Static or dynamic ankle-foot orthosis, prefabricated at Piedmont Augusta

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

BOOT CONTRACTURE LARGE ANKLE ANTIROTATION BAR PAD TOE PIECE

Augusta, GA

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Pricing by billing methodology

Price type

How this price compares nationally

Piedmont Augusta’s median price of $147 is 29% below the median hospital's median price ($208), higher than 17% of the 1,314 hospitals reporting HCPCS L4396. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L4396 at Piedmont Augusta

Negotiated rates from the hospital’s own file: 10 payers, 13 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	Bcbs Sc bcbs south carolina exchange percent of total billed charges · bothfrom % of charges	$63	$63	$8	12%	—	$55 – $70
2	Caresource caresource medicaid percent of total billed charges · bothfrom % of charges	$91	$91	$11	12%	—	$80 – $102
3	Anthem anthem pathway percent of total billed charges · bothfrom % of charges	$105	$105	$13	12%	—	$92 – $118
4	Blue Cross Blue Shield blue cross south carolina percent of total billed charges · bothfrom % of charges	$121	$121	$15	12%	—	$106 – $136
5	Blue Cross Blue Shield blue cross hmo percent of total billed charges · bothfrom % of charges	$129	$129	$16	12%	—	$113 – $145
6	Blue Cross Blue Shield blue cross ppo percent of total billed charges · bothfrom % of charges	$129	$129	$16	12%	—	$113 – $145
7	Medcost medcost percent of total billed charges · bothfrom % of charges	$154	$154	$19	12%	—	$135 – $173
8	MultiPlan multiplan percent of total billed charges · bothfrom % of charges	$170	$170	$21	12%	—	$149 – $191
9	Phcs phcs percent of total billed charges · bothfrom % of charges	$170	$170	$21	12%	—	$149 – $191
10	Blue Cross Blue Shield bcbs south carolina shp percent of total billed charges · bothfrom % of charges	$193	$193	$24	12%	—	$169 – $218
11	Cigna cigna percent of total billed charges · bothfrom % of charges	$263	$263	$33	12%	—	$230 – $296
12	Kaiser kaiser percent of total billed charges · bothfrom % of charges	$286	$286	$36	12%	—	$251 – $322
13	First Health first health percent of total billed charges · bothfrom % of charges	$329	$329	$41	12%	—	$288 – $370

Last updated: Jul 1, 2026

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