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
HCHG CSTM L5697 AK/KNEE DISARTIC PELVIC BAND
Low
$36
Average
$133
Median
$142
High
$181
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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. 14 hospitals; the 90th percentile is 2.6× 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 | Allina Health Systems Shakopee, MN | $148 | $148 | $42 | 28% | — | $64 – $197 |
| 2 | Nationwide Children's Hospital Columbus, OH | $49 | $49 | — | — | — | $49 – $49 |
| 3 | Allina Health Systems St Paul, MN | $120 | $114 | $30 | 26% | — | $45 – $143 |
| 4 | Allina Health Systems Owatonna, MN | $175 | $172 | $58 | 34% | — | $64 – $266 |
| 5 | Allina Health Systems Ulm, MN | $185 | $179 | $61 | 34% | — | $67 – $267 |
| 6 | Allina Health Systems Rapids, MN | $116 | $109 | $32 | 30% | — | $45 – $143 |
| 7 | Montefiore Mount Vernon Hospital Mount Vernon, NY | $112 | $112 | — | — | — | $112 – $112 |
| 8 | Allina Health Systems Cambridge, MN | $175 | $172 | $58 | 34% | — | $64 – $266 |
| 9 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Albuquerque, NM | $98 | $135 | $55 | 40% | — | $88 – $241 |
| 10 | Nationwide Children's Hospital Toledo, Llc Toledo, OH | $36 | $36 | $0 | 0% | — | $36 – $36 |
Ask Claude or any MCP client for HCPCS L5697 pricing at a specific hospital — see how to connect.