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
Normal, IL
See all hospitals reporting HCPCS L5695 →Price type
Carle BroMenn Medical Center’s median price of $200 is 16% below the median hospital's median price ($238), higher than 14% of the 901 hospitals reporting HCPCS L5695. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 11 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 | Humana medicare-medicaid (d-snp) fee schedule · inpatient | $104 | $104 | — | — | — | $104 – $104 |
| 2 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $104 | $104 | — | — | — | $104 – $104 |
| 3 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $107 | $107 | — | — | — | $107 – $107 |
| 4 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 5 | Aetna medicare advantage case rate · outpatient | $200 | $200 | — | — | — | $200 – $200 |
| 6 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $200 | $200 | — | — | — | $200 – $200 |
| 7 | Humana medicare advantage case rate · outpatient | $200 | $200 | — | — | — | $200 – $200 |
| 8 | Molina medicare-medicaid (d-snp) case rate · outpatient | $200 | $200 | — | — | — | $200 – $200 |
| 9 | UnitedHealthcare medicare advantage case rate · outpatient | $200 | $200 | — | — | — | $200 – $200 |
| 10 | UnitedHealthcare va ccn/optum case rate · outpatient | $200 | $200 | — | — | — | $200 – $200 |
| 11 | WellCare medicare advantage hmo case rate · outpatient | $200 | $200 | — | — | — | $200 – $200 |
Last updated: Apr 15, 2026
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