Prosthetic foot shell addition for lower leg

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.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

All lower extremity prosthesis, foot shell for modular foot/non-solid ankle cushion heel (sach) replacement only

Humana pricing summary

Low

$125

Average

$130

Median

$127

High

$159

Humana rate distribution

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40 hospital rates

#		Plans
1	ALASKA REGIONAL HOSPITAL Anchorage, AK fee schedule · outpatient	2	$125	$125	$3	2%	—	$122 – $127
2	Adena Health System Chillicothe, OH facility · fee schedule · outpatient	1	$153	$153	—	—	—	$153 – $153
3	Boulder Community Health Lafayette, CO facility · case rate · outpatient	1	$130	$130	—	—	—	$130 – $130
4	Boulder Community Health Lafayette, CO professional · fee schedule · both	1	$127	$127	—	—	—	$127 – $127
5	CAREPARTNERS REHABILITATION HOSPITAL Asheville, NC fee schedule · outpatient	2	$132	$132	$1	0%	—	$131 – $132
6	Davis Medical Center Elkins, WV facility · case rate · outpatient	1	$159	$159	—	—	—	$159 – $159
7	HCA FLORIDA NORTH FLORIDA HOSPITAL GAINESVILLE, FL fee schedule · outpatient	3	$127	$126	$2	1%	—	$123 – $127
8	HCA HOUSTON HEALTHCARE CONROE CONROE, TX fee schedule · outpatient	2	$127	$127	—	—	—	$127 – $127
9	HCA HOUSTON HEALTHCARE KINGWOOD KINGWOOD, TX fee schedule · outpatient	2	$127	$127	—	—	—	$127 – $127
10	HCA HOUSTON HEALTHCARE WEST STAFFORD, TX fee schedule · outpatient	2	$127	$127	—	—	—	$127 – $127
11	HCA Houston Healthcare North Cypress CYPRESS, TX fee schedule · outpatient	2	$127	$127	—	—	—	$127 – $127
12	HEART HOSP OF AUSTIN Austin, TX fee schedule · outpatient	4	$127	$127	—	—	—	$127 – $127
13	HEART HOSP OF AUSTIN AT ST. DAVID'S ROUND ROCK ROUND ROCK, TX fee schedule · outpatient	4	$127	$127	—	—	—	$127 – $127
14	LOS ROBLES HOSPITAL AND MEDICAL CENTER THOUSAND OAKS, CA fee schedule · outpatient	1	$127	$127	—	—	—	$127 – $127
15	MEMORIAL SATILLA HEALTH Waycross, GA fee schedule · outpatient	2	$127	$126	$2	1%	—	$123 – $127
16	MISSION HOSPITAL Arden, NC fee schedule · outpatient	2	$132	$132	$1	0%	—	$131 – $132
17	MISSION HOSPITAL MCDOWELL Marion, NC fee schedule · outpatient	2	$132	$132	$1	0%	—	$131 – $132
18	New Liberty Hospital Corporation Liberty, MO facility · fee schedule · outpatient	1	$130	$130	—	—	—	$130 – $130
19	RAPIDES REGIONAL MEDICAL CENTER ALEXANDRIA, LA fee schedule · outpatient	3	$127	$126	$2	1%	—	$123 – $127
20	SID Peterson Memorial Hospital Kerrville, TX facility · case rate · outpatient	1	$153	$153	—	—	—	$153 – $153
21	ST DAVIDS REHAB Austin, TX fee schedule · outpatient	4	$127	$127	—	—	—	$127 – $127
22	ST. DAVID'S GEORGETOWN HOSPITAL Georgetown, TX fee schedule · outpatient	4	$127	$127	—	—	—	$127 – $127
23	ST. DAVID'S MEDICAL CENTER Manor, TX fee schedule · outpatient	4	$127	$127	—	—	—	$127 – $127
24	ST. DAVID'S NORTH AUSTIN MEDICAL CENTER AUSTIN, TX fee schedule · outpatient	5	$127	$127	—	—	—	$127 – $127
25	ST. DAVID'S ROUND ROCK MEDICAL CENTER ROUND ROCK, TX fee schedule · outpatient	4	$127	$127	—	—	—	$127 – $127