Pneumatic walking boot, pre-custom at Mercy Perry

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

DISC REPLACE W/ 442869 WALKER FOAM PNEUMATIC MED MEN 7-10 LADIES 8-11 01F-M ORT28100M - OLD

Perryville, MO

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Pricing by billing methodology

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How this price compares nationally

Mercy Perry’s median price of $125 is 61% below the median hospital's median price ($319), higher than 18% of the 1,483 hospitals reporting HCPCS L4360. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L4360 at Mercy Perry

Negotiated rates from the hospital’s own file: 16 payers, 26 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	Medicaid hb wash jefn linc samc pcmh stod il medicaid facility · percent of total billed charges · outpatientfrom % of charges	$29	$29	—	—	—	$29 – $29
2	Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$58	$58	—	—	—	$58 – $58
3	Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$58	$58	—	—	—	$58 – $58
4	Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$58	$58	—	—	—	$58 – $58
5	Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$58	$58	—	—	—	$58 – $58
6	UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$58	$58	—	—	—	$58 – $58
7	WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$58	$58	—	—	—	$58 – $58
8	UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$59	$59	—	—	—	$59 – $59
9	Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$60	$60	—	—	—	$60 – $60
10	Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges	$60	$60	—	—	—	$60 – $60
11	Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$64	$64	—	—	—	$64 – $64
12	Blue Cross Blue Shield hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$64	$64	—	—	—	$64 – $64
13	Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$64	$64	—	—	—	$64 – $64
14	Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges	$64	$64	—	—	—	$64 – $64
15	Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges	$69	$69	—	—	—	$69 – $69
16	Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges	$80	$80	—	—	—	$80 – $80
17	Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges	$91	$91	—	—	—	$91 – $91
18	Blue Cross Blue Shield hb stlo wash jefn linc samc cape stod pcmh bcbs ascension facility · percent of total billed charges · outpatientfrom % of charges	$91	$91	—	—	—	$91 – $91
19	UnitedHealthcare hb pcmh uhc core facility · percent of total billed charges · outpatientfrom % of charges	$109	$109	—	—	—	$109 – $109
20	Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$125	$125	—	—	—	$125 – $125
21	First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$125	$125	—	—	—	$125 – $125
22	Optum hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges	$126	$126	—	—	—	$126 – $126
23	UnitedHealthcare hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges	$126	$126	—	—	—	$126 – $126
24	Blue Cross Blue Shield hb pcmh anthem traditional facility · percent of total billed charges · outpatientfrom % of charges	$138	$138	—	—	—	$138 – $138
25	Cigna hb pcmh cigna facility · percent of total billed charges · outpatientfrom % of charges	$142	$142	—	—	—	$142 – $142

Page 1 of 2 · 26 rates

Last updated: Mar 12, 2026

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