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
HC AFO ANKLE CONTRACT SPLINT W SOFT INTERFACE MAT
Low
$0
Average
$193
Median
$215
High
$470
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Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 76 hospitals; the 90th percentile is 258.1× 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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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Fairview Health Services Edina, MN | $220 | $220 | — | — | 1–10 | $91 – $1.7k |
| 2 | Northwest Sahurita Hospital LLC Tucson, AZ | $130 | $161 | $49 | 30% | — | $85 – $380 |
| 3 | Northwest Sahurita Hospital LLC Sahuarita, AZ | $130 | $161 | $49 | 30% | — | $85 – $380 |
| 4 | Oro Valley Hospital LLC Tucson, AZ | $131 | $159 | $52 | 33% | — | $63 – $570 |
| 5 | Northwest Hospital LLC Tucson, AZ | $164 | $168 | $46 | 28% | — | $95 – $570 |
| 6 | Gadsden Regional Medical Center LLC Gadsden, AL | $63 | $63 | — | — | — | $8 – $95 |
| 7 | Roswell Hospital Corporation Roswell, NM | $255 | $206 | $84 | 41% | — | $43 – $566 |
| 8 | Poplar Bluff Regional Medical Center LLC Poplar Bluff, MO | $198 | $198 | $0 | 0% | — | $61 – $495 |
| 9 | Glendale Adventist Medical Center Glendale, CA | $206 | $274 | $128 | 47% | — | $142 – $1.0k |
| 10 | Lodi Memorial Hospital Association Inc Lodi, CA | $198 | $231 | $66 | 29% | — | $44 – $396 |
Ask Claude or any MCP client for HCPCS L4396 pricing at a specific hospital — see how to connect.