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
$14
Average
$134
Median
$49
High
$1.8k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
76 hospitals; the 90th percentile is 9.8× 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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109 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 St. Luke's Aberdeen, SD outpatient | 1 | $75 | $75 | — | — | 14–140 | $75 – $75 |
| 2 | Avera St. Luke's Aberdeen, SD case rate · outpatient | 1 | $75 | $75 | — | — | 14–140 | $75 – $75 |
| 3 | Avera St. Mary's Hospital Pierre, SD outpatient | 1 | $129 | $129 | — | — | 8–80 | $129 – $129 |
| 4 | Avera St. Mary's Hospital Pierre, SD case rate · outpatient | 1 | $129 | $129 | — | — | 8–80 | $129 – $129 |
| 5 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $194 | $194 | — | — | — | $194 – $194 |
| 6 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 3 | $181 | $181 | — | — | — | $181 – $181 |
| 7 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $555 | $555 | — | — | — | $555 – $555 |
| 8 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $555 | $555 | — | — | — | $555 – $555 |
| 9 | Avera Creighton Hospital Creighton, NE percent of total billed charges · inpatientfrom % of charges | 1 | $95 | $98 | $17 | 17% | — | $78 – $124 |
| 10 | Avera Creighton Hospital Creighton, NE percent of total billed charges · outpatientfrom % of charges | 1 | $95 | $98 | $17 | 17% | — | $78 – $124 |
| 11 | Avera DeSmet De Smet, SD percent of total billed charges · inpatientfrom % of charges | 1 | $48 | $48 | $0 | 0% | — | $48 – $48 |
| 12 | Avera DeSmet De Smet, SD percent of total billed charges · outpatientfrom % of charges | 1 | $48 | $48 | $0 | 0% | — | $48 – $48 |
| 13 | Avera Flandreau Hospital Flandreau, SD percent of total billed charges · inpatientfrom % of charges | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 14 | Avera Flandreau Hospital Flandreau, SD percent of total billed charges · outpatientfrom % of charges | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 15 | Avera Gregory Hospital Gregory, SD percent of total billed charges · inpatientfrom % of charges | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 16 | Avera Gregory Hospital Gregory, SD percent of total billed charges · outpatientfrom % of charges | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 17 | Avera Hand County Hospital Miller, SD percent of total billed charges · inpatientfrom % of charges | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 18 | Avera Hand County Hospital Miller, SD percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 19 | Avera Holy Family Hospital Estherville, IA percent of total billed charges · inpatientfrom % of charges | 2 | $37 | $36 | $2 | 6% | — | $32 – $37 |
| 20 | Avera Milbank Hospital Milbank, SD percent of total billed charges · inpatientfrom % of charges | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 21 | Avera Milbank Hospital Milbank, SD percent of total billed charges · outpatientfrom % of charges | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 22 | Avera Sacred Heart Hospital Yankton, SD percent of total billed charges · inpatientfrom % of charges | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 23 | Avera Sacred Heart Hospital Yankton, SD percent of total billed charges · outpatientfrom % of charges | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 24 | Avera St. Anthony's Hospital O'Neill, NE percent of total billed charges · inpatientfrom % of charges | 1 | $40 | $41 | $4 | 9% | — | $36 – $46 |
| 25 | Avera St. Anthony's Hospital O'Neill, NE percent of total billed charges · outpatientfrom % of charges | 1 | $40 | $41 | $4 | 9% | — | $36 – $46 |
← Payers reporting HCPCS L4387 · Snapshot 20261111T120946Z-9134e7f7