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
PR NON-PNEUM WALK BOOT PREFAB
Quitman, MS
See all hospitals reporting HCPCS L4386 →Price type
Rush Medical Foundation’s median price of $136 is 30% below the median hospital's median price ($195), higher than 25% of the 1,451 hospitals reporting HCPCS L4386. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 22 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 | Humana all payor percent of total billed charges · outpatientfrom % of charges | $80 | $80 | — | — | — | $80 – $80 |
| 2 | Cigna all payor other · outpatient | $90 | $90 | $5 | 5% | — | $85 – $95 |
| 3 | Cigna Healthspring all payor other · outpatient | $99 | $99 | — | — | — | $99 – $99 |
| 4 | Humana all payor other · outpatient | $99 | $99 | — | — | — | $99 – $99 |
| 5 | Optum all payor other · outpatient | $99 | $99 | — | — | — | $99 – $99 |
| 6 | UnitedHealthcare all payor other · outpatient | $99 | $99 | — | — | — | $99 – $99 |
| 7 | Ambetter all payor other · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 8 | Molina all payor other · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 9 | WellCare all payor other · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 10 | UnitedHealthcare all payor fee schedule · outpatient | $64 | $107 | $60 | 57% | — | $64 – $192 |
| 11 | Aetna all payor percent of total billed charges · outpatientfrom % of charges | $111 | $111 | — | — | — | $111 – $111 |
| 12 | UnitedHealthcare all payor percent of total billed charges · outpatientfrom % of charges | $111 | $111 | — | — | — | $111 – $111 |
| 13 | MultiPlan all payor percent of total billed charges · outpatientfrom % of charges | $128 | $128 | — | — | — | $128 – $128 |
| 14 | Bcbs Ms all payor other · outpatient | $136 | $136 | — | — | — | $136 – $136 |
| 15 | Bcbs Ms all payor fee schedule · outpatient | $149 | $149 | — | — | — | $149 – $149 |
| 16 | Aetna all payor fee schedule · outpatient | $172 | $172 | — | — | — | $172 – $172 |
| 17 | Humana all payor fee schedule · outpatient | $173 | $173 | $19 | 11% | — | $154 – $192 |
| 18 | Cigna Healthspring all payor fee schedule · outpatient | $192 | $192 | — | — | — | $192 – $192 |
| 19 | Optum all payor fee schedule · outpatient | $192 | $192 | — | — | — | $192 – $192 |
| 20 | WellCare all payor fee schedule · outpatient | $192 | $192 | — | — | — | $192 – $192 |
| 21 | Molina all payor fee schedule · outpatient | $193 | $193 | $1 | 0% | — | $192 – $194 |
| 22 | Ambetter all payor fee schedule · outpatient | $269 | $269 | — | — | — | $269 – $269 |
Last updated: Apr 1, 2026
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