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
Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment
Jourdanton, TX
See all hospitals reporting HCPCS L2114 →Price type
Methodist Hospital Atascosa’s median price of $769 is about the same as the median hospital's median price ($761), higher than 51% of the 972 hospitals reporting HCPCS L2114. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 17 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 mgmcrhmo fee schedule · outpatient | $753 | $753 | — | — | — | $753 – $753 |
| 2 | Blue Cross Blue Shield mgmcrpos fee schedule · outpatient | $753 | $753 | — | — | — | $753 – $753 |
| 3 | Blue Cross Blue Shield mgmcrppo fee schedule · outpatient | $753 | $753 | — | — | — | $753 – $753 |
| 4 | Devoted dualeligible fee schedule · outpatient | $753 | $753 | — | — | — | $753 – $753 |
| 5 | Devoted mcrhmo fee schedule · outpatient | $753 | $753 | — | — | — | $753 – $753 |
| 6 | Devoted mcrpffs fee schedule · outpatient | $753 | $753 | — | — | — | $753 – $753 |
| 7 | Devoted mcrpos fee schedule · outpatient | $753 | $753 | — | — | — | $753 – $753 |
| 8 | Devoted mcrppo fee schedule · outpatient | $753 | $753 | — | — | — | $753 – $753 |
| 9 | Devoted mcrsnp fee schedule · outpatient | $753 | $753 | — | — | — | $753 – $753 |
| 10 | Aetna mcr fee schedule · outpatient | $767 | $767 | — | — | — | $767 – $767 |
| 11 | UnitedHealthcare mcr fee schedule · outpatient | $769 | $769 | — | — | — | $769 – $769 |
| 12 | WellCare mcrhmo fee schedule · outpatient | $776 | $776 | — | — | — | $776 – $776 |
| 13 | WellCare mcrpos fee schedule · outpatient | $776 | $776 | — | — | — | $776 – $776 |
| 14 | WellCare mcrppo fee schedule · outpatient | $776 | $776 | — | — | — | $776 – $776 |
| 15 | WellCare mcrsnp fee schedule · outpatient | $776 | $776 | — | — | — | $776 – $776 |
| 16 | WellCare pffs fee schedule · outpatient | $776 | $776 | — | — | — | $776 – $776 |
| 17 | Clover mcr fee schedule · outpatient | $791 | $791 | — | — | — | $791 – $791 |
Last updated: May 1, 2026
See Semi-rigid prefabricated ankle-foot brace for tibial fracture pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.