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
Symes ankle w/o (SACH) foot
Arlington, TX
See all hospitals reporting HCPCS L5703 →Price type
AMH Cath Labs LLC’s median price of $3.4k is 12% above the median hospital's median price ($3.0k), higher than 72% of the 831 hospitals reporting HCPCS L5703. 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 | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 2 | Humana medicare advantage case rate · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 3 | Humana medicare advantage ppo case rate · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 4 | Molina medicare advantage case rate · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 6 | WellCare medicare advantage mmp case rate · outpatient | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 7 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 8 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
Last updated: Apr 21, 2026
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