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
AFO-STATIC
Summit, WI
See all hospitals reporting HCPCS L4397 →Price type
Aurora Medical Center Summit’s median price of $218 is 3% above the median hospital's median price ($212), higher than 59% of the 1,056 hospitals reporting HCPCS L4397. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 21 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 | Aetna hmo percent of total billed charges · outpatientfrom % of charges | $163 | $163 | — | — | — | $163 – $163 |
| 2 | UnitedHealthcare charter percent of total billed charges · outpatientfrom % of charges | $199 | $199 | — | — | — | $199 – $199 |
| 3 | UnitedHealthcare exchange percent of total billed charges · outpatientfrom % of charges | $199 | $199 | — | — | — | $199 – $199 |
| 4 | UnitedHealthcare hmo percent of total billed charges · outpatientfrom % of charges | $199 | $199 | — | — | — | $199 – $199 |
| 5 | UnitedHealthcare nexus percent of total billed charges · outpatientfrom % of charges | $199 | $199 | — | — | — | $199 – $199 |
| 6 | Anthem blue priority percent of total billed charges · outpatientfrom % of charges | $201 | $201 | — | — | — | $201 – $201 |
| 7 | Healthpartners employee trust fund percent of total billed charges · outpatientfrom % of charges | $201 | $201 | — | — | — | $201 – $201 |
| 8 | Molina commercial percent of total billed charges · outpatientfrom % of charges | $201 | $201 | — | — | — | $201 – $201 |
| 9 | Anthem blue preferred percent of total billed charges · outpatientfrom % of charges | $218 | $218 | — | — | — | $218 – $218 |
| 10 | Cigna ppo-gppo percent of total billed charges · outpatientfrom % of charges | $251 | $251 | — | — | — | $251 – $251 |
| 11 | Healthpartners broad percent of total billed charges · inpatientfrom % of charges | $251 | $251 | — | — | — | $251 – $251 |
| 12 | Healthpartners broad percent of total billed charges · outpatientfrom % of charges | $251 | $251 | — | — | — | $251 – $251 |
| 13 | Healthpartners robin percent of total billed charges · outpatientfrom % of charges | $251 | $251 | — | — | — | $251 – $251 |
| 14 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $277 | $277 | — | — | — | $277 – $277 |
| 15 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $277 | $277 | — | — | — | $277 – $277 |
| 16 | UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges | $282 | $282 | — | — | — | $282 – $282 |
| 17 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $282 | $282 | — | — | — | $282 – $282 |
| 18 | Cigna ppo percent of total billed charges · inpatientfrom % of charges | $283 | $283 | — | — | — | $283 – $283 |
| 19 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $283 | $283 | — | — | — | $283 – $283 |
| 20 | Anthem ppo percent of total billed charges · inpatientfrom % of charges | $285 | $285 | — | — | — | $285 – $285 |
| 21 | Anthem ppo percent of total billed charges · outpatientfrom % of charges | $285 | $285 | — | — | — | $285 – $285 |
Last updated: Nov 21, 2025
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