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
Addition to lower extremity, below knee, total contact
SUMMERVILLE, SC
See all hospitals reporting HCPCS L5637 →Price type
HCA Healthcare Summerville Hospital’s median price of $361 is 21% below the median hospital's median price ($457), higher than 21% of the 877 hospitals reporting HCPCS L5637. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 15 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 tricare fee schedule · outpatient | $343.06 | $343.06 | $343.06 – $343.06 |
| 2 | Blue Cross Blue Shield mcrppo fee schedule · outpatient | $353.67 | $353.67 | $353.67 – $353.67 |
| 3 | Devoted medicare fee schedule · outpatient | $353.67 | $353.67 | $353.67 – $353.67 |
| 4 | Humana mcr fee schedule · outpatient | $353.67 | $353.67 | $353.67 – $353.67 |
| 5 | UnitedHealthcare vaccn fee schedule · outpatient | $353.67 | $353.67 | $353.67 – $353.67 |
| 6 | Aetna mcr fee schedule · outpatient | $357.21 | $357.21 | $357.21 – $357.21 |
| 7 | Molina mcrmmp fee schedule · outpatient | $360.74 | $360.74 | $360.74 – $360.74 |
| 8 | UnitedHealthcare mcr fee schedule · outpatient | $360.74 | $360.74 | $360.74 – $360.74 |
| 9 | WellCare mcrhmo fee schedule · outpatient | $360.74 | $360.74 | $360.74 – $360.74 |
| 10 | WellCare pffs fee schedule · outpatient | $360.74 | $360.74 | $360.74 – $360.74 |
| 11 | WellCare pos fee schedule · outpatient | $360.74 | $360.74 | $360.74 – $360.74 |
| 12 | WellCare ppo fee schedule · outpatient | $360.74 | $360.74 | $360.74 – $360.74 |
| 13 | WellCare snp fee schedule · outpatient | $360.74 | $360.74 | $360.74 – $360.74 |
| 14 | Clover mcr fee schedule · outpatient | $371.35 | $371.35 | $371.35 – $371.35 |
| 15 | Cigna mcr fee schedule · outpatient | $381.96 | $381.96 | $381.96 – $381.96 |
Last updated: Mar 1, 2026
See Below-knee prosthetic total contact addition pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.