Static or dynamic ankle-foot orthosis, prefabricated at Central Community Hospital

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

BOOT ANKLE MULTI-PODUS LG

Elkader, IA

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Pricing by billing methodology

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How this price compares nationally

Central Community Hospital’s median price of $150 is 28% below the median hospital's median price ($208), higher than 18% of the 1,319 hospitals reporting HCPCS L4396. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L4396 at Central Community Hospital

Negotiated rates from the hospital’s own file: 9 payers, 11 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	Wellmark wellmark medicare advantage facility · percent of total billed charges · bothfrom % of charges	$108	$98	$32	33%	—	$35 – $131
2	Aetna aetna medicare advantage facility · percent of total billed charges · bothfrom % of charges	$109	$99	$32	33%	—	$35 – $132
3	UnitedHealthcare united healthcare medicare advantage facility · percent of total billed charges · bothfrom % of charges	$115	$105	$34	33%	—	$37 – $140
4	Molina molina medicaid facility · percent of total billed charges · bothfrom % of charges	$132	$120	$39	33%	—	$43 – $160
5	Aetna aetna facility · percent of total billed charges · bothfrom % of charges	$154	$140	$46	33%	—	$50 – $187
6	First Health aetna facility · percent of total billed charges · bothfrom % of charges	$154	$140	$46	33%	—	$50 – $187
7	Medical Mutual aetna facility · percent of total billed charges · bothfrom % of charges	$154	$140	$46	33%	—	$50 – $187
8	Ambetter ambetter marketplace facility · percent of total billed charges · bothfrom % of charges	$183	$166	$54	33%	—	$59 – $222
9	UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges	$183	$166	$54	33%	—	$59 – $222
10	Cigna midlands choice facility · percent of total billed charges · bothfrom % of charges	$205	$186	$61	33%	—	$66 – $249
11	Medica midlands choice facility · percent of total billed charges · bothfrom % of charges	$205	$186	$61	33%	—	$66 – $249

Last updated: Mar 31, 2026

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