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/knee disartic pelvic band
Cypress, TX
See all hospitals reporting HCPCS L5697 →Price type
Houston Methodist Cypress Hospital’s median price of $103 is 4% below the median hospital's median price ($107), higher than 35% of the 832 hospitals reporting HCPCS L5697. 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, 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 managed care - hmo fee schedule · outpatient | $98 | $98 | — | — | — | $98 – $98 |
| 2 | Aetna medicare managed care - hmo/ppo fee schedule · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 3 | UnitedHealthcare medicare managed care - hmo fee schedule · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 4 | Cigna texas healthspring medicare managed care - hmo/ppo fee schedule · outpatient | $101 | $101 | — | — | — | $101 – $101 |
| 5 | Molina advantage medicare managed care plan fee schedule · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 6 | Devoted medicare managed care - hmo fee schedule · outpatient | $105 | $105 | — | — | — | $105 – $105 |
| 7 | Optum transplant medicare managed care plan fee schedule · outpatient | $192 | $192 | — | — | — | $192 – $192 |
| 8 | Molina exchange fee schedule · outpatient | $197 | $197 | — | — | — | $197 – $197 |
Last updated: Apr 1, 2026
See Prosthetic leg addition: pelvic band for above-knee prosthesis pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.