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
ORTHOPEDIC BRACE L4210 (101.01 - 200)
Clovis, CA
See all hospitals reporting HCPCS L4210 →Price type
Clovis Community Medical Center’s median price of $750 is 1483% above the median hospital's median price ($47), higher than 99% of the 474 hospitals reporting HCPCS L4210. 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, 18 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 hmo for chp facility · fee schedule · inpatient | $601 | $601 | $201 | 33% | — | $400 – $802 |
| 2 | Aetna medicare hmo for non-chp facility · fee schedule · inpatient | $601 | $601 | $201 | 33% | — | $400 – $802 |
| 3 | Aetna ppo facility · fee schedule · inpatient | $601 | $601 | $201 | 33% | — | $400 – $802 |
| 4 | UnitedHealthcare ppo facility · fee schedule · inpatient | $606 | $606 | $203 | 33% | — | $404 – $809 |
| 5 | UnitedHealthcare hmo facility · fee schedule · inpatient | $619 | $619 | $207 | 33% | — | $412 – $826 |
| 6 | Blue Cross Blue Shield epn facility · fee schedule · inpatient | $664 | $664 | $222 | 33% | — | $442 – $886 |
| 7 | Blue Cross Blue Shield epoppo facility · fee schedule · inpatient | $676 | $676 | $226 | 33% | — | $450 – $902 |
| 8 | Blue Cross Blue Shield hmopos facility · fee schedule · inpatient | $676 | $676 | $226 | 33% | — | $450 – $902 |
| 9 | Aetna hmoposppo facility · fee schedule · inpatient | $686 | $686 | $230 | 33% | — | $457 – $916 |
| 10 | Aetna qualified health plan facility · fee schedule · inpatient | $696 | $696 | $233 | 33% | — | $463 – $928 |
| 11 | Cigna hmo facility · fee schedule · inpatient | $834 | $834 | $279 | 33% | — | $555 – $1.1k |
| 12 | Cigna ppo facility · fee schedule · inpatient | $834 | $834 | $279 | 33% | — | $555 – $1.1k |
| 13 | Kaiser commercial facility · fee schedule · inpatient | $901 | $901 | $301 | 33% | — | $600 – $1.2k |
| 14 | Blue Cross Blue Shield hmoppo facility · fee schedule · inpatient | $938 | $938 | $314 | 33% | — | $625 – $1.3k |
| 15 | Blue Cross Blue Shield exchange hmo facility · fee schedule · inpatient | $955 | $955 | $320 | 33% | — | $636 – $1.3k |
| 16 | Humana choice care ppo facility · fee schedule · inpatient | $1.1k | $1.1k | $377 | 33% | — | $750 – $1.5k |
| 17 | MultiPlan ppo facility · fee schedule · inpatient | $1.1k | $1.1k | $377 | 33% | — | $750 – $1.5k |
| 18 | Phcs commercial facility · fee schedule · inpatient | $1.1k | $1.1k | $377 | 33% | — | $750 – $1.5k |
Last updated: Sep 11, 2026
See Repair or replacement of minor orthotic device parts pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.