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/knee disartic acrylic soc
Arlington, TX
See all hospitals reporting HCPCS L5631 →Price type
AMH Cath Labs LLC’s median price of $753 is 27% above the median hospital's median price ($593), higher than 79% of the 844 hospitals reporting HCPCS L5631. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 8 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $717 | $717 | — | — | — | $717 – $717 |
| 2 | Humana medicare advantage case rate · outpatient | $746 | $746 | — | — | — | $746 – $746 |
| 3 | Humana medicare advantage ppo case rate · outpatient | $746 | $746 | — | — | — | $746 – $746 |
| 4 | Molina medicare advantage case rate · outpatient | $753 | $753 | — | — | — | $753 – $753 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $753 | $753 | — | — | — | $753 – $753 |
| 6 | WellCare medicare advantage mmp case rate · outpatient | $789 | $789 | — | — | — | $789 – $789 |
| 7 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $796 | $796 | — | — | — | $796 – $796 |
| 8 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $810 | $810 | — | — | — | $810 – $810 |
Last updated: Apr 21, 2026
See Acrylic socket addition for above-knee prosthesis pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.