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
HC LONGITUDINAL/METATARSAL ARCH SUPPORT, MOLDED TO MODEL OF FOOT
Buda, TX
See all hospitals reporting HCPCS L3020 →Price type
Baylor Scott & White Medical Center - Buda’s median price of $302 is 22% above the median hospital's median price ($248), higher than 80% of the 1,015 hospitals reporting HCPCS L3020. 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, 28 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 | Superior Healthplan medicaid facility · percent of total billed charges · outpatientfrom % of charges | $62 | $49 | $25 | 52% | — | $6 – $66 |
| 2 | UnitedHealthcare medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $67 | $52 | $27 | 52% | — | $6 – $71 |
| 3 | Blue Cross Blue Shield blue advantage facility · percent of total billed charges · inpatientfrom % of charges | $171 | $135 | $69 | 52% | — | $15 – $181 |
| 4 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · percent of total billed charges · inpatientfrom % of charges | $234 | $184 | $95 | 52% | — | $21 – $247 |
| 5 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · percent of total billed charges · outpatientfrom % of charges | $236 | $186 | $96 | 52% | — | $21 – $250 |
| 6 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · percent of total billed charges · inpatientfrom % of charges | $275 | $216 | $112 | 52% | — | $25 – $291 |
| 7 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · percent of total billed charges · outpatientfrom % of charges | $278 | $219 | $113 | 52% | — | $25 – $294 |
| 8 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $285 | $225 | $116 | 52% | — | $25 – $302 |
| 9 | Blue Cross Blue Shield blue advantage facility · percent of total billed charges · outpatientfrom % of charges | $301 | $237 | $122 | 52% | — | $27 – $319 |
| 10 | Cigna local plus facility · percent of total billed charges · inpatientfrom % of charges | $301 | $237 | $122 | 52% | — | $27 – $319 |
| 11 | Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges | $301 | $237 | $122 | 52% | — | $27 – $319 |
| 12 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $306 | $241 | $124 | 52% | — | $27 – $324 |
| 13 | Humana commercial hmo facility · percent of total billed charges · inpatientfrom % of charges | $337 | $265 | $137 | 52% | — | $30 – $357 |
| 14 | Humana commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $337 | $265 | $137 | 52% | — | $30 – $357 |
| 15 | Cigna hmo/ppo facility · percent of total billed charges · inpatientfrom % of charges | $353 | $278 | $143 | 52% | — | $32 – $373 |
| 16 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $353 | $278 | $143 | 52% | — | $32 – $373 |
| 17 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $359 | $282 | $145 | 52% | — | $32 – $379 |
| 18 | Blue Cross Blue Shield blue essentials (hmo) facility · percent of total billed charges · inpatientfrom % of charges | $363 | $286 | $147 | 52% | — | $32 – $384 |
| 19 | Blue Cross Blue Shield blue essentials (hmo) facility · percent of total billed charges · outpatientfrom % of charges | $363 | $286 | $147 | 52% | — | $32 – $384 |
| 20 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · percent of total billed charges · inpatientfrom % of charges | $363 | $286 | $147 | 52% | — | $32 – $384 |
| 21 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · percent of total billed charges · outpatientfrom % of charges | $363 | $286 | $147 | 52% | — | $32 – $384 |
| 22 | Blue Cross Blue Shield bluechoice (ppo) facility · percent of total billed charges · inpatientfrom % of charges | $363 | $286 | $147 | 52% | — | $32 – $384 |
| 23 | Blue Cross Blue Shield bluechoice (ppo) facility · percent of total billed charges · outpatientfrom % of charges | $363 | $286 | $147 | 52% | — | $32 – $384 |
| 24 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $363 | $286 | $147 | 52% | — | $32 – $384 |
| 25 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $363 | $286 | $147 | 52% | — | $32 – $384 |
Last updated: Jun 13, 2026
See Removable molded foot insert with arch and metatarsal support pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.