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
Custom Orthotic -Large
Eureka, IL
See all hospitals reporting HCPCS L3000 →Price type
Carle Eureka Hospital’s median price of $162 is 59% below the median hospital's median price ($393), higher than 3% of the 952 hospitals reporting HCPCS L3000. 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, 22 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 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $54 | $54 | — | — | — | $54 – $54 |
| 2 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $54 | $54 | — | — | — | $54 – $54 |
| 3 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $54 | $54 | — | — | — | $54 – $54 |
| 4 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $122 | $122 | — | — | — | $122 – $122 |
| 5 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $122 | $122 | — | — | — | $122 – $122 |
| 6 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $122 | $122 | — | — | — | $122 – $122 |
| 7 | UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges | $122 | $122 | — | — | — | $122 – $122 |
| 8 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $127 | $127 | — | — | — | $127 – $127 |
| 9 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $130 | $130 | — | — | — | $130 – $130 |
| 10 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $149 | $149 | — | — | — | $149 – $149 |
| 11 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $162 | $162 | — | — | — | $162 – $162 |
| 12 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $167 | $167 | — | — | — | $167 – $167 |
| 13 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $178 | $178 | — | — | — | $178 – $178 |
| 14 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $178 | $178 | — | — | — | $178 – $178 |
| 15 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $181 | $181 | — | — | — | $181 – $181 |
| 16 | Humana medicare-medicaid (d-snp) fee schedule · inpatient | $198 | $198 | — | — | — | $198 – $198 |
| 17 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $198 | $198 | — | — | — | $198 – $198 |
| 18 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $203 | $203 | — | — | — | $203 – $203 |
| 19 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $204 | $204 | — | — | — | $204 – $204 |
| 20 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $204 | $204 | — | — | — | $204 – $204 |
| 21 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $227 | $227 | — | — | — | $227 – $227 |
| 22 | WellCare medicare advantage hmo case rate · outpatient | $386 | $386 | — | — | — | $386 – $386 |
Last updated: Apr 15, 2026
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