Static or dynamic ankle-foot orthosis, prefabricated at Mayo Clinic Arizona

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

HC ORTHOSIS ANKLE/FOOT CUSTOM

Phoenix, AZ

See all hospitals reporting HCPCS L4396 →

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Pricing by billing methodology

Price type

How this price compares nationally

Mayo Clinic Arizona’s median price of $131 is 37% below the median hospital's median price ($208), higher than 13% of the 1,319 hospitals reporting HCPCS L4396. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L4396 at Mayo Clinic Arizona

Negotiated rates from the hospital’s own file: 17 payers, 84 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	Medica az uhc optum [72] facility · percent of total billed charges · bothfrom % of charges	$46	$67	$30	45%	—	$46 – $110
2	Optum az uhc optum [72] facility · percent of total billed charges · bothfrom % of charges	$46	$67	$30	45%	—	$46 – $110
3	UnitedHealthcare az uhc gap exception [1376] facility · percent of total billed charges · bothfrom % of charges	$46	$67	$30	45%	—	$46 – $110
4	UnitedHealthcare az uhc optum [72] facility · percent of total billed charges · bothfrom % of charges	$46	$67	$30	45%	—	$46 – $110
5	Cigna az cigna [39] facility · percent of total billed charges · bothfrom % of charges	$47	$69	$31	45%	—	$47 – $112
6	Cigna az cigna gap exception [1383] facility · percent of total billed charges · bothfrom % of charges	$47	$69	$31	45%	—	$47 – $112
7	Healthpartners az cigna [39] facility · percent of total billed charges · bothfrom % of charges	$47	$69	$31	45%	—	$47 – $112
8	Humana az cigna [39] facility · percent of total billed charges · bothfrom % of charges	$47	$69	$31	45%	—	$47 – $112
9	Medcost az cigna [39] facility · percent of total billed charges · bothfrom % of charges	$47	$69	$31	45%	—	$47 – $112
10	Medical Mutual az cigna [39] facility · percent of total billed charges · bothfrom % of charges	$47	$69	$31	45%	—	$47 – $112
11	Oscar az cigna [39] facility · percent of total billed charges · bothfrom % of charges	$47	$69	$31	45%	—	$47 – $112
12	Aetna az aetna [26] facility · percent of total billed charges · bothfrom % of charges	$51	$74	$33	45%	—	$51 – $122
13	Anthem az bcbs [124] facility · percent of total billed charges · bothfrom % of charges	$51	$74	$33	45%	—	$51 – $122
14	Blue Cross Blue Shield az bcbs [124] facility · percent of total billed charges · bothfrom % of charges	$51	$74	$33	45%	—	$51 – $122
15	Blue Cross Blue Shield az federal retiree [1020] facility · percent of total billed charges · bothfrom % of charges	$51	$74	$33	45%	—	$51 – $122
16	Blue Cross Blue Shield az tx bcbs [875] facility · percent of total billed charges · bothfrom % of charges	$51	$74	$33	45%	—	$51 – $122
17	Cigna az tx cigna [838] facility · percent of total billed charges · bothfrom % of charges	$51	$74	$33	45%	—	$51 – $122
18	Healthpartners az cc complex care [768] facility · percent of total billed charges · bothfrom % of charges	$51	$74	$33	45%	—	$51 – $122
19	Kaiser az fl transplant [694] facility · percent of total billed charges · bothfrom % of charges	$51	$74	$33	45%	—	$51 – $122
20	Medical Mutual az aetna [26] facility · percent of total billed charges · bothfrom % of charges	$51	$74	$33	45%	—	$51 – $122
21	Aetna az geha aetna federal retiree [1021] facility · percent of total billed charges · bothfrom % of charges	$54	$79	$35	45%	—	$54 – $130
22	Humana az by plan [32] facility · percent of total billed charges · bothfrom % of charges	$54	$79	$35	45%	—	$54 – $130
23	Aetna az transplant [28] facility · percent of total billed charges · bothfrom % of charges	$61	$89	$40	45%	—	$61 – $146
24	First Health az aetna asa [1119] facility · percent of total billed charges · bothfrom % of charges	$61	$89	$40	45%	—	$61 – $146
25	Humana az transplant [28] facility · percent of total billed charges · bothfrom % of charges	$61	$89	$40	45%	—	$61 – $146

Page 1 of 4 · 84 rates

Last updated: Aug 14, 2026

Compare to other hospitals

See Static or dynamic ankle-foot orthosis, prefabricated pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.