Removable premolded arch support for foot at Benefis Hospitals Inc

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-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

POWERSTEP SIZE C INSOLE MENS 6-6.5 WOMENS 8-8.5

Falls, MT

See all hospitals reporting HCPCS L3040 →

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Pricing by billing methodology

Price type

How this price compares nationally

Benefis Hospitals Inc’s median price of $134 is 126% above the median hospital's median price ($59), higher than 96% of the 965 hospitals reporting HCPCS L3040. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L3040 at Benefis Hospitals Inc

Negotiated rates from the hospital’s own file: 11 payers, 26 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 bhs hb bcbs employee health plan fee schedule · outpatient	$44	$44	—	—	—	$44 – $44
2	Aetna bhs hb medicare fee schedule · outpatient	$58	$58	—	—	—	$58 – $58
3	Anthem bhs hb medicare fee schedule · outpatient	$58	$58	—	—	—	$58 – $58
4	Blue Cross Blue Shield bhs hb medicare fee schedule · outpatient	$58	$58	—	—	—	$58 – $58
5	Kaiser bhs hb medicare fee schedule · outpatient	$58	$58	—	—	—	$58 – $58
6	Medicare bhs hb medicare fee schedule · outpatient	$58	$58	—	—	—	$58 – $58
7	WellCare bhs hb medicare fee schedule · outpatient	$58	$58	—	—	—	$58 – $58
8	Cigna bhs hb allegiance fee schedule · outpatient	$59	$59	—	—	—	$59 – $59
9	Healthpartners bhs hb allegiance fee schedule · outpatient	$59	$59	—	—	—	$59 – $59
10	Kaiser bhs hb allegiance fee schedule · outpatient	$59	$59	—	—	—	$59 – $59
11	Medical Mutual bhs hb allegiance fee schedule · outpatient	$59	$59	—	—	—	$59 – $59
12	Blue Cross Blue Shield bhs hb bcbs blue options fee schedule · outpatient	$59	$59	—	—	—	$59 – $59
13	Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · outpatientfrom % of charges	$97	$123	$37	30%	—	$97 – $176
14	Blue Cross Blue Shield bhs hb bcbs employee health plan percent of total billed charges · inpatientfrom % of charges	$112	$142	$43	30%	—	$112 – $203
15	Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · inpatientfrom % of charges	$119	$152	$46	30%	—	$119 – $217
16	Blue Cross Blue Shield bhs hb bcbs blue options percent of total billed charges · inpatientfrom % of charges	$121	$154	$47	30%	—	$121 – $221
17	Blue Cross Blue Shield bhs hb bcbs federal percent of total billed charges · bothfrom % of charges	$126	$161	$49	30%	—	$126 – $230
18	Blue Cross Blue Shield bhs hb bcbs healthy montana kids percent of total billed charges · bothfrom % of charges	$126	$161	$49	30%	—	$126 – $230
19	Blue Cross Blue Shield bhs hb bcbs healthlink ppo percent of total billed charges · bothfrom % of charges	$128	$163	$50	30%	—	$128 – $233
20	Cigna bhs hb allegiance percent of total billed charges · inpatientfrom % of charges	$134	$170	$52	30%	—	$134 – $244
21	Healthpartners bhs hb allegiance percent of total billed charges · inpatientfrom % of charges	$134	$170	$52	30%	—	$134 – $244
22	Kaiser bhs hb allegiance percent of total billed charges · inpatientfrom % of charges	$134	$170	$52	30%	—	$134 – $244
23	Medical Mutual bhs hb allegiance percent of total billed charges · inpatientfrom % of charges	$134	$170	$52	30%	—	$134 – $244
24	Aetna bhs hb first choice health percent of total billed charges · bothfrom % of charges	$137	$174	$53	30%	—	$137 – $249
25	First Health bhs hb first choice health percent of total billed charges · bothfrom % of charges	$137	$174	$53	30%	—	$137 – $249

Page 1 of 2 · 26 rates

Last updated: Mar 26, 2026

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See Removable premolded arch support for foot pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.