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
Sho insert w arch toe filler
Boulder, CO
See all hospitals reporting HCPCS L5000 →Price type
Boulder Community Health’s median price of $532 is 23% below the median hospital's median price ($692), higher than 9% of the 897 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: 8 payers, 19 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 medicare advantage professional · fee schedule · both | $303 | $303 | — | — | — | $303 – $303 |
| 2 | UnitedHealthcare commercial professional · fee schedule · both | $371 | $371 | — | — | — | $371 – $371 |
| 3 | Aetna commercial professional · fee schedule · both | $437 | $437 | $133 | 31% | — | $303 – $570 |
| 4 | Anthem commercial professional · fee schedule · both | $462 | $462 | — | — | — | $462 – $462 |
| 5 | Anthem managed care professional · fee schedule · both | $462 | $462 | — | — | — | $462 – $462 |
| 6 | UnitedHealthcare medicare advantage professional · fee schedule · both | $557 | $557 | $62 | 11% | — | $495 – $619 |
| 7 | Aetna medicare advantage facility · case rate · outpatient | $619 | $619 | — | — | — | $619 – $619 |
| 8 | Anthem medicare advantage facility · case rate · outpatient | $619 | $619 | — | — | — | $619 – $619 |
| 9 | Humana medicare advantage professional · fee schedule · both | $619 | $619 | — | — | — | $619 – $619 |
| 10 | Humana medicare advantage facility · case rate · outpatient | $631 | $631 | — | — | — | $631 – $631 |
| 11 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $631 | $631 | — | — | — | $631 – $631 |
| 12 | Kaiser medicare advantage facility · case rate · outpatient | $634 | $634 | $3 | 0% | — | $631 – $637 |
| 13 | Devoted medicare advantage facility · case rate · outpatient | $637 | $637 | — | — | — | $637 – $637 |
| 14 | Kaiser medicare advantage professional · fee schedule · both | $668 | $668 | — | — | — | $668 – $668 |
| 15 | Kaiser commercial professional · fee schedule · both | $792 | $792 | — | — | — | $792 – $792 |
| 16 | MultiPlan commercial professional · fee schedule · both | $952 | $952 | — | — | — | $952 – $952 |
| 17 | Phcs commercial professional · fee schedule · both | $952 | $952 | — | — | — | $952 – $952 |
| 18 | Kaiser commercial facility · case rate · outpatient | $1.3k | $1.3k | $163 | 12% | — | $1.2k – $1.5k |
| 19 | Kaiser managed care facility · case rate · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
Last updated: Sep 16, 2026
See Partial foot orthotic shoe insert with arch support pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.