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
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Macon, GA
See all hospitals reporting HCPCS L6628 →Price type
Central Georgia Rehabilitation LLC’s median price of $586 is 15% below the median hospital's median price ($687), higher than 13% of the 818 hospitals reporting HCPCS L6628. 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, 9 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 | Aetna medicare advantage fee schedule · outpatient | $575 | $575 | — | — | — | $575 – $575 |
| 2 | Anthem medicare advantage fee schedule · outpatient | $575 | $575 | — | — | — | $575 – $575 |
| 3 | Humana medicare advantage fee schedule · outpatient | $575 | $575 | — | — | — | $575 – $575 |
| 4 | UnitedHealthcare medicare advantage fee schedule · outpatient | $575 | $575 | — | — | — | $575 – $575 |
| 5 | Caresource medicare advantage fee schedule · outpatient | $586 | $586 | — | — | — | $586 – $586 |
| 6 | Clover medicare advantage fee schedule · outpatient | $586 | $586 | — | — | — | $586 – $586 |
| 7 | Humana hmo/pos fee schedule · both | $825 | $825 | — | — | — | $825 – $825 |
| 8 | Humana ppo fee schedule · both | $825 | $825 | — | — | — | $825 – $825 |
| 9 | Kaiser commercial fee schedule · both | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
Last updated: Nov 19, 2025
See Quick-disconnect hook adapter for upper limb prosthesis pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.