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
Replace socket brim cust fit
Arlington, TX
See all hospitals reporting HCPCS L4030 →Price type
AMH Cath Labs LLC’s median price of $795 is 7% above the median hospital's median price ($742), higher than 72% of the 810 hospitals reporting HCPCS L4030. 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, 8 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 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $757 | $757 | — | — | — | $757 – $757 |
| 2 | Humana medicare advantage case rate · outpatient | $787 | $787 | — | — | — | $787 – $787 |
| 3 | Humana medicare advantage ppo case rate · outpatient | $787 | $787 | — | — | — | $787 – $787 |
| 4 | Molina medicare advantage case rate · outpatient | $795 | $795 | — | — | — | $795 – $795 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $795 | $795 | — | — | — | $795 – $795 |
| 6 | WellCare medicare advantage mmp case rate · outpatient | $832 | $832 | — | — | — | $832 – $832 |
| 7 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $840 | $840 | — | — | — | $840 – $840 |
| 8 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $855 | $855 | — | — | — | $855 – $855 |
Last updated: Apr 21, 2026
See Custom-fitted replacement prosthetic socket brim pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.