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
PROTECTIVE BODY SOCK, PREFABRICATED, OFF-THE-SHELF, EACH
Helena, CA
See all hospitals reporting HCPCS L0984 →Price type
St Helena Hospital’s median price of $62 is 22% below the median hospital's median price ($79), higher than 9% of the 928 hospitals reporting HCPCS L0984. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 20 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 | UnitedHealthcare uhc select/select plus percent of total billed charges · outpatientfrom % of charges | $40 | $40 | $3 | 7% | — | $37 – $43 |
| 2 | Blue Cross Blue Shield blue shield behav hlth percent of total billed charges · outpatientfrom % of charges | $41 | $41 | $3 | 7% | — | $38 – $43 |
| 3 | Blue Cross Blue Shield blue shield non-epn percent of total billed charges · outpatientfrom % of charges | $42 | $42 | $3 | 7% | — | $39 – $45 |
| 4 | Blue Cross Blue Shield blue shield epn-all other plans percent of total billed charges · outpatientfrom % of charges | $43 | $43 | $3 | 7% | — | $40 – $45 |
| 5 | UnitedHealthcare uhc jll percent of total billed charges · outpatientfrom % of charges | $43 | $43 | $3 | 7% | — | $40 – $46 |
| 6 | UnitedHealthcare uhc all payer - all other plans percent of total billed charges · outpatientfrom % of charges | $45 | $45 | $3 | 7% | — | $42 – $49 |
| 7 | Aetna aetna-all plans percent of total billed charges · outpatientfrom % of charges | $47 | $47 | $3 | 7% | — | $44 – $50 |
| 8 | Phcs phcs-all plans percent of total billed charges · outpatientfrom % of charges | $54 | $54 | $4 | 7% | — | $50 – $58 |
| 9 | UnitedHealthcare umr uhc ppo percent of total billed charges · outpatientfrom % of charges | $57 | $57 | $4 | 7% | — | $53 – $61 |
| 10 | UnitedHealthcare uhc options ppo percent of total billed charges · outpatientfrom % of charges | $58 | $58 | $4 | 7% | — | $54 – $62 |
| 11 | Blue Cross Blue Shield blue cross exchange case rate · outpatient | $60 | $60 | $4 | 7% | — | $56 – $64 |
| 12 | Blue Cross Blue Shield blue cross mcs - all other plans case rate · outpatient | $66 | $66 | $5 | 7% | — | $62 – $71 |
| 13 | Blue Cross Blue Shield blue cross non mcs case rate · outpatient | $66 | $66 | $5 | 7% | — | $62 – $71 |
| 14 | Cigna cigna-all other plans percent of total billed charges · outpatientfrom % of charges | $72 | $72 | $5 | 7% | — | $67 – $77 |
| 15 | Kaiser kaiser-all other plans percent of total billed charges · outpatientfrom % of charges | $74 | $74 | $5 | 7% | — | $69 – $79 |
| 16 | Blue Cross Blue Shield blue shield bh mcr adv other · outpatient | $79 | $79 | — | — | — | $79 – $79 |
| 17 | Blue Cross Blue Shield blue shield mcr adv other · outpatient | $79 | $79 | — | — | — | $79 – $79 |
| 18 | Blue Cross Blue Shield tricare blue shield other · outpatient | $79 | $79 | — | — | — | $79 – $79 |
| 19 | Kaiser kaiser mcr adv other · outpatient | $79 | $79 | — | — | — | $79 – $79 |
| 20 | UnitedHealthcare uhc mcr adv other · outpatient | $79 | $79 | — | — | — | $79 – $79 |
Last updated: Jul 15, 2026
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