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
Plastazote sandal each
Pittsfield, ME
See all hospitals reporting HCPCS L3265 →Price type
Sebasticook Valley Health’s median price of $23 is 7% above the median hospital's median price ($22), higher than 51% of the 546 hospitals reporting HCPCS L3265. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 19 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 commercial professional · fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 2 | Aetna mcr advantage facility · percent of total billed charges · outpatientfrom % of charges | $15 | $15 | — | — | — | $15 – $15 |
| 3 | Anthem mcr advantage facility · percent of total billed charges · outpatientfrom % of charges | $15 | $15 | — | — | — | $15 – $15 |
| 4 | UnitedHealthcare mcr advantage facility · percent of total billed charges · outpatientfrom % of charges | $15 | $15 | — | — | — | $15 – $15 |
| 5 | WellCare mcr advantage facility · percent of total billed charges · outpatientfrom % of charges | $15 | $15 | — | — | — | $15 – $15 |
| 6 | Anthem commercial professional · fee schedule · outpatient | $20 | $16 | $10 | 62% | — | $3 – $27 |
| 7 | Anthem enhanced pathways professional · fee schedule · outpatient | $20 | $16 | $10 | 62% | — | $3 – $27 |
| 8 | Cigna commercial professional · fee schedule · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 9 | UnitedHealthcare commercial professional · fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 10 | Anthem commercial facility · percent of total billed charges · inpatientfrom % of charges | $26 | $26 | — | — | — | $26 – $26 |
| 11 | Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges | $26 | $26 | — | — | — | $26 – $26 |
| 12 | Anthem enhanced pathways facility · percent of total billed charges · inpatientfrom % of charges | $26 | $26 | — | — | — | $26 – $26 |
| 13 | Anthem enhanced pathways facility · percent of total billed charges · outpatientfrom % of charges | $26 | $26 | — | — | — | $26 – $26 |
| 14 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $27 | $27 | — | — | — | $27 – $27 |
| 15 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $29 | $29 | — | — | — | $29 – $29 |
| 16 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $30 | $30 | — | — | — | $30 – $30 |
| 17 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $30 | $30 | — | — | — | $30 – $30 |
| 18 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $30 | $30 | — | — | — | $30 – $30 |
| 19 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $30 | $30 | — | — | — | $30 – $30 |
Last updated: Mar 30, 2026
See Plastazote sandal pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.