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
Tustin, CA
See all hospitals reporting HCPCS L5000 →Price type
Alta Newport Hospital, LLC’s median price of $721 is 4% above the median hospital's median price ($692), higher than 57% 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: 6 payers, 13 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 | Bcbs Ca covered california/ifp/ppo facility · fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 2 | Bcbs Ca hmo facility · fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 3 | Bcbs Ca epo/ppo/out of state facility · fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 4 | Aetna medicare advantage facility · case rate · outpatient | $721 | $721 | — | — | — | $721 – $721 |
| 5 | Anthem medicare advantage facility · case rate · outpatient | $721 | $721 | — | — | — | $721 – $721 |
| 6 | Bcbs Ca medicare advantage facility · case rate · outpatient | $721 | $721 | — | — | — | $721 – $721 |
| 7 | Humana medicare advantage facility · case rate · outpatient | $721 | $721 | — | — | — | $721 – $721 |
| 8 | Optum commercial hmo facility · case rate · outpatient | $721 | $721 | — | — | — | $721 – $721 |
| 9 | Optum medicare advantage facility · case rate · outpatient | $736 | $736 | — | — | — | $736 – $736 |
| 10 | WellCare medicare advantage facility · case rate · outpatient | $736 | $736 | — | — | — | $736 – $736 |
| 11 | Aetna all gatekeeper plans facility · case rate · outpatient | $907 | $907 | — | — | — | $907 – $907 |
| 12 | Aetna all non-gatekeeper plans facility · case rate · outpatient | $907 | $907 | — | — | — | $907 – $907 |
| 13 | Aetna exchange facility · case rate · outpatient | $938 | $938 | — | — | — | $938 – $938 |
Last updated: Mar 18, 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.