Padded orthotic brace addition for knee or ankle correction at St.davids Surgical Hospital

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
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

LT VARUS/VALGUS CORR

Austin, TX

See all hospitals reporting HCPCS L2275 →

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How this price compares nationally

St.davids Surgical Hospital’s median price of $169 is 5% above the median hospital's median price ($161), higher than 57% 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.davids Surgical Hospital

Negotiated rates from the hospital’s own file: 13 payers, 60 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	$37	$37	—	—	—	$37 – $37
2	Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges	$37	$37	—	—	—	$37 – $37
3	Superior Healthplan star percent of total billed charges · outpatientfrom % of charges	$37	$37	—	—	—	$37 – $37
4	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$37	$37	—	—	—	$37 – $37
5	Blue Cross Blue Shield mybluehealth percent of total billed charges · outpatientfrom % of charges	$109	$109	—	—	—	$109 – $109
6	Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges	$125	$125	—	—	—	$125 – $125
7	Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges	$125	$125	—	—	—	$125 – $125
8	Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges	$125	$125	—	—	—	$125 – $125
9	Blue Cross Blue Shield blueadvantage percent of total billed charges · outpatientfrom % of charges	$128	$128	—	—	—	$128 – $128
10	Oscar hix percent of total billed charges · outpatientfrom % of charges	$141	$141	—	—	—	$141 – $141
11	Oscar hmo percent of total billed charges · outpatientfrom % of charges	$141	$141	—	—	—	$141 – $141
12	Aetna cscamcr fee schedule · outpatient	$150	$150	—	—	—	$150 – $150
13	Blue Cross Blue Shield mcrppo fee schedule · outpatient	$150	$150	—	—	—	$150 – $150
14	Blue Cross Blue Shield mgmcrhmo fee schedule · outpatient	$150	$150	—	—	—	$150 – $150
15	Cigna Healthspring dualeligible fee schedule · outpatient	$150	$150	—	—	—	$150 – $150
16	Cigna Healthspring medicareadvantagehmo fee schedule · outpatient	$150	$150	—	—	—	$150 – $150
17	Cigna Healthspring pffs fee schedule · outpatient	$150	$150	—	—	—	$150 – $150
18	Cigna Healthspring pos fee schedule · outpatient	$150	$150	—	—	—	$150 – $150
19	Cigna Healthspring ppo fee schedule · outpatient	$150	$150	—	—	—	$150 – $150
20	Cigna Healthspring snp fee schedule · outpatient	$150	$150	—	—	—	$150 – $150
21	Devoted mcr fee schedule · outpatient	$150	$150	—	—	—	$150 – $150
22	Humana mcrhmo fee schedule · outpatient	$150	$150	—	—	—	$150 – $150
23	Humana mcrppo fee schedule · outpatient	$150	$150	—	—	—	$150 – $150
24	Humana mgmcr fee schedule · outpatient	$150	$150	—	—	—	$150 – $150
25	Humana mgmcrppo fee schedule · outpatient	$150	$150	—	—	—	$150 – $150

Page 1 of 3 · 60 rates

Last updated: Sep 1, 2026

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