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
Replace non-molded calf lace
Hamilton, OH
See all hospitals reporting HCPCS L4055 →Price type
Fort Hamilton Hospital’s median price of $477 is 48% above the median hospital's median price ($322), higher than 88% of the 816 hospitals reporting HCPCS L4055. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 5 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 managed care plan fee schedule · outpatient | $307 | $307 | — | — | — | $307 – $307 |
| 2 | Molina medicare managed care plan fee schedule · outpatient | $323 | $323 | — | — | — | $323 – $323 |
| 3 | Caresource marketplace exchange fee schedule · outpatient | $475 | $475 | — | — | — | $475 – $475 |
| 4 | UnitedHealthcare exchange fee schedule · outpatient | $477 | $477 | — | — | — | $477 – $477 |
| 5 | Molina exchange fee schedule · outpatient | $638 | $638 | — | — | — | $638 – $638 |
Last updated: Apr 1, 2026
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