Rebase of hybrid prosthesis

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

Rebase hybrid prosthesis

Payers reporting HCPCS D5725

Payer pricing summary

Low

$166

Average

$958

Median

$423

High

$8.2k

Payer rate distribution

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#
1	Molina facility · case rate · outpatient · +5 other terms	29	$1.5k	$4.4k	$19.6k	447%	—	$139 – $111.7k
2	Aetna fee schedule · outpatient · +6 other terms	20	$238	$407	$419	103%	—	$151 – $2.1k
3	UnitedHealthcare facility · case rate · outpatient · +7 other terms	18	$1.5k	$7.0k	$24.7k	350%	—	$166 – $111.7k
4	Anthem facility · case rate · outpatient · +5 other terms	15	$1.5k	$8.6k	$26.7k	309%	—	$1.5k – $108.4k
5	Caresource facility · case rate · outpatient · +1 other terms	15	$1.5k	$8.6k	$26.7k	309%	—	$1.4k – $108.4k
6	Optum facility · case rate · outpatient · +1 other terms	13	$1.4k	$1.2k	$433	37%	—	$158 – $1.4k
7	Blue Cross Blue Shield facility · fee schedule · outpatient · +2 other terms	11	$631	$605	$97	16%	—	$314 – $646
8	Cigna professional · fee schedule · outpatient · +1 other terms	8	$197	$197	—	—	—	$197 – $197
9	Humana facility · case rate · outpatient · +2 other terms	8	$166	$173	$8	5%	—	$166 – $183
10	Aetna Better Health facility · case rate · outpatient	7	$200	$199	$3	1%	—	$191 – $200
11	Amerihealth Caritas facility · case rate · outpatient · +2 other terms	7	$183	$185	$6	3%	—	$183 – $200
12	Medica fee schedule · outpatient · +2 other terms	3	$359	$359	—	—	—	$359 – $359
13	Wellmark facility · case rate · outpatient	3	$634	$556	$175	32%	—	$258 – $700
14	Medicaid facility · case rate · outpatient	2	$166	$166	—	—	—	$166 – $166
15	MultiPlan facility · percent of total billed charges · inpatientfrom % of charges · +2 other terms	2	$326	$326	—	—	—	$326 – $326
16	Phcs facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	2	$395	$395	—	—	—	$395 – $395
17	Tricare facility · fee schedule · outpatient	2	$465	$465	—	—	—	$465 – $465
18	Bcbs Id professional · fee schedule · outpatient	1	$426	$426	—	—	—	$426 – $426
19	Bcbs Mn fee schedule · outpatient	1	$646	$646	—	—	—	$646 – $646
20	Bcbs Nv fee schedule · outpatient	1	$232	$232	—	—	—	$232 – $232
21	First Health facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	1	$395	$395	—	—	—	$395 – $395
22	Highmark fee schedule · outpatient	1	$578	$578	$241	42%	—	$408 – $919
23	Oscar professional · percent of total billed charges · outpatientfrom % of charges	1	$280	$280	—	—	—	$280 – $280
24	WellCare facility · case rate · outpatient	1	$166	$166	—	—	—	$166 – $166