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
$15
Average
$199
Median
$186
High
$1.1k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
65 hospitals; the 90th percentile is 4.2× 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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67 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 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $192 | $192 | — | — | — | $192 – $192 |
| 2 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $186 | $186 | — | — | — | $186 – $186 |
| 3 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $663 | $663 | — | — | — | $663 – $663 |
| 4 | Campbell County HMA, LLC LaFollette, TN facility · fee schedule · outpatient | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 5 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 1 | $171 | $171 | — | — | — | $171 – $171 |
| 6 | Central Maine Medical Center Lewiston, ME fee schedule · outpatient | 1 | $190 | $190 | — | — | — | $190 – $190 |
| 7 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 8 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $186 | $186 | — | — | — | $186 – $186 |
| 9 | Cocke County HMA, LLC Newport, TN facility · fee schedule · outpatient | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 10 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · both | 1 | $196 | $196 | — | — | — | $196 – $196 |
| 11 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · both | 1 | $196 | $196 | — | — | — | $196 – $196 |
| 12 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $377 | $377 | — | — | — | $377 – $377 |
| 13 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · inpatientfrom % of charges | 1 | $106 | $106 | — | — | — | $106 – $106 |
| 14 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · outpatientfrom % of charges | 1 | $89 | $89 | — | — | — | $89 – $89 |
| 15 | HMA Santa Rosa Medical Center LLC Milton, FL facility · fee schedule · outpatient | 1 | $186 | $186 | — | — | — | $186 – $186 |
| 16 | HOSPITAL SERVICE DISTRICT NO. 1 OF THE PARISH OF ST. CHARLES, STATE OF LOUISIANA LULING, LA fee schedule · outpatient | 1 | $178 | $178 | $5 | 3% | — | $173 – $182 |
| 17 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $61 | $50 | $19 | 39% | — | $16 – $61 |
| 18 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $45 | $36 | $14 | 39% | — | $12 – $45 |
| 19 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital City, UT facility · fee schedule · outpatient | 1 | $193 | $193 | — | — | — | $193 – $193 |
| 20 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital Lehi, UT facility · fee schedule · outpatient | 1 | $193 | $193 | — | — | — | $193 – $193 |
| 21 | Jefferson County HMA LLC Jefferson City, TN facility · fee schedule · outpatient | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 22 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient | 1 | $193 | $193 | — | — | — | $193 – $193 |
| 23 | Little Company of Mary Hospital of Indiana Inc Jasper, IN professional · fee schedule · both | 1 | $191 | $191 | — | — | — | $191 – $191 |
| 24 | METHODIST MEDICAL CENTER OF OAK RIDGE Oak Ridge, TN fee schedule · both | 1 | $196 | $196 | — | — | — | $196 – $196 |
| 25 | MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION Morristown, TN fee schedule · outpatient | 1 | $196 | $196 | — | — | — | $196 – $196 |
← Payers reporting HCPCS L4387 · Snapshot 20261111T120946Z-9134e7f7