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 INSERT W/LONGITDNL ARCH
Arlington, TX
See all hospitals reporting HCPCS L5000 →Price type
AMH Cath Labs LLC’s median price of $1.2k is 69% above the median hospital's median price ($692), higher than 89% 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: 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 | $199 | $199 | — | — | — | $199 – $199 |
| 2 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $199 | $199 | — | — | — | $199 – $199 |
| 3 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $209 | $209 | — | — | — | $209 – $209 |
| 4 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $215 | $215 | — | — | — | $215 – $215 |
| 5 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $219 | $219 | — | — | — | $219 – $219 |
| 6 | Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges | $694 | $694 | — | — | — | $694 – $694 |
| 7 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $825 | $825 | — | — | — | $825 – $825 |
| 8 | Humana medicare advantage case rate · outpatient | $858 | $858 | — | — | — | $858 – $858 |
| 9 | Humana medicare advantage ppo case rate · outpatient | $858 | $858 | — | — | — | $858 – $858 |
| 10 | Molina medicare advantage case rate · outpatient | $866 | $866 | — | — | — | $866 – $866 |
| 11 | WellCare medicare advantage hmo case rate · outpatient | $866 | $866 | — | — | — | $866 – $866 |
| 12 | WellCare medicare advantage mmp case rate · outpatient | $907 | $907 | — | — | — | $907 – $907 |
| 13 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $915 | $915 | — | — | — | $915 – $915 |
| 14 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $919 | $919 | — | — | — | $919 – $919 |
| 15 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $932 | $932 | — | — | — | $932 – $932 |
| 16 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 17 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 18 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 19 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 20 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 21 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 22 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 23 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 24 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 25 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
Last updated: Apr 21, 2026
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