Semi-rigid prefabricated ankle-foot brace for tibial fracture at St. David's Medical Center

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

Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment

Austin, TX

See all hospitals reporting HCPCS L2114 →

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How this price compares nationally

St. David's Medical Center’s median price of $753 is 1% below the median hospital's median price ($761), higher than 47% of the 980 hospitals reporting HCPCS L2114. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L2114 at St. David's Medical Center

Negotiated rates from the hospital’s own file: 10 payers, 45 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	Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges	$11	$11	—	—	—	$11 – $11
2	Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges	$11	$11	—	—	—	$11 – $11
3	Superior Healthplan star percent of total billed charges · outpatientfrom % of charges	$11	$11	—	—	—	$11 – $11
4	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$11	$11	—	—	—	$11 – $11
5	Blue Cross Blue Shield mybluehealth percent of total billed charges · outpatientfrom % of charges	$34	$34	—	—	—	$34 – $34
6	Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges	$38	$38	—	—	—	$38 – $38
7	Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges	$38	$38	—	—	—	$38 – $38
8	Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges	$38	$38	—	—	—	$38 – $38
9	Blue Cross Blue Shield blueadvantage percent of total billed charges · outpatientfrom % of charges	$39	$39	—	—	—	$39 – $39
10	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$56	$56	—	—	—	$56 – $56
11	Blue Cross Blue Shield blueessentials percent of total billed charges · outpatientfrom % of charges	$61	$61	—	—	—	$61 – $61
12	Blue Cross Blue Shield blueessentialsaccess percent of total billed charges · outpatientfrom % of charges	$61	$61	—	—	—	$61 – $61
13	Humana hmo percent of total billed charges · outpatientfrom % of charges	$63	$63	—	—	—	$63 – $63
14	Humana ppo percent of total billed charges · outpatientfrom % of charges	$63	$63	—	—	—	$63 – $63
15	Blue Cross Blue Shield eposoa percent of total billed charges · outpatientfrom % of charges	$66	$66	—	—	—	$66 – $66
16	Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges	$70	$70	—	—	—	$70 – $70
17	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$72	$72	—	—	—	$72 – $72
18	UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges	$101	$101	—	—	—	$101 – $101
19	MultiPlan phcsprimarynetwork percent of total billed charges · outpatientfrom % of charges	$169	$169	—	—	—	$169 – $169
20	MultiPlan complementarynetwork percent of total billed charges · outpatientfrom % of charges	$191	$191	—	—	—	$191 – $191
21	Aetna cscamcr fee schedule · outpatient	$753	$753	—	—	—	$753 – $753
22	Blue Cross Blue Shield mcrppo fee schedule · outpatient	$753	$753	—	—	—	$753 – $753
23	Blue Cross Blue Shield mgmcrhmo fee schedule · outpatient	$753	$753	—	—	—	$753 – $753
24	Cigna Healthspring dualeligible fee schedule · outpatient	$753	$753	—	—	—	$753 – $753
25	Cigna Healthspring medicareadvantagehmo fee schedule · outpatient	$753	$753	—	—	—	$753 – $753

Page 1 of 2 · 45 rates

Last updated: Sep 1, 2026

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See Semi-rigid prefabricated ankle-foot brace for tibial fracture pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.