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

UnitedHealthcare pricing summary

Low

$48

Average

$118

Median

$130

High

$153

UnitedHealthcare rate distribution

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82 hospital rates

#		Plans
1	AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient	1	$51	$51	—	—	—	$51 – $51
2	ALASKA REGIONAL HOSPITAL Anchorage, AK fee schedule · outpatient	1	$130	$130	—	—	—	$130 – $130
3	Adena Health System Chillicothe, OH facility · fee schedule · outpatient	1	$153	$153	—	—	—	$153 – $153
4	Boulder Community Health Lafayette, CO facility · case rate · outpatient	1	$130	$130	—	—	—	$130 – $130
5	Boulder Community Health Lafayette, CO professional · fee schedule · both	2	$102	$102	$25	25%	—	$76 – $127
6	CAREPARTNERS REHABILITATION HOSPITAL Asheville, NC fee schedule · outpatient	2	$128	$128	$1	1%	—	$127 – $130
7	CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient	1	$51	$51	—	—	—	$51 – $51
8	CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient	1	$92	$92	—	—	—	$92 – $92
9	CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient	1	$56	$56	—	—	—	$56 – $56
10	CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient	1	$57	$57	—	—	—	$57 – $57
11	CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient	1	$60	$60	—	—	—	$60 – $60
12	Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient	1	$48	$48	—	—	—	$48 – $48
13	Craig Hospital Englewood, CO facility · case rate · outpatient	1	$127	$127	—	—	—	$127 – $127
14	Davis Medical Center Elkins, WV facility · case rate · outpatient	1	$153	$153	—	—	—	$153 – $153
15	Fairview Hospital Cleveland, OH facility · case rate · outpatient	1	$54	$54	—	—	—	$54 – $54
16	Good Samaritan Hospital Puyallup, WA fee schedule · outpatient	1	$130	$130	—	—	—	$130 – $130
17	HCA FLORIDA NORTH FLORIDA HOSPITAL GAINESVILLE, FL fee schedule · outpatient	2	$128	$128	$1	1%	—	$127 – $130
18	HCA HOUSTON HEALTHCARE CONROE CONROE, TX fee schedule · outpatient	1	$130	$130	—	—	—	$130 – $130
19	HCA HOUSTON HEALTHCARE KINGWOOD KINGWOOD, TX fee schedule · outpatient	1	$130	$130	—	—	—	$130 – $130
20	HCA HOUSTON HEALTHCARE WEST STAFFORD, TX fee schedule · outpatient	1	$130	$130	—	—	—	$130 – $130
21	HCA Houston Healthcare North Cypress CYPRESS, TX fee schedule · outpatient	1	$130	$130	—	—	—	$130 – $130
22	HEART HOSP OF AUSTIN Austin, TX fee schedule · outpatient	1	$130	$130	—	—	—	$130 – $130
23	HEART HOSP OF AUSTIN AT ST. DAVID'S ROUND ROCK ROUND ROCK, TX fee schedule · outpatient	1	$130	$130	—	—	—	$130 – $130
24	Hendrick Medical Center Brownwood, TX facility · case rate · outpatient	1	$153	$153	—	—	—	$153 – $153
25	LODI COMMUNITY HOSPITAL Lodi, OH facility · case rate · outpatient	1	$86	$86	—	—	—	$86 – $86