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
STATIC OR DYNAMI AFO PRE OTS
Low
$1
Average
$287
Median
$207
High
$10.0k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
464 hospitals; the 90th percentile is 2.8× 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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608 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 4 | $29 | $27 | $5 | 17% | 16–160 | $20 – $32 |
| 2 | Saint Luke’s North Hospital Smithville, MO percent of total billed charges · bothfrom % of charges | 18 | $100 | $109 | $36 | 33% | 4–40 | $62 – $167 |
| 3 | Saint Luke’s North Hospital City, KS percent of total billed charges · bothfrom % of charges | 18 | $100 | $109 | $36 | 33% | 4–40 | $62 – $167 |
| 4 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 1 | $197 | $197 | — | — | — | $197 – $197 |
| 5 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $207 | $207 | — | — | — | $207 – $207 |
| 6 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 5 | $79 | $168 | $143 | 85% | — | $13 – $386 |
| 7 | AdventHealth Orlando Winter Park, FL fee schedule · outpatient | 2 | $211 | $211 | $3 | 1% | — | $207 – $214 |
| 8 | Adventhealth Ottawa Ottawa, KS fee schedule · outpatient | 1 | $168 | $168 | — | — | — | $168 – $168 |
| 9 | Agnesian Healthcare Inc. Fond Du Lac, WI fee schedule · outpatient | 1 | $206 | $206 | — | — | — | $206 – $206 |
| 10 | Allina Health Systems Shakopee, MN facility · fee schedule · outpatient | 1 | $94 | $94 | $31 | 33% | — | $57 – $132 |
| 11 | Allina Health Systems Shakopee, MN facility · other · outpatient | 5 | $240 | $252 | $82 | 33% | — | $115 – $355 |
| 12 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · fee schedule · outpatient | 1 | $94 | $94 | $31 | 33% | — | $57 – $132 |
| 13 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · other · outpatient | 2 | $216 | $216 | $10 | 4% | — | $206 – $225 |
| 14 | Allina Health Systems Owatonna, MN facility · fee schedule · outpatient | 1 | $94 | $94 | $31 | 33% | — | $57 – $132 |
| 15 | Allina Health Systems Owatonna, MN facility · other · outpatient | 5 | $240 | $252 | $82 | 33% | — | $115 – $355 |
| 16 | Allina Health Systems Ulm, MN facility · fee schedule · outpatient | 1 | $37 | $37 | $12 | 33% | — | $22 – $52 |
| 17 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $448 | $448 | — | — | — | $448 – $448 |
| 18 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · fee schedule · outpatient | 1 | $94 | $94 | $31 | 33% | — | $57 – $132 |
| 19 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · other · outpatient | 1 | $225 | $225 | — | — | — | $225 – $225 |
| 20 | Allina Health Systems Cambridge, MN facility · fee schedule · outpatient | 1 | $94 | $94 | $31 | 33% | — | $57 – $132 |
| 21 | Allina Health Systems Cambridge, MN facility · other · outpatient | 5 | $240 | $252 | $82 | 33% | — | $115 – $355 |
| 22 | Allina Health Systems Faribualt, MN facility · fee schedule · outpatient | 1 | $94 | $94 | $31 | 33% | — | $57 – $132 |
| 23 | Allina Health Systems Faribualt, MN facility · other · outpatient | 5 | $240 | $252 | $82 | 33% | — | $115 – $355 |
| 24 | Allina Health Systems River Falls, WI facility · fee schedule · outpatient | 2 | $249 | $240 | $200 | 83% | — | $24 – $441 |
| 25 | Allina Health Systems Minneapolis, MN facility · fee schedule · outpatient | 1 | $94 | $94 | $31 | 33% | — | $57 – $132 |
← Payers reporting HCPCS L4397 · Snapshot 20261111T120946Z-9134e7f7