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
Devils Lake, ND
See all hospitals reporting HCPCS L5000 →Price type
Altru Hospital Devils Lake’s median price of $692 is about the same as the median hospital's median price ($692), higher than 47% of the 892 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 | Medica medicaid managed care plan facility · fee schedule · outpatient | $235 | $235 | — | — | — | $235 – $235 |
| 2 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $235 | $235 | — | — | — | $235 – $235 |
| 3 | Medica medicare managed care plan facility · fee schedule · outpatient | $425 | $425 | — | — | — | $425 – $425 |
| 4 | Aetna medicare managed care plan facility · fee schedule · outpatient | $619 | $619 | — | — | — | $619 – $619 |
| 5 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $692 | $692 | — | — | — | $692 – $692 |
| 6 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $692 | $692 | — | — | — | $692 – $692 |
| 7 | Medica all commercial plans facility · fee schedule · outpatient | $692 | $692 | — | — | — | $692 – $692 |
| 8 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $846 | $846 | $124 | 15% | — | $722 – $970 |
| 9 | Aetna all commercial plans facility · fee schedule · outpatient | $881 | $881 | $232 | 26% | — | $649 – $1.1k |
| 10 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
Last updated: Mar 1, 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.