Prefabricated ankle control orthosis (brace) at AMH Cath Labs LLC

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.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

BRACE ANKLE W/FOAM MED 9"

Arlington, TX

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Pricing by billing methodology

Price type

How this price compares nationally

AMH Cath Labs LLC’s median price of $39 is 66% below the median hospital's median price ($116), higher than 13% of the 1,568 hospitals reporting HCPCS L4350. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L4350 at AMH Cath Labs LLC

Negotiated rates from the hospital’s own file: 9 payers, 31 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 managed medicaid percent of total billed charges · outpatientfrom % of charges	$5	$8	$10	119%	—	$3 – $36
2	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$5	$8	$10	119%	—	$3 – $36
3	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$5	$9	$10	119%	—	$4 – $38
4	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$5	$9	$11	119%	—	$4 – $39
5	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$6	$9	$11	119%	—	$4 – $40
6	Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges	$18	$29	$34	119%	—	$12 – $125
7	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$23	$38	$45	119%	—	$16 – $166
8	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$28	$47	$55	119%	—	$20 – $202
9	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$31	$51	$61	119%	—	$21 – $221
10	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$31	$51	$61	119%	—	$22 – $223
11	Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges	$31	$52	$61	119%	—	$22 – $225
12	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$31	$52	$61	119%	—	$22 – $225
13	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$36	$59	$70	119%	—	$25 – $255
14	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$38	$62	$74	119%	—	$26 – $269
15	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$39	$65	$77	119%	—	$27 – $281
16	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$39	$65	$77	119%	—	$27 – $282
17	Aetna asa percent of total billed charges · outpatientfrom % of charges	$40	$65	$78	119%	—	$27 – $283
18	Aetna coventry percent of total billed charges · outpatientfrom % of charges	$40	$65	$78	119%	—	$27 – $283
19	Phcs ppo percent of total billed charges · inpatientfrom % of charges	$42	$69	$82	119%	—	$29 – $301
20	MultiPlan commercial percent of total billed charges · inpatientfrom % of charges	$49	$81	$96	119%	—	$34 – $352
21	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$49	$81	$96	119%	—	$34 – $352
22	Cigna indemnity percent of total billed charges · inpatientfrom % of charges	$53	$88	$104	119%	—	$37 – $380
23	Cigna indemnity percent of total billed charges · outpatientfrom % of charges	$53	$88	$104	119%	—	$37 – $380
24	Blue Cross Blue Shield medicare advantage case rate · outpatient	$106	$106	—	—	—	$106 – $106
25	Humana medicare advantage case rate · outpatient	$110	$110	—	—	—	$110 – $110

Page 1 of 2 · 31 rates

Last updated: Apr 21, 2026

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