Below-knee test socket addition for prosthesis at Mary Bridge Children's Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

C CS-TEST SOCKET BELOW KNEE

Tacoma, WA

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Pricing by billing methodology

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How this price compares nationally

Mary Bridge Children's Hospital’s median price of $367 is 1% below the median hospital's median price ($371), higher than 49% of the 865 hospitals reporting HCPCS L5620. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L5620 at Mary Bridge Children's Hospital

Negotiated rates from the hospital’s own file: 10 payers, 22 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	Regence blue high performance fee schedule · outpatient	$304.22	$304.22	$304.22 – $304.22
2	Regence mcc/ahn fee schedule · outpatient	$304.22	$304.22	$304.22 – $304.22
3	Regence realvalue fee schedule · outpatient	$312.91	$312.91	$312.91 – $312.91
4	Regence commercial fee schedule · outpatient	$347.68	$347.68	$347.68 – $347.68
5	First Health all commercial plans percent of total billed charges · inpatientfrom % of charges	$365.77	$365.77	$365.77 – $365.77
6	First Health all commercial plans percent of total billed charges · outpatientfrom % of charges	$365.77	$365.77	$365.77 – $365.77
7	Aetna medadvantage fee schedule · outpatient	$366.55	$366.55	$366.55 – $366.55
8	Regence medadvantage fee schedule · outpatient	$366.55	$366.55	$366.55 – $366.55
9	Cigna all commercial plans percent of total billed charges · inpatientfrom % of charges	$368.59	$368.59	$368.59 – $368.59
10	UnitedHealthcare medadvantage hmo fee schedule · outpatient	$370.11	$370.11	$370.11 – $370.11
11	MultiPlan all commercial plans percent of total billed charges · inpatientfrom % of charges	$370.40	$370.40	$370.40 – $370.40
12	MultiPlan all commercial plans percent of total billed charges · outpatientfrom % of charges	$370.40	$370.40	$370.40 – $370.40
13	Molina medadvantage fee schedule · outpatient	$373.67	$373.67	$373.67 – $373.67
14	WellCare medadvantage fee schedule · outpatient	$373.67	$373.67	$373.67 – $373.67
15	Cigna all commercial plans percent of total billed charges · outpatientfrom % of charges	$376.88	$376.88	$376.88 – $376.88
16	UnitedHealthcare all commercial plans fee schedule · outpatient	$435.77	$435.77	$435.77 – $435.77
17	Premera hmo fee schedule · outpatient	$542.19	$542.19	$542.19 – $542.19
18	Premera prime fee schedule · outpatient	$625.82	$625.82	$625.82 – $625.82
19	Premera signature fee schedule · outpatient	$625.82	$625.82	$625.82 – $625.82
20	Premera other commercial plans fee schedule · outpatient	$764.90	$764.90	$764.90 – $764.90
21	Aetna all commercial plans fee schedule · outpatient	$1,100	$1,100	$1,100 – $1,100
22	Kaiser hmo/ppo fee schedule · outpatient	$2,665	$2,665	$2,665 – $2,665

Last updated: Aug 27, 2026

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