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
WALKING BOOT, NON-PNEUMATIC, WITH OR WITHOUT JOINTS, WITH OR WITHOUT INTERFACE MATERIAL, PREFABRICATED ITEM THAT HAS BEEN TRIMMED, BENT, MOLDED, ASSEMBLED, OR OTHERWISE CUSTOMIZED TO FIT A SPECIFIC PATIENT BY AN INDIVIDUAL WITH EXPERTISE
Glendale, CA
See all hospitals reporting HCPCS L4386 →Price type
Glendale Adventist Medical Center’s median price of $228 is 17% above the median hospital's median price ($195), higher than 77% of the 1,451 hospitals reporting HCPCS L4386. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 25 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 | Medicaid medi-cal fee schedule · outpatient | $143 | $143 | — | — | — | $143 – $143 |
| 2 | Molina molina mcal fee schedule · outpatient | $143 | $143 | — | — | — | $143 – $143 |
| 3 | Blue Cross Blue Shield blue shield mcr adv other · outpatient | $190 | $190 | — | — | — | $190 – $190 |
| 4 | Blue Cross Blue Shield tricare blue shield - all plans other · outpatient | $190 | $190 | — | — | — | $190 – $190 |
| 5 | Molina molina mcr other · outpatient | $190 | $190 | — | — | — | $190 – $190 |
| 6 | UnitedHealthcare uhc mcr adv other · outpatient | $190 | $190 | — | — | — | $190 – $190 |
| 7 | Blue Cross Blue Shield blue cross mcr adv other · outpatient | $198 | $198 | — | — | — | $198 – $198 |
| 8 | Blue Cross Blue Shield blue shield epn - all other plans percent of total billed charges · outpatientfrom % of charges | $223 | $223 | $94 | 42% | — | $129 – $318 |
| 9 | UnitedHealthcare uhc jll csp percent of total billed charges · outpatientfrom % of charges | $233 | $233 | $99 | 42% | — | $135 – $332 |
| 10 | Blue Cross Blue Shield blue shield medi-cal percent of total billed charges · outpatientfrom % of charges | $243 | $243 | $103 | 42% | — | $140 – $345 |
| 11 | UnitedHealthcare uhc all payer - all other plans percent of total billed charges · outpatientfrom % of charges | $246 | $246 | $104 | 42% | — | $142 – $350 |
| 12 | UnitedHealthcare uhc hmo percent of total billed charges · outpatientfrom % of charges | $246 | $246 | $104 | 42% | — | $142 – $350 |
| 13 | Molina molina exchange - all other plans other · outpatient | $257 | $257 | — | — | — | $257 – $257 |
| 14 | Blue Cross Blue Shield blue shield non epn percent of total billed charges · outpatientfrom % of charges | $257 | $257 | $109 | 42% | — | $148 – $366 |
| 15 | Cigna cigna all other - all other plans percent of total billed charges · outpatientfrom % of charges | $276 | $276 | $117 | 42% | — | $159 – $393 |
| 16 | Cigna cigna hmo percent of total billed charges · outpatientfrom % of charges | $276 | $276 | $117 | 42% | — | $159 – $393 |
| 17 | Optum optum health - all other plans percent of total billed charges · outpatientfrom % of charges | $288 | $288 | $122 | 42% | — | $166 – $410 |
| 18 | Optum optum health mcr adv percent of total billed charges · outpatientfrom % of charges | $288 | $288 | $122 | 42% | — | $166 – $410 |
| 19 | Blue Cross Blue Shield blue cross exchange case rate · outpatient | $293 | $293 | $124 | 42% | — | $169 – $418 |
| 20 | Aetna aetna - all plans percent of total billed charges · outpatientfrom % of charges | $309 | $309 | $131 | 42% | — | $179 – $440 |
| 21 | Blue Cross Blue Shield blue cross mcs - all other plans case rate · outpatient | $326 | $326 | $138 | 42% | — | $188 – $464 |
| 22 | Blue Cross Blue Shield blue cross non-mcs case rate · outpatient | $326 | $326 | $138 | 42% | — | $188 – $464 |
| 23 | First Health first health- all plans percent of total billed charges · outpatientfrom % of charges | $352 | $352 | $149 | 42% | — | $203 – $501 |
| 24 | Phcs phcs- all plans percent of total billed charges · outpatientfrom % of charges | $394 | $394 | $167 | 42% | — | $228 – $561 |
| 25 | Kaiser kaiser - all plans percent of total billed charges · outpatientfrom % of charges | $516 | $516 | $218 | 42% | — | $298 – $734 |
Last updated: Jul 30, 2026
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