinnell, IA fee schedule · both | 3 | $296 | $296 | — | — | — | $296 – $296 |
| 23 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 24 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 25 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $86 | $86 | — | — | — | $86 – $86 |
← Payers reporting HCPCS L4361 · Snapshot 20261111T120946Z-9134e7f7