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 prosthesis, manual/automated adjustable air, fluid, gel or equal socket insert for limb volume management, any materials
CONROE, TX
See all hospitals reporting HCPCS L5657 →Price type
Hca Houston Healthcare Conroe’s median price of $316 is 2% above the median hospital's median price ($309), higher than 63% of the 120 hospitals reporting HCPCS L5657. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 29 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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Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $115 | $115 | — | — | — | $115 – $115 |
| 2 | Blue Cross Blue Shield bav fee schedule · outpatient | $127 | $127 | — | — | — | $127 – $127 |
| 3 | Blue Cross Blue Shield hmo fee schedule · outpatient | $158 | $158 | — | — | — | $158 – $158 |
| 4 | Blue Cross Blue Shield eposoa fee schedule · outpatient | $168 | $168 | — | — | — | $168 – $168 |
| 5 | Blue Cross Blue Shield ppo fee schedule · outpatient | $177 | $177 | — | — | — | $177 – $177 |
| 6 | Oscar mgmcr fee schedule · outpatient | $300 | $300 | — | — | — | $300 – $300 |
| 7 | Cigna Healthspring mcrhmo fee schedule · outpatient | $306 | $306 | — | — | — | $306 – $306 |
| 8 | Cigna Healthspring mcrppo fee schedule · outpatient | $306 | $306 | — | — | — | $306 – $306 |
| 9 | Cigna Healthspring mcrsnp fee schedule · outpatient | $306 | $306 | — | — | — | $306 – $306 |
| 10 | Cigna Healthspring mmp fee schedule · outpatient | $306 | $306 | — | — | — | $306 – $306 |
| 11 | Cigna Healthspring pffs fee schedule · outpatient | $306 | $306 | — | — | — | $306 – $306 |
| 12 | Devoted mgmcr fee schedule · outpatient | $306 | $306 | — | — | — | $306 – $306 |
| 13 | Humana medicareadvantagehmo fee schedule · outpatient | $306 | $306 | — | — | — | $306 – $306 |
| 14 | Humana medicareadvantageppopffs fee schedule · outpatient | $306 | $306 | — | — | — | $306 – $306 |
| 15 | Aetna mcr fee schedule · outpatient | $309 | $309 | — | — | — | $309 – $309 |
| 16 | UnitedHealthcare mcr fee schedule · outpatient | $312 | $312 | — | — | — | $312 – $312 |
| 17 | WellCare mcrhmo fee schedule · outpatient | $316 | $316 | — | — | — | $316 – $316 |
| 18 | WellCare pffs fee schedule · outpatient | $316 | $316 | — | — | — | $316 – $316 |
| 19 | WellCare pos fee schedule · outpatient | $316 | $316 | — | — | — | $316 – $316 |
| 20 | WellCare ppo fee schedule · outpatient | $316 | $316 | — | — | — | $316 – $316 |
| 21 | WellCare snp fee schedule · outpatient | $316 | $316 | — | — | — | $316 – $316 |
| 22 | Superior Healthplan dualeligible fee schedule · outpatient | $322 | $322 | — | — | — | $322 – $322 |
| 23 | Superior Healthplan mcrhmo fee schedule · outpatient | $322 | $322 | — | — | — | $322 – $322 |
| 24 | Superior Healthplan mcrpos fee schedule · outpatient | $322 | $322 | — | — | — | $322 – $322 |
| 25 | Superior Healthplan mcrppo fee schedule · outpatient | $322 | $322 | — | — | — | $322 – $322 |
Last updated: May 14, 2026
See Prosthetic leg socket insert for adjusting limb volume pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.