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
Below knee acrylic socket
Low
$1
Average
$542
Median
$504
High
$2.7k
Filter by billing methodology
Prices here combine facility and professional fees. See them separately →Experimental
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 798 hospitals; the 90th percentile is 2.0× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | St. Anthony Shawnee Hospital, Inc Shawnee, OK | $682 | $690 | $172 | 25% | — | $519 – $1.0k |
| 2 | Lewisgale Hospital Montgomery CHRISTIANSBURG, VA | $504 | $505 | $27 | 5% | — | $429 – $540 |
| 3 | Ingalls Memorial Hospital Harvey, IL | $409 | $409 | $19 | 5% | — | $389 – $428 |
| 4 | Fairview Health Services Edina, MN | $427 | $696 | $598 | 86% | — | $172 – $3.3k |
| 5 | Hca Florida West Hospital PENSACOLA, FL | $409 | $473 | $167 | 35% | — | $377 – $934 |
| 6 | Mayo Regional Hospital Dover Foxcroft, ME | $232 | $290 | $182 | 63% | — | $23 – $631 |
| 7 | Corewell Health Ludington Hospital Ludington, MI | $409 | $499 | $142 | 29% | — | $389 – $700 |
| 8 | Kettering Medical Center Miamisburg, OH | $604 | $668 | $220 | 33% | — | $389 – $1.0k |
| 9 | Hoopeston Community Memorial Hospital Hoopeston, IL | $209 | $269 | $85 | 31% | — | $209 – $389 |
| 10 | Deaconess Hospital, Inc Newburgh, IN | $372 | $372 | — | — | — | $372 – $372 |
Ask Claude or any MCP client for HCPCS L5629 pricing at a specific hospital — see how to connect.