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 ORTHO FT MED/L FLEECE LINER OPN TOE SEMI- FLXB SHL -
Wareham, MA
See all hospitals reporting HCPCS L4394 →Price type
Southcoast Hospitals Group, Inc.’s median price of $24 is 9% above the median hospital's median price ($22), higher than 73% of the 846 hospitals reporting HCPCS L4394. 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, 10 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 managed care [101030101] fee schedule · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 2 | Blue Cross Blue Shield bcbs mass medicare managed care [101030201] fee schedule · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 3 | UnitedHealthcare united medicare managed care [101031001] fee schedule · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 4 | UnitedHealthcare united health one care [101031004] fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 5 | Bcbs Ma bcbs massachusetts hmo [101040122] fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 6 | Phcs phcs [100012501] percent of total billed charges · outpatientfrom % of charges | $83 | $83 | — | — | — | $83 – $83 |
| 7 | Cigna cigna [100011201] percent of total billed charges · outpatientfrom % of charges | $84 | $84 | — | — | — | $84 – $84 |
| 8 | UnitedHealthcare united healthcare [101080105] percent of total billed charges · outpatientfrom % of charges | $90 | $90 | — | — | — | $90 – $90 |
| 9 | Aetna aetna [100010801] percent of total billed charges · outpatientfrom % of charges | $97 | $97 | — | — | — | $97 – $97 |
| 10 | First Health first health [100013001] percent of total billed charges · outpatientfrom % of charges | $97 | $97 | — | — | — | $97 – $97 |
Last updated: Dec 15, 2025
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