Multi-ply below-knee prosthetic sock at Methodist Hospital

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 BK MULTI-PLY

SAN ANTONIO, TX

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How this price compares nationally

Methodist Hospital’s median price of $53 is 71% above the median hospital's median price ($31), higher than 83% of the 1,026 hospitals reporting HCPCS L8420. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L8420 at Methodist Hospital

Negotiated rates from the hospital’s own file: 13 payers, 52 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	$25	$25	—	—	—	$25 – $25
2	Blue Cross Blue Shield mgmcrpos fee schedule · outpatient	$25	$25	—	—	—	$25 – $25
3	Blue Cross Blue Shield mgmcrppo fee schedule · outpatient	$25	$25	—	—	—	$25 – $25
4	Devoted dualeligible fee schedule · outpatient	$25	$25	—	—	—	$25 – $25
5	Devoted mcrhmo fee schedule · outpatient	$25	$25	—	—	—	$25 – $25
6	Devoted mcrpffs fee schedule · outpatient	$25	$25	—	—	—	$25 – $25
7	Devoted mcrpos fee schedule · outpatient	$25	$25	—	—	—	$25 – $25
8	Devoted mcrppo fee schedule · outpatient	$25	$25	—	—	—	$25 – $25
9	Devoted mcrsnp fee schedule · outpatient	$25	$25	—	—	—	$25 – $25
10	Aetna mcr fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
11	UnitedHealthcare mcr fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
12	WellCare mcrhmo fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
13	WellCare mcrpos fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
14	WellCare mcrppo fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
15	WellCare mcrsnp fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
16	WellCare pffs fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
17	First Health chip percent of total billed charges · outpatientfrom % of charges	$26	$26	$13	51%	—	$13 – $40
18	First Health chipperinate percent of total billed charges · outpatientfrom % of charges	$26	$26	$13	51%	—	$13 – $40
19	First Health mcdstar percent of total billed charges · outpatientfrom % of charges	$26	$26	$13	51%	—	$13 – $40
20	Clover mcr fee schedule · outpatient	$27	$27	—	—	—	$27 – $27
21	Molina mcr fee schedule · outpatient	$40	$40	—	—	—	$40 – $40
22	Molina mme-mmp fee schedule · outpatient	$40	$40	—	—	—	$40 – $40
23	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$55	$55	$28	51%	—	$27 – $83
24	Blue Cross Blue Shield mybluehealth percent of total billed charges · outpatientfrom % of charges	$63	$63	$32	51%	—	$31 – $95
25	Cigna comm percent of total billed charges · outpatientfrom % of charges	$64	$64	$32	51%	—	$31 – $96

Page 1 of 3 · 52 rates

Last updated: May 1, 2026

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