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 Walking Prefab Customized to Fit Pt T1
Low
$10
Average
$160
Median
$186
High
$397
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
103 hospitals; the 90th percentile is 3.3× 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.
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106 hospital rates
iThe hospitals that file a Tricare 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 | Massachusetts General Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $339 | $339 | — | — | 1–10 | $339 – $339 |
| 2 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $152 | $152 | — | — | — | $152 – $152 |
| 3 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $152 | $152 | — | — | — | $152 – $152 |
| 4 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $152 | $152 | — | — | — | $152 – $152 |
| 5 | Ascension Seton Luling, TX fee schedule · outpatient | 1 | $152 | $152 | — | — | — | $152 – $152 |
| 6 | Ascension Seton Burnet, TX fee schedule · outpatient | 1 | $152 | $152 | — | — | — | $152 – $152 |
| 7 | Ascension Seton Smithville, TX fee schedule · outpatient | 1 | $152 | $152 | — | — | — | $152 – $152 |
| 8 | Ascension Seton Bastrop, TX fee schedule · outpatient | 1 | $152 | $152 | — | — | — | $152 – $152 |
| 9 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $152 | $152 | — | — | — | $152 – $152 |
| 10 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $83 | $99 | $30 | 31% | — | $78 – $161 |
| 11 | Aspirus Rhinelander Hospital Rhinelander, WI fee schedule · both | 1 | $153 | $153 | — | — | — | $153 – $153 |
| 12 | Aspirus Wausau Hospital Wausau, WI fee schedule · both | 1 | $187 | $187 | — | — | — | $187 – $187 |
| 13 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $192 | $192 | — | — | — | $192 – $192 |
| 14 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $186 | $186 | — | — | — | $186 – $186 |
| 15 | Campbell County HMA, LLC LaFollette, TN facility · fee schedule · outpatient | 1 | $186 | $186 | — | — | — | $186 – $186 |
| 16 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 1 | $171 | $171 | — | — | — | $171 – $171 |
| 17 | Central Maine Medical Center Lewiston, ME fee schedule · outpatient | 1 | $190 | $190 | — | — | — | $190 – $190 |
| 18 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $176 | $397 | $561 | 141% | — | $94 – $1.8k |
| 19 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $186 | $186 | — | — | — | $186 – $186 |
| 20 | Cocke County HMA, LLC Newport, TN facility · fee schedule · outpatient | 1 | $186 | $186 | — | — | — | $186 – $186 |
| 21 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA fee schedule · outpatient | 1 | $192 | $192 | — | — | — | $192 – $192 |
| 22 | East Georgia Regional Medical Center LLC Statesboro, GA facility · fee schedule · outpatient | 1 | $66 | $66 | — | — | — | $66 – $66 |
| 23 | Eisenhower Medical Center Rancho Mirage, CA fee schedule · both | 3 | $190 | $190 | — | — | — | $190 – $190 |
| 24 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · outpatient | 1 | $196 | $196 | — | — | — | $196 – $196 |
| 25 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 1 | $196 | $196 | — | — | — | $196 – $196 |
← Payers reporting HCPCS L4386 · Snapshot 20261111T120946Z-9134e7f7