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
Bk molded distal cushion
Low
$1
Average
$195
Median
$164
High
$1.2k
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Prices here combine facility and professional fees. See them separately →Experimental
Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 865 hospitals; the 90th percentile is 2.3× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | St. Anthony Shawnee Hospital, Inc Shawnee, OK | $217 | $219 | $55 | 25% | — | $165 – $321 |
| 2 | Lewisgale Hospital Montgomery CHRISTIANSBURG, VA | $124 | $124 | $7 | 5% | — | $106 – $133 |
| 3 | Ingalls Memorial Hospital Harvey, IL | $148 | $148 | $7 | 5% | — | $141 – $155 |
| 4 | Fairview Health Services Edina, MN | $154 | $250 | $216 | 86% | — | $62 – $1.2k |
| 5 | Hca Florida West Hospital PENSACOLA, FL | $205 | $467 | $456 | 98% | — | $134 – $1.6k |
| 6 | Mayo Regional Hospital Dover Foxcroft, ME | $81 | $90 | $51 | 56% | — | $8 – $184 |
| 7 | Corewell Health Ludington Hospital Ludington, MI | $148 | $180 | $51 | 29% | — | $141 – $253 |
| 8 | Kettering Medical Center Miamisburg, OH | $218 | $241 | $79 | 33% | — | $141 – $378 |
| 9 | OU Health - University of Oklahoma Medical Center Oklahoma City, OK | $168 | $188 | $56 | 30% | — | $165 – $345 |
| 10 | Hoopeston Community Memorial Hospital Hoopeston, IL | $76 | $97 | $31 | 31% | — | $76 – $141 |
Ask Claude or any MCP client for HCPCS L5668 pricing at a specific hospital — see how to connect.