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
Shoe molded to pt silicone s
Cedar Rapids, IA
See all hospitals reporting HCPCS L3251 →Price type
St Luke's Methodist Hospital’s median price of $75 is 7% below the median hospital's median price ($81), higher than 45% of the 296 hospitals reporting HCPCS L3251. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 8 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 hmo fee schedule · both | $18 | $18 | — | — | — | $18 – $18 |
| 2 | UnitedHealthcare ppo fee schedule · both | $18 | $18 | — | — | — | $18 – $18 |
| 3 | Cigna commercial fee schedule · both | $71 | $71 | — | — | — | $71 – $71 |
| 4 | Aetna hmo fee schedule · both | $75 | $75 | — | — | — | $75 – $75 |
| 5 | Aetna ppo fee schedule · both | $75 | $75 | — | — | — | $75 – $75 |
| 6 | Wellmark commercial fee schedule · both | $217 | $217 | — | — | — | $217 – $217 |
| 7 | Wellmark hmo fee schedule · both | $217 | $217 | — | — | — | $217 – $217 |
| 8 | Wellmark ppo fee schedule · both | $217 | $217 | — | — | — | $217 – $217 |
Last updated: Jan 28, 2026
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