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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Cypress, TX
See all hospitals reporting HCPCS L6628 →Price type
Houston Methodist Cypress Hospital’s median price of $664 is 3% below the median hospital's median price ($687), higher than 41% 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, 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 | $632 | $632 | — | — | — | $632 – $632 |
| 2 | Aetna medicare managed care - hmo/ppo fee schedule · outpatient | $641 | $641 | — | — | — | $641 – $641 |
| 3 | UnitedHealthcare medicare managed care - hmo fee schedule · outpatient | $645 | $645 | — | — | — | $645 – $645 |
| 4 | Cigna texas healthspring medicare managed care - hmo/ppo fee schedule · outpatient | $651 | $651 | — | — | — | $651 – $651 |
| 5 | Molina advantage medicare managed care plan fee schedule · outpatient | $664 | $664 | — | — | — | $664 – $664 |
| 6 | Devoted medicare managed care - hmo fee schedule · outpatient | $676 | $676 | — | — | — | $676 – $676 |
| 7 | Optum transplant medicare managed care plan fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 8 | Molina exchange fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
Last updated: Apr 1, 2026
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.