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
Dallas, TX
See all hospitals reporting HCPCS L5637 →Price type
Med City Heart Hospital’s median price of $495 is 8% above the median hospital's median price ($457), higher than 72% 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: 8 payers, 19 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 mcrppo fee schedule · outpatient | $462.31 | $462.31 | $462.31 – $462.31 |
| 2 | Devoted hmo fee schedule · outpatient | $471.56 | $471.56 | $471.56 – $471.56 |
| 3 | Devoted mcr fee schedule · outpatient | $471.56 | $471.56 | $471.56 – $471.56 |
| 4 | Devoted mme fee schedule · outpatient | $471.56 | $471.56 | $471.56 – $471.56 |
| 5 | Devoted pos fee schedule · outpatient | $471.56 | $471.56 | $471.56 – $471.56 |
| 6 | Devoted ppo fee schedule · outpatient | $471.56 | $471.56 | $471.56 – $471.56 |
| 7 | Devoted snp fee schedule · outpatient | $471.56 | $471.56 | $471.56 – $471.56 |
| 8 | Humana mgmcr fee schedule · outpatient | $471.56 | $471.56 | $471.56 – $471.56 |
| 9 | UnitedHealthcare mgmcr fee schedule · outpatient | $473.92 | $473.92 | $473.92 – $473.92 |
| 10 | Cigna Healthspring mgmcr fee schedule · outpatient | $480.99 | $480.99 | $480.99 – $480.99 |
| 11 | WellCare mgmcr fee schedule · outpatient | $485.71 | $485.71 | $485.71 – $485.71 |
| 12 | Superior Healthplan mgmcrdualeligible fee schedule · outpatient | $495.14 | $495.14 | $495.14 – $495.14 |
| 13 | Superior Healthplan mgmcrhmo fee schedule · outpatient | $495.14 | $495.14 | $495.14 – $495.14 |
| 14 | Superior Healthplan mgmcrpffs fee schedule · outpatient | $495.14 | $495.14 | $495.14 – $495.14 |
| 15 | Superior Healthplan mgmcrpos fee schedule · outpatient | $495.14 | $495.14 | $495.14 – $495.14 |
| 16 | Superior Healthplan mgmcrppo fee schedule · outpatient | $495.14 | $495.14 | $495.14 – $495.14 |
| 17 | Superior Healthplan mgmcrsnp fee schedule · outpatient | $495.14 | $495.14 | $495.14 – $495.14 |
| 18 | Molina hix fee schedule · outpatient | $1,235 | $1,235 | $1,235 – $1,235 |
| 19 | Humana comm fee schedule · outpatient | $2,664 | $2,664 | $2,664 – $2,664 |
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.