Padded orthotic brace addition for knee or ankle correction 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

Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined

Austin, TX

See all hospitals reporting HCPCS L2275 →

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How this price compares nationally

St. David's Medical Center’s median price of $158 is 2% below the median hospital's median price ($161), higher than 39% of the 999 hospitals reporting HCPCS L2275. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L2275 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	$26	$26	—	—	—	$26 – $26
2	Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges	$26	$26	—	—	—	$26 – $26
3	Superior Healthplan star percent of total billed charges · outpatientfrom % of charges	$26	$26	—	—	—	$26 – $26
4	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$26	$26	—	—	—	$26 – $26
5	Blue Cross Blue Shield mybluehealth percent of total billed charges · outpatientfrom % of charges	$77	$77	—	—	—	$77 – $77
6	Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges	$88	$88	—	—	—	$88 – $88
7	Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges	$88	$88	—	—	—	$88 – $88
8	Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges	$88	$88	—	—	—	$88 – $88
9	Blue Cross Blue Shield blueadvantage percent of total billed charges · outpatientfrom % of charges	$91	$91	—	—	—	$91 – $91
10	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$129	$129	—	—	—	$129 – $129
11	Blue Cross Blue Shield blueessentials percent of total billed charges · outpatientfrom % of charges	$141	$141	—	—	—	$141 – $141
12	Blue Cross Blue Shield blueessentialsaccess percent of total billed charges · outpatientfrom % of charges	$141	$141	—	—	—	$141 – $141
13	Humana hmo percent of total billed charges · outpatientfrom % of charges	$144	$144	—	—	—	$144 – $144
14	Humana ppo percent of total billed charges · outpatientfrom % of charges	$144	$144	—	—	—	$144 – $144
15	Aetna cscamcr fee schedule · outpatient	$150	$150	—	—	—	$150 – $150
16	Blue Cross Blue Shield mcrppo fee schedule · outpatient	$150	$150	—	—	—	$150 – $150
17	Blue Cross Blue Shield mgmcrhmo fee schedule · outpatient	$150	$150	—	—	—	$150 – $150
18	Cigna Healthspring dualeligible fee schedule · outpatient	$150	$150	—	—	—	$150 – $150
19	Cigna Healthspring medicareadvantagehmo fee schedule · outpatient	$150	$150	—	—	—	$150 – $150
20	Cigna Healthspring pffs fee schedule · outpatient	$150	$150	—	—	—	$150 – $150
21	Cigna Healthspring pos fee schedule · outpatient	$150	$150	—	—	—	$150 – $150
22	Cigna Healthspring ppo fee schedule · outpatient	$150	$150	—	—	—	$150 – $150
23	Cigna Healthspring snp fee schedule · outpatient	$150	$150	—	—	—	$150 – $150
24	Devoted mcr fee schedule · outpatient	$150	$150	—	—	—	$150 – $150
25	Humana mcrhmo fee schedule · outpatient	$150	$150	—	—	—	$150 – $150

Page 1 of 2 · 45 rates

Last updated: Sep 1, 2026

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