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
HCHG L4387 BOOT TCC-EZ XL - 27890
Oakland, MD
See all hospitals reporting HCPCS L4387 →Price type
GRMC, Inc.’s median price of $170 is 12% below the median hospital's median price ($193), higher than 30% of the 1,226 hospitals reporting HCPCS L4387. 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, 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 | Caresource all plans percent of total billed charges · bothfrom % of charges | $164 | $164 | $49 | 30% | — | $115 – $213 |
| 2 | Highmark all plans percent of total billed charges · bothfrom % of charges | $168 | $168 | $51 | 30% | — | $118 – $219 |
| 3 | Humana all plans percent of total billed charges · bothfrom % of charges | $168 | $168 | $51 | 30% | — | $118 – $219 |
| 4 | Humana tricare percent of total billed charges · bothfrom % of charges | $168 | $168 | $51 | 30% | — | $118 – $219 |
| 5 | Aetna Better Health chip percent of total billed charges · bothfrom % of charges | $172 | $172 | $52 | 30% | — | $120 – $223 |
| 6 | Aetna Better Health managed medicaid percent of total billed charges · bothfrom % of charges | $172 | $172 | $52 | 30% | — | $120 – $223 |
| 7 | Aetna Better Health medicaid percent of total billed charges · bothfrom % of charges | $172 | $172 | $52 | 30% | — | $120 – $223 |
| 8 | Carefirst medicaid percent of total billed charges · bothfrom % of charges | $172 | $172 | $52 | 30% | — | $120 – $223 |
| 9 | Highmark chip percent of total billed charges · bothfrom % of charges | $172 | $172 | $52 | 30% | — | $120 – $223 |
| 10 | Highmark managed medicaid percent of total billed charges · bothfrom % of charges | $172 | $172 | $52 | 30% | — | $120 – $223 |
| 11 | UnitedHealthcare managed medicaid percent of total billed charges · bothfrom % of charges | $172 | $172 | $52 | 30% | — | $120 – $223 |
| 12 | Carefirst all plans percent of total billed charges · bothfrom % of charges | $173 | $173 | $52 | 30% | — | $118 – $237 |
| 13 | MultiPlan all plans percent of total billed charges · bothfrom % of charges | $173 | $173 | $52 | 30% | — | $121 – $225 |
| 14 | Aetna all plans percent of total billed charges · bothfrom % of charges | $173 | $175 | $53 | 30% | — | $118 – $237 |
| 15 | UnitedHealthcare all plans percent of total billed charges · bothfrom % of charges | $173 | $175 | $53 | 30% | — | $118 – $237 |
| 16 | Cigna all plans percent of total billed charges · bothfrom % of charges | $182 | $182 | $55 | 30% | — | $128 – $237 |
| 17 | Cigna rental percent of total billed charges · bothfrom % of charges | $182 | $182 | $55 | 30% | — | $128 – $237 |
| 18 | First Health all plans percent of total billed charges · bothfrom % of charges | $182 | $182 | $55 | 30% | — | $128 – $237 |
Last updated: Mar 31, 2026
See Non-inflatable walking boot, off-the-shelf pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.