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
$3
Average
$293
Median
$234
High
$1.7k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
449 hospitals; the 90th percentile is 5.8× 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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657 hospital rates
iThe hospitals that file a Cigna 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $818 | $818 | — | — | — | $818 – $818 |
| 2 | ALBANY GENERAL HOSPITAL Albany, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $266 | $337 | $186 | 55% | — | $152 – $592 |
| 3 | ALBANY GENERAL HOSPITAL Albany, OR professional · percent of total billed charges · outpatientfrom % of charges | 2 | $145 | $145 | — | — | — | $145 – $145 |
| 4 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 2 | $286 | $286 | $75 | 26% | — | $211 – $361 |
| 5 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · inpatientfrom % of charges | 1 | $394 | $394 | $260 | 66% | — | $134 – $654 |
| 6 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 3 | $259 | $306 | $217 | 71% | — | $79 – $654 |
| 7 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 1 | $246 | $246 | — | — | — | $246 – $246 |
| 8 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $65 | $65 | $21 | 33% | — | $39 – $92 |
| 9 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $701 | $701 | — | — | — | $701 – $701 |
| 10 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 3 | $721 | $712 | $148 | 21% | — | $526 – $889 |
| 11 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 3 | $721 | $712 | $148 | 21% | — | $526 – $889 |
| 12 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · inpatientfrom % of charges | 1 | $185 | $185 | $98 | 53% | — | $87 – $283 |
| 13 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · outpatientfrom % of charges | 2 | $169 | $175 | $94 | 54% | — | $77 – $283 |
| 14 | Aurora Medical Center Fond du Lac Fond Du Lac, WI percent of total billed charges · inpatientfrom % of charges | 1 | $283 | $283 | — | — | — | $283 – $283 |
| 15 | Aurora Medical Center Fond du Lac Fond Du Lac, WI percent of total billed charges · outpatientfrom % of charges | 2 | $267 | $267 | $16 | 6% | — | $251 – $283 |
| 16 | Aurora Medical Center Grafton Grafton, WI percent of total billed charges · inpatientfrom % of charges | 1 | $283 | $283 | — | — | — | $283 – $283 |
| 17 | Aurora Medical Center Grafton Grafton, WI percent of total billed charges · outpatientfrom % of charges | 2 | $267 | $267 | $16 | 6% | — | $251 – $283 |
| 18 | Aurora Medical Center Kenosha Kenosha, WI percent of total billed charges · inpatientfrom % of charges | 1 | $283 | $283 | — | — | — | $283 – $283 |
| 19 | Aurora Medical Center Kenosha Kenosha, WI percent of total billed charges · outpatientfrom % of charges | 2 | $267 | $267 | $16 | 6% | — | $251 – $283 |
| 20 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI percent of total billed charges · inpatientfrom % of charges | 1 | $283 | $283 | — | — | — | $283 – $283 |
| 21 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI percent of total billed charges · outpatientfrom % of charges | 2 | $267 | $267 | $16 | 6% | — | $251 – $283 |
| 22 | Aurora Medical Center Oshkosh Oshkosh, WI percent of total billed charges · inpatientfrom % of charges | 1 | $283 | $283 | — | — | — | $283 – $283 |
| 23 | Aurora Medical Center Oshkosh Oshkosh, WI percent of total billed charges · outpatientfrom % of charges | 2 | $267 | $267 | $16 | 6% | — | $251 – $283 |
| 24 | Aurora Medical Center Summit Summit, WI percent of total billed charges · inpatientfrom % of charges | 1 | $283 | $283 | — | — | — | $283 – $283 |
| 25 | Aurora Medical Center Summit Summit, WI percent of total billed charges · outpatientfrom % of charges | 2 | $267 | $267 | $16 | 6% | — | $251 – $283 |
← Payers reporting HCPCS L4397 · Snapshot 20261111T120946Z-9134e7f7