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
WALKING BOOT, NON-PNEUMATIC, WITH OR WITHOUT JOINTS, WITH OR WITHOUT INTERFACE MATERIAL, PREFABRICATED, OFF-THE-SHELF
Low
$1
Average
$185
Median
$165
High
$1.8k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
32 hospitals; the 90th percentile is 22.2× 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.
Filter by billing methodology
Filter by billing class
33 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 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $84 | $86 | $44 | 51% | 1–10 | $29 – $161 |
| 2 | Allina Health Systems Shakopee, MN facility · fee schedule · outpatient | 1 | $195 | $165 | $46 | 28% | — | $75 – $195 |
| 3 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · fee schedule · outpatient | 1 | $195 | $165 | $46 | 28% | — | $75 – $195 |
| 4 | Allina Health Systems Owatonna, MN facility · fee schedule · outpatient | 1 | $195 | $165 | $46 | 28% | — | $75 – $195 |
| 5 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · fee schedule · outpatient | 1 | $195 | $165 | $46 | 28% | — | $75 – $195 |
| 6 | Allina Health Systems Cambridge, MN facility · fee schedule · outpatient | 1 | $195 | $165 | $46 | 28% | — | $75 – $195 |
| 7 | Allina Health Systems River Falls, WI facility · fee schedule · outpatient | 1 | $195 | $165 | $46 | 28% | — | $75 – $195 |
| 8 | Allina Health Systems Minneapolis, MN facility · fee schedule · outpatient | 1 | $195 | $165 | $46 | 28% | — | $75 – $195 |
| 9 | Allina Health Systems Buffalo, MN facility · fee schedule · outpatient | 1 | $195 | $165 | $46 | 28% | — | $75 – $195 |
| 10 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $164 | $164 | — | — | — | $164 – $164 |
| 11 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CARMEL CARMEL, IN fee schedule · both | 2 | $210 | $210 | $19 | 9% | — | $191 – $229 |
| 12 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CROWN POINT CROWN POINT, IN fee schedule · both | 14 | $191 | $200 | $16 | 8% | — | $191 – $229 |
| 13 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER DYER, IN fee schedule · both | 14 | $191 | $201 | $17 | 8% | — | $191 – $229 |
| 14 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN fee schedule · both | 16 | $191 | $200 | $16 | 8% | — | $191 – $229 |
| 15 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY CITY, IN fee schedule · both | 2 | $210 | $210 | $19 | 9% | — | $191 – $229 |
| 16 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY LAPORTE PORTE, IN fee schedule · both | 2 | $210 | $210 | $19 | 9% | — | $191 – $229 |
| 17 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE MOORESVILLE, IN fee schedule · both | 2 | $210 | $210 | $19 | 9% | — | $191 – $229 |
| 18 | Geisinger Medical Center Muncy, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 19 | Geisinger Wyoming Valley Wilkes-Barre, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 20 | Grossmont Hospital Corporation La Mesa, CA percent of total billed charges · outpatientfrom % of charges | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 21 | Maple Grove Hospital Corporation Grove, MN facility · fee schedule · both | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 22 | Mercy Hospital Columbus Columbus, KS facility · fee schedule · outpatient | 1 | $411 | $411 | — | — | — | $411 – $411 |
| 23 | Mercy Hospital South Louis, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 24 | Mercy Hospitals East Communities dba Mercy Hospital Washington Washington, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 25 | Mercy Perry Perryville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $19 | $19 | — | — | — | $19 – $19 |
← Payers reporting HCPCS L4387 · Snapshot 20261111T120946Z-9134e7f7