Preview of prices split by billing class

Above-knee prosthetic pelvic control sleeve suspension addition HCPCS L5695

A hospital usually bills a facility fee (its own: room, staff, supplies) and, for some, a separate professional fee (the clinician’s). The main code page averages the two. These views keep them apart.

What a typical hospital charges

$357median estimated total, 15 hospitals that file both fees

Facility $238 · 67%Pro $119 · 33%

The typical split across the 15 hospitals that file both. Select a share for that fee on its own.

Facility average plus professional average, for the 15 hospitals that file both under fee schedule · outpatient. An estimate for this code only: anesthesia, radiology and pathology are billed under other codes, and independent groups may bill separately and not appear in a hospital's file. The median is across those hospitals' totals, which is not the sum of the facility and professional medians.

Hospitals

2 sets of terms with fewer hospitals are not listed.

Of 875 hospitals with any price for this code, only those filing both a facility and a professional price on these terms appear here; the rest file another methodology or setting, or no billing class. 590 of them file neither class on these terms.

Showing 1–15 of 15

Hospital	Facility	Professional	Estimated total	Split
Conway Hospital, Inc. Conway, SC	$220	$1,262	$1,481
Holy Rosary Healthcare Dba Intermountain Health Holy Rosary Hospital CITY, MT	$373	$193	$566

Price distribution

Estimated totalFee schedule · Outpatient

15 hospitals; the 90th percentile is 1.5× the 10th.