L1904
HCPCSAfo molded ankle gauntlet
Verified from hospital fileNot a bill estimate
iDirect answer
Based on the latest published hospital price files, code L1904 (Afo molded ankle gauntlet) appears at 4 hospitals. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Published-price availability
3
hospitals publish a price
1
list this service without a published price
0
Cash
0
List
3
Negotiated
0
Allowed
A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.
Compare L1904 prices
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4 prices shown.
| Service | Hospital | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|---|
| Afo molded ankle gauntlet Outpatient | Endeavor Health Edward Hospital | L1904 HCPCS | — | — | $555 – $894 | — | |
| Afo molded ankle gauntlet Outpatient | University of Chicago Medical Center | L1904 HCPCS | — | — | — | — | |
| Afo molded ankle gauntlet Outpatient | UCLA West Valley Medical Center | L1904 HCPCS | — | — | $337 – $337 | — | |
| Afo molded ankle gauntlet Outpatient | University Hospitals Ahuja Medical Center | L1904 HCPCS | — | — | $544 – $979 | — |
How to read these prices
- Cash price
- The discounted self-pay price for paying directly, without insurance.
- List price
- The hospital’s full undiscounted charge — rarely what anyone pays.
- Negotiated rate
- A rate for a specific insurer and plan; your share depends on your benefits.
- Allowed amount
- A historical reference for what was actually allowed, where disclosed.
Hospitals that publish L1904 prices
Open a hospital to see this code in the context of its full published prices.
Code L1904: frequently asked
- What does code L1904 cost?
- We have parsed hospital-published rows for L1904, but cash prices were not disclosed in every file. This is public hospital price transparency data, not a guaranteed estimate of your bill.
- Will this be my final bill?
- Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
- What is code L1904?
- L1904 is the billing code hospitals use to identify "Afo molded ankle gauntlet" on their published price files. We use it to line up the same service across different hospitals.
- Why do prices for this code differ between hospitals?
- Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
- What this page is not
- It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.