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
ANKLE FOOT ORTHOSIS, WALKING BOOT TYPE, VARUS/VALGUS CORRECTION, ROCKER BOTTOM, ANTERIOR TIBIAL SHELL, SOFT INTERFACE, CUSTOM ARCH SUPPORT, PLASTIC OR OTHER MATERIAL, INCLUDES STRAPS AND CLOSURES, CUSTOM FABRICATED
Low
$0
Average
$3.1k
Median
$2.3k
High
$9.8k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
45 hospitals; the 90th percentile is 19.6× 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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63 hospital rates
iThe hospitals that file a First Health 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 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 2 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 3 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 4 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 5 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 6 | DIGNITY COMMUNITY CARE Sacramento, CA fee schedule · inpatient | 1 | $7.8k | $7.8k | — | — | — | $7.8k – $7.8k |
| 7 | DIGNITY COMMUNITY CARE Sacramento, CA fee schedule · outpatient | 1 | $7.8k | $7.8k | — | — | — | $7.8k – $7.8k |
| 8 | DIGNITY COMMUNITY CARE Woodland, CA fee schedule · inpatient | 1 | $9.4k | $9.4k | — | — | — | $9.4k – $9.4k |
| 9 | DIGNITY COMMUNITY CARE Woodland, CA fee schedule · outpatient | 1 | $9.4k | $9.4k | — | — | — | $9.4k – $9.4k |
| 10 | DIGNITY HEALTH Carmichael, CA fee schedule · inpatient | 1 | $7.8k | $7.8k | — | — | — | $7.8k – $7.8k |
| 11 | DIGNITY HEALTH Carmichael, CA fee schedule · outpatient | 1 | $7.8k | $7.8k | — | — | — | $7.8k – $7.8k |
| 12 | DIGNITY HEALTH Folsom, CA fee schedule · inpatient | 1 | $7.8k | $7.8k | — | — | — | $7.8k – $7.8k |
| 13 | DIGNITY HEALTH Folsom, CA fee schedule · outpatient | 1 | $7.8k | $7.8k | — | — | — | $7.8k – $7.8k |
| 14 | DIGNITY HEALTH Camarillo, CA fee schedule · inpatient | 1 | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 15 | DIGNITY HEALTH Camarillo, CA fee schedule · outpatient | 1 | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 16 | DIGNITY HEALTH Sacramento, CA fee schedule · inpatient | 1 | $7.8k | $7.8k | — | — | — | $7.8k – $7.8k |
| 17 | DIGNITY HEALTH Sacramento, CA fee schedule · outpatient | 1 | $7.8k | $7.8k | — | — | — | $7.8k – $7.8k |
| 18 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 19 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 20 | Deaconess Health System Henderson Hospital Henderson, KY professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 22 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 23 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 24 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 25 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $996 | $996 | $47 | 5% | — | $948 – $1.0k |
← Payers reporting HCPCS L4631 · Snapshot 20261111T120946Z-9134e7f7