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
Hightop w/ supp/pronator inf
Saint Louis, MO
See all hospitals reporting HCPCS L3204 →Price type
SSM-SLUH, Inc.’s median price of $69 is 31% above the median hospital's median price ($53), higher than 65% of the 327 hospitals reporting HCPCS L3204. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 1 payer, 4 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 | Blue Cross Blue Shield anthem pathway exchange fee schedule · outpatient | $64 | $68 | $27 | 40% | — | $31 – $129 |
| 2 | Blue Cross Blue Shield anthem blue preferred hmo/pos fee schedule · outpatient | $66 | $69 | $28 | 40% | — | $32 – $132 |
| 3 | Blue Cross Blue Shield anthem blue access choice all commercial plans fee schedule · outpatient | $70 | $71 | $29 | 40% | — | $32 – $132 |
| 4 | Blue Cross Blue Shield anthem blue access ppo fee schedule · outpatient | $85 | $85 | $35 | 42% | — | $34 – $142 |
Last updated: Apr 1, 2026
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