Ankle-foot orthosis, plastic brace at Mayo Clinic

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.

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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 CAST ROOM PFS BOOT

Rochester, MN

See all hospitals reporting HCPCS L1930 →

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Pricing by billing methodology

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How this price compares nationally

Mayo Clinic’s median price of $217 is 27% below the median hospital's median price ($297), higher than 25% of the 1,364 hospitals reporting HCPCS L1930. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L1930 at Mayo Clinic

Negotiated rates from the hospital’s own file: 18 payers, 68 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 medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges	$50	$52	$24	45%	—	$36 – $113
2	Blue Cross Blue Shield medicaid base apr drg only [1277] facility · percent of total billed charges · bothfrom % of charges	$50	$52	$24	45%	—	$36 – $113
3	Healthpartners medicaid cah healthpartners [1174] facility · percent of total billed charges · bothfrom % of charges	$50	$52	$24	45%	—	$36 – $113
4	Molina medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges	$50	$52	$24	45%	—	$36 – $113
5	Ucare medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges	$50	$52	$24	45%	—	$36 – $113
6	Ucare pps medicaid ucare [1184] facility · percent of total billed charges · bothfrom % of charges	$50	$52	$24	45%	—	$36 – $113
7	UnitedHealthcare medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges	$50	$52	$24	45%	—	$36 – $113
8	Medica medica medicaid [1244] facility · percent of total billed charges · bothfrom % of charges	$116	$123	$56	45%	—	$84 – $265
9	Medica medica medicare advantage plan msho msc+ cap [167] facility · percent of total billed charges · bothfrom % of charges	$120	$127	$57	45%	—	$87 – $273
10	Medica medicaid medica choice care msc+ [1175] facility · percent of total billed charges · bothfrom % of charges	$120	$127	$57	45%	—	$87 – $273
11	Optum medica ma medicare advantage plan behavioral health [1350] facility · percent of total billed charges · bothfrom % of charges	$146	$154	$69	45%	—	$105 – $331
12	Blue Cross Blue Shield blue cross blue shield medicare advantage plan aco southern [1123] facility · percent of total billed charges · bothfrom % of charges	$191	$202	$91	45%	—	$138 – $434
13	Blue Cross Blue Shield blue cross blue shield medicare advantage plan ppo [826] facility · percent of total billed charges · bothfrom % of charges	$191	$202	$91	45%	—	$138 – $434
14	Medica medica advantage solution by county medicare advantage plan [793] facility · percent of total billed charges · bothfrom % of charges	$191	$202	$91	45%	—	$138 – $434
15	Optum veteran affairs optum [1045] facility · percent of total billed charges · bothfrom % of charges	$191	$202	$91	45%	—	$138 – $434
16	Ucare ucare connect+ medicare advantage plan [1116] facility · percent of total billed charges · bothfrom % of charges	$191	$202	$91	45%	—	$138 – $434
17	UnitedHealthcare united healthcare medicare advantage plan [1249] facility · percent of total billed charges · bothfrom % of charges	$191	$202	$91	45%	—	$138 – $434
18	Blue Cross Blue Shield blue cross blue shield aco [851] facility · percent of total billed charges · bothfrom % of charges	$210	$222	$100	45%	—	$152 – $477
19	Ucare ucare ifp [1108] facility · percent of total billed charges · bothfrom % of charges	$210	$222	$100	45%	—	$152 – $477
20	Blue Cross Blue Shield blue cross blue shield fep [874] facility · percent of total billed charges · bothfrom % of charges	$211	$223	$101	45%	—	$153 – $479
21	Anthem blue cross blue shield by payor [14] facility · percent of total billed charges · bothfrom % of charges	$215	$227	$102	45%	—	$156 – $488
22	Blue Cross Blue Shield blue cross blue shield by payor [14] facility · percent of total billed charges · bothfrom % of charges	$215	$227	$102	45%	—	$156 – $488
23	Blue Cross Blue Shield complex care complex and cancer care [806] facility · percent of total billed charges · bothfrom % of charges	$215	$227	$102	45%	—	$156 – $488
24	Blue Cross Blue Shield transplant bcbs [1140] facility · percent of total billed charges · bothfrom % of charges	$215	$227	$102	45%	—	$156 – $488
25	Healthpartners complex care complex and cancer care [806] facility · percent of total billed charges · bothfrom % of charges	$215	$227	$102	45%	—	$156 – $488

Page 1 of 3 · 68 rates

Last updated: Aug 14, 2026

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