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
AK SLEEVE SUSP NEOPRENE/EQUA
Low
$67
Average
$248
Median
$299
High
$366
Filter by billing methodology
Prices here combine facility and professional fees. See them separately →Experimental
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 15 hospitals; the 90th percentile is 2.4× 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 | OU Health - University of Oklahoma Medical Center Oklahoma City, OK | $272 | $303 | $90 | 30% | — | $266 – $556 |
| 2 | Allina Health Systems Shakopee, MN | $259 | $258 | $73 | 28% | — | $111 – $344 |
| 3 | Nationwide Children's Hospital Columbus, OH | $90 | $90 | — | — | — | $90 – $90 |
| 4 | Allina Health Systems St Paul, MN | $209 | $198 | $52 | 26% | — | $78 – $249 |
| 5 | Allina Health Systems Owatonna, MN | $304 | $299 | $101 | 34% | — | $111 – $463 |
| 6 | Allina Health Systems Ulm, MN | $322 | $312 | $107 | 34% | — | $116 – $466 |
| 7 | Allina Health Systems Rapids, MN | $202 | $190 | $57 | 30% | — | $78 – $249 |
| 8 | Montefiore Mount Vernon Hospital Mount Vernon, NY | $229 | $229 | — | — | — | $229 – $229 |
| 9 | Allina Health Systems Cambridge, MN | $304 | $299 | $101 | 34% | — | $111 – $463 |
| 10 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Albuquerque, NM | $266 | $366 | $148 | 40% | — | $240 – $652 |
Ask Claude or any MCP client for HCPCS L5695 pricing at a specific hospital — see how to connect.