Below-knee prosthesis fork strap addition

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

Bk fork strap

MultiPlan pricing summary

Low

$33

Average

$283

Median

$266

High

$2.0k

MultiPlan rate distribution

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140 hospital rates

#		Plans
1	ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · inpatient	1	$137	$137	—	—	—	$137 – $137
2	ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient	1	$137	$137	—	—	—	$137 – $137
3	ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · inpatient	1	$137	$137	—	—	—	$137 – $137
4	ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · outpatient	1	$137	$137	—	—	—	$137 – $137
5	ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · inpatient	1	$137	$137	—	—	—	$137 – $137
6	ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · outpatient	1	$137	$137	—	—	—	$137 – $137
7	ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · inpatient	1	$137	$137	—	—	—	$137 – $137
8	ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient	1	$137	$137	—	—	—	$137 – $137
9	ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · inpatient	1	$137	$137	—	—	—	$137 – $137
10	ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient	1	$137	$137	—	—	—	$137 – $137
11	ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE fee schedule · inpatient	1	$137	$137	—	—	—	$137 – $137
12	ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE fee schedule · outpatient	1	$137	$137	—	—	—	$137 – $137
13	Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges	1	$79	$79	—	—	—	$79 – $79
14	Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges	1	$79	$79	—	—	—	$79 – $79
15	Bexar County Hospital District San Antonio, TX fee schedule · outpatient	1	$65	$65	—	—	—	$65 – $65
16	Boulder Community Health Lafayette, CO professional · fee schedule · both	1	$92	$92	—	—	—	$92 – $92
17	CENTENNIAL HOSPITAL A CAMPUS OF TMCA ENGLEWOOD, CO percent of total billed charges · outpatientfrom % of charges	3	$370	$355	$37	10%	—	$305 – $392
18	CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · fee schedule · inpatient	1	$450	$450	—	—	—	$450 – $450
19	COMMONSPIRIT KANSAS, INC. Garden City, KS percent of total billed charges · inpatientfrom % of charges	2	$99	$99	$2	2%	—	$98 – $101
20	COMMONSPIRIT KANSAS, INC. Garden City, KS percent of total billed charges · outpatientfrom % of charges	2	$99	$99	$2	2%	—	$98 – $101
21	Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges	1	$354	$354	—	—	—	$354 – $354
22	Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges	1	$224	$224	—	—	—	$224 – $224
23	Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges	1	$33	$33	—	—	—	$33 – $33
24	Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges	1	$33	$33	—	—	—	$33 – $33
25	DIGNITY HEALTH Henderson, NV fee schedule · inpatient	1	$366	$366	—	—	—	$366 – $366

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HCPCS L5684