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
$0
Average
$151
Median
$185
High
$227
Filter by billing methodology
Prices here combine facility and professional fees. See them separately →Experimental
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 26 hospitals; the 90th percentile is 21533.5× 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 | OU Health - University of Oklahoma Medical Center Oklahoma City, OK | $168 | $188 | $56 | 30% | — | $165 – $345 |
| 2 | Northside Hospital, Inc. Lawrenceville, GA | $242 | $201 | $88 | 44% | — | $73 – $484 |
| 3 | Vanderbilt Bedford Hospital Shelbyville, TN | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Vanderbilt University Medical Center Nashville, TN | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Northside Hospital, Inc. Atlanta, GA | $242 | $206 | $85 | 42% | — | $78 – $484 |
| 6 | Allina Health Systems Shakopee, MN | $182 | $182 | $51 | 28% | — | $79 – $242 |
| 7 | Nationwide Children's Hospital Columbus, OH | $90 | $90 | — | — | — | $90 – $90 |
| 8 | Allina Health Systems St Paul, MN | $147 | $140 | $37 | 26% | — | $55 – $176 |
| 9 | Allina Health Systems Owatonna, MN | $214 | $211 | $71 | 34% | — | $79 – $326 |
| 10 | Northside Hospital, Inc. Cumming, GA | $242 | $201 | $93 | 46% | — | $58 – $484 |
Ask Claude or any MCP client for HCPCS L5668 pricing at a specific hospital — see how to connect.