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 pelvic band
Arlington, TX
See all hospitals reporting HCPCS L5697 →Price type
AMH Cath Labs LLC’s median price of $103 is 4% below the median hospital's median price ($107), higher than 35% of the 828 hospitals reporting HCPCS L5697. 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 | $98 | $98 | — | — | — | $98 – $98 |
| 2 | Humana medicare advantage case rate · outpatient | $102 | $102 | — | — | — | $102 – $102 |
| 3 | Humana medicare advantage ppo case rate · outpatient | $102 | $102 | — | — | — | $102 – $102 |
| 4 | Molina medicare advantage case rate · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 6 | WellCare medicare advantage mmp case rate · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 7 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 8 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $111 | $111 | — | — | — | $111 – $111 |
Last updated: Apr 21, 2026
See Prosthetic leg addition: pelvic band 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.