Sock for upper extremity orthosis at Lee's Summit Medical Center

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

SOCK PROS OTHS HUM FX

Lee's Summit, MO

See all hospitals reporting HCPCS L3995 →

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Pricing by billing methodology

Price type

How this price compares nationally

Lee's Summit Medical Center’s median price of $116 is 154% above the median hospital's median price ($46), higher than 94% of the 1,010 hospitals reporting HCPCS L3995. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L3995 at Lee's Summit Medical Center

Negotiated rates from the hospital’s own file: 12 payers, 44 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	Blue Cross Blue Shield mcrhmo fee schedule · outpatient	$36	$36	—	—	—	$36 – $36
2	Blue Cross Blue Shield mcrppo fee schedule · outpatient	$36	$36	—	—	—	$36 – $36
3	Blue Cross Blue Shield tricare fee schedule · outpatient	$37	$37	—	—	—	$37 – $37
4	Devoted mgmcr fee schedule · outpatient	$37	$37	—	—	—	$37 – $37
5	Humana mgmcrhmo fee schedule · outpatient	$37	$37	—	—	—	$37 – $37
6	Humana mgmcrppo fee schedule · outpatient	$37	$37	—	—	—	$37 – $37
7	Humana pffs fee schedule · outpatient	$37	$37	—	—	—	$37 – $37
8	UnitedHealthcare vaccn fee schedule · outpatient	$37	$37	—	—	—	$37 – $37
9	Cigna healthspringmgmcr fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
10	UnitedHealthcare mgmcr fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
11	WellCare mcr fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
12	Anthem missouricaremgmcd percent of total billed charges · outpatientfrom % of charges	$54	$54	—	—	—	$54 – $54
13	Ambetter commercial-exchange percent of total billed charges · outpatientfrom % of charges	$77	$77	—	—	—	$77 – $77
14	Oscar hix percent of total billed charges · outpatientfrom % of charges	$78	$78	—	—	—	$78 – $78
15	Humana aso percent of total billed charges · outpatientfrom % of charges	$87	$87	—	—	—	$87 – $87
16	Humana epo percent of total billed charges · outpatientfrom % of charges	$87	$87	—	—	—	$87 – $87
17	Humana hmo percent of total billed charges · outpatientfrom % of charges	$87	$87	—	—	—	$87 – $87
18	Aetna familyhealthplanmcd percent of total billed charges · outpatientfrom % of charges	$95	$95	—	—	—	$95 – $95
19	Cigna surefit/localplus percent of total billed charges · outpatientfrom % of charges	$102	$102	—	—	—	$102 – $102
20	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$103	$103	—	—	—	$103 – $103
21	Humana pos percent of total billed charges · outpatientfrom % of charges	$109	$109	—	—	—	$109 – $109
22	Humana ppo percent of total billed charges · outpatientfrom % of charges	$109	$109	—	—	—	$109 – $109
23	Blue Cross Blue Shield freedomnetworkselect percent of total billed charges · outpatientfrom % of charges	$111	$111	—	—	—	$111 – $111
24	Cigna localkc percent of total billed charges · outpatientfrom % of charges	$122	$122	—	—	—	$122 – $122
25	Aetna Better Health mcd percent of total billed charges · outpatientfrom % of charges	$124	$124	—	—	—	$124 – $124

Page 1 of 2 · 44 rates

Last updated: Mar 1, 2026

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