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
Sho insert w arch toe filler
Bangor, ME
See all hospitals reporting HCPCS L5000 →Price type
Acadia Hospital’s median price of $549 is 21% below the median hospital's median price ($692), higher than 9% of the 897 hospitals reporting HCPCS L5000. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 10 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Anthem enhanced pathways facility · fee schedule · outpatient | $375 | $375 | — | — | — | $375 – $375 |
| 2 | Anthem commercial professional · fee schedule · outpatient | $387 | $387 | — | — | — | $387 – $387 |
| 3 | Aetna commercial professional · fee schedule · outpatient | $408 | $408 | — | — | — | $408 – $408 |
| 4 | Anthem commercial facility · fee schedule · outpatient | $480 | $480 | — | — | — | $480 – $480 |
| 5 | Anthem mcr advantage facility · fee schedule · outpatient | $606 | $606 | — | — | — | $606 – $606 |
| 6 | Aetna mcr advantage facility · fee schedule · outpatient | $619 | $619 | — | — | — | $619 – $619 |
| 7 | Optum mcr advantage facility · fee schedule · outpatient | $619 | $619 | — | — | — | $619 – $619 |
| 8 | UnitedHealthcare mcr advantage facility · fee schedule · outpatient | $619 | $619 | — | — | — | $619 – $619 |
| 9 | WellCare mcr advantage facility · fee schedule · outpatient | $619 | $619 | — | — | — | $619 – $619 |
| 10 | UnitedHealthcare commercial professional · fee schedule · outpatient | $840 | $840 | — | — | — | $840 – $840 |
Last updated: Mar 30, 2026
See Partial foot orthotic shoe insert with arch support pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.