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
BOOT CUSHION ROCKER MED - 00199502300
Utica, NY
See all hospitals reporting HCPCS L4387 →Price type
MVHS, Inc.’s median price of $30 is 85% below the median hospital's median price ($193), higher than 4% of the 1,239 hospitals reporting HCPCS L4387. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 9 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 | UnitedHealthcare uhc empire plan percent of total billed charges · bothfrom % of charges | $17 | $18 | $2 | 9% | — | $16 – $20 |
| 2 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $26 | $26 | $2 | 9% | — | $23 – $29 |
| 3 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $30 | $30 | $3 | 9% | — | $27 – $33 |
| 4 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $30 | $30 | $3 | 9% | — | $27 – $33 |
| 5 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $30 | $30 | $3 | 9% | — | $27 – $33 |
| 6 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $30 | $30 | $3 | 9% | — | $27 – $33 |
| 7 | Cigna mvp and cigna commercial percent of total billed charges · bothfrom % of charges | $31 | $31 | $3 | 9% | — | $28 – $35 |
| 8 | UnitedHealthcare uhc commercial percent of total billed charges · bothfrom % of charges | $32 | $32 | $3 | 9% | — | $29 – $36 |
| 9 | Humana humana hmo/pos percent of total billed charges · bothfrom % of charges | $33 | $33 | $3 | 9% | — | $29 – $37 |
Last updated: Aug 7, 2026
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