Ankle-foot orthosis, plastic brace at Samaritan 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

BRACE ANK AFO L SM 6603

Troy, NY

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Pricing by billing methodology

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How this price compares nationally

Samaritan Hospital’s median price of $58 is 80% below the median hospital's median price ($297), higher than 4% of the 1,364 hospitals reporting HCPCS L1930. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L1930 at Samaritan Hospital

Negotiated rates from the hospital’s own file: 16 payers, 30 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	Aetna aetna medicare advantage facility · percent of total billed charges · bothfrom % of charges	$28	$28	$9	33%	—	$19 – $36
2	Aetna aetna facility · percent of total billed charges · bothfrom % of charges	$44	$44	$14	33%	—	$30 – $58
3	Blue Cross Blue Shield blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$44	$44	$14	33%	—	$30 – $58
4	Blue Cross Blue Shield blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$44	$44	$14	33%	—	$30 – $58
5	Carefirst blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$44	$44	$14	33%	—	$30 – $58
6	Carefirst blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$44	$44	$14	33%	—	$30 – $58
7	Excellus blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$44	$44	$14	33%	—	$30 – $58
8	Highmark blue shield of ne new york ascend facility · percent of total billed charges · bothfrom % of charges	$44	$44	$14	33%	—	$30 – $58
9	Highmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$44	$44	$14	33%	—	$30 – $58
10	Highmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$44	$44	$14	33%	—	$30 – $58
11	Medical Mutual aetna facility · percent of total billed charges · bothfrom % of charges	$44	$44	$14	33%	—	$30 – $58
12	Premera blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$44	$44	$14	33%	—	$30 – $58
13	Regence blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$44	$44	$14	33%	—	$30 – $58
14	UnitedHealthcare uhc essential plan medicaid facility · percent of total billed charges · bothfrom % of charges	$44	$44	$14	33%	—	$30 – $58
15	UnitedHealthcare united healthcare medicaid harp chip facility · percent of total billed charges · bothfrom % of charges	$44	$44	$14	33%	—	$30 – $58
16	Wellmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$44	$44	$14	33%	—	$30 – $58
17	Wellmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$44	$44	$14	33%	—	$30 – $58
18	Excellus blue shield of ne new york medicare adv facility · percent of total billed charges · bothfrom % of charges	$55	$55	$18	33%	—	$37 – $73
19	Highmark blue shield of ne new york medicare adv facility · percent of total billed charges · bothfrom % of charges	$55	$55	$18	33%	—	$37 – $73
20	WellCare wellcare ep 1&2 medicaid facility · percent of total billed charges · bothfrom % of charges	$83	$83	$27	33%	—	$56 – $109
21	UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges	$77	$85	$38	45%	—	$41 – $146
22	First Health first health facility · percent of total billed charges · bothfrom % of charges	$88	$88	$29	33%	—	$59 – $117
23	Cigna cigna facility · percent of total billed charges · bothfrom % of charges	$94	$94	$30	33%	—	$63 – $124
24	MultiPlan beech street facility · percent of total billed charges · bothfrom % of charges	$99	$99	$32	33%	—	$67 – $131
25	MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges	$99	$99	$32	33%	—	$67 – $131

Page 1 of 2 · 30 rates

Last updated: Mar 31, 2026

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