Replacement of metal bands on leg brace at Hca Florida Memorial 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

Replace metal bands kafo-afo, calf or distal thigh

JACKSONVILLE, FL

See all hospitals reporting HCPCS L4090 →

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How this price compares nationally

Hca Florida Memorial Hospital’s median price of $109 is 5% below the median hospital's median price ($115), higher than 35% of the 819 hospitals reporting HCPCS L4090. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L4090 at Hca Florida Memorial Hospital

Negotiated rates from the hospital’s own file: 7 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	Aetna mcr fee schedule · outpatient	$109	$109	—	—	—	$109 – $109
2	Devoted mcr fee schedule · outpatient	$109	$109	—	—	—	$109 – $109
3	Humana mgmcrhmo fee schedule · outpatient	$109	$109	—	—	—	$109 – $109
4	Humana mgmcrppo fee schedule · outpatient	$109	$109	—	—	—	$109 – $109
5	Humana tricare fee schedule · outpatient	$109	$109	—	—	—	$109 – $109
6	UnitedHealthcare vaccn fee schedule · outpatient	$109	$109	—	—	—	$109 – $109
7	Blue Cross Blue Shield mcrhmo fee schedule · outpatient	$111	$111	—	—	—	$111 – $111
8	Blue Cross Blue Shield mcrppo fee schedule · outpatient	$111	$111	—	—	—	$111 – $111
9	UnitedHealthcare mcr fee schedule · outpatient	$111	$111	—	—	—	$111 – $111
10	WellCare mcr fee schedule · outpatient	$114	$114	—	—	—	$114 – $114
11	Cigna Healthspring mcr fee schedule · outpatient	$116	$116	—	—	—	$116 – $116

Last updated: Mar 1, 2026

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