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
PO-NON STANDARD SIZE OR WIDTH
Hackensack, NJ
See all hospitals reporting HCPCS L3254 →Price type
Hmh Hospitals Corporation’s median price of $33 is 26% above the median hospital's median price ($26), higher than 57% of the 237 hospitals reporting HCPCS L3254. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 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 | Clover medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $8 | $8 | — | — | — | $8 – $8 |
| 2 | Optum managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $10 | $10 | — | — | — | $10 – $10 |
| 3 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $14 | $14 | — | — | — | $14 – $14 |
| 4 | Aetna managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $23 | $23 | — | — | — | $23 – $23 |
| 5 | Cigna hmo facility · percent of total billed charges · bothfrom % of charges | $25 | $25 | — | — | — | $25 – $25 |
| 6 | Cigna ppo facility · percent of total billed charges · bothfrom % of charges | $25 | $25 | — | — | — | $25 – $25 |
| 7 | Aetna asa facility · percent of total billed charges · outpatientfrom % of charges | $33 | $33 | — | — | — | $33 – $33 |
| 8 | Aetna hmo facility · percent of total billed charges · outpatientfrom % of charges | $33 | $33 | — | — | — | $33 – $33 |
| 9 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $33 | $33 | — | — | — | $33 – $33 |
| 10 | Cigna bh facility · percent of total billed charges · outpatientfrom % of charges | $38 | $38 | — | — | — | $38 – $38 |
| 11 | MultiPlan all products facility · percent of total billed charges · bothfrom % of charges | $40 | $40 | — | — | — | $40 – $40 |
Last updated: Dec 31, 2025
See Non-standard size orthotic foot brace pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.