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
SHOE CAST CHILD/PEDI XXS
Arlington, TX
See all hospitals reporting HCPCS L3265 →Price type
AMH Cath Labs LLC’s median price of $13 is 39% below the median hospital's median price ($22), higher than 29% of the 539 hospitals reporting HCPCS L3265. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 23 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $2 | $2 | — | — | — | $2 – $2 |
| 2 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $2 | $2 | — | — | — | $2 – $2 |
| 3 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $2 | $2 | — | — | — | $2 – $2 |
| 4 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $2 | $2 | — | — | — | $2 – $2 |
| 5 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $2 | $2 | — | — | — | $2 – $2 |
| 6 | Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges | $7 | $7 | — | — | — | $7 – $7 |
| 7 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $9 | $9 | — | — | — | $9 – $9 |
| 8 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $11 | $11 | — | — | — | $11 – $11 |
| 9 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $12 | $12 | — | — | — | $12 – $12 |
| 10 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $12 | $12 | — | — | — | $12 – $12 |
| 11 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $12 | $12 | — | — | — | $12 – $12 |
| 12 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $12 | $12 | — | — | — | $12 – $12 |
| 13 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $14 | $14 | — | — | — | $14 – $14 |
| 14 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $14 | $14 | — | — | — | $14 – $14 |
| 15 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $15 | $15 | — | — | — | $15 – $15 |
| 16 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $15 | $15 | — | — | — | $15 – $15 |
| 17 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $15 | $15 | — | — | — | $15 – $15 |
| 18 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $15 | $15 | — | — | — | $15 – $15 |
| 19 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $16 | $16 | — | — | — | $16 – $16 |
| 20 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $19 | $19 | — | — | — | $19 – $19 |
| 21 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $19 | $19 | — | — | — | $19 – $19 |
| 22 | Cigna indemnity percent of total billed charges · inpatientfrom % of charges | $20 | $20 | — | — | — | $20 – $20 |
| 23 | Cigna indemnity percent of total billed charges · outpatientfrom % of charges | $20 | $20 | — | — | — | $20 – $20 |
Last updated: Apr 21, 2026
See Plastazote sandal pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.