Below-knee test socket addition for prosthesis at Medical City Arlington

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

Addition to lower extremity, test socket, below knee

RED OAK, TX

See all hospitals reporting HCPCS L5620 →

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Pricing by billing methodology

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How this price compares nationally

Medical City Arlington’s median price of $477 is 29% above the median hospital's median price ($371), higher than 76% 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 Medical City Arlington

Negotiated rates from the hospital’s own file: 9 payers, 25 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	Humana tricare fee schedule · outpatient	$440.20	$440.20	$440.20 – $440.20
2	Blue Cross Blue Shield mcrppo fee schedule · outpatient	$444.91	$444.91	$444.91 – $444.91
3	Blue Cross Blue Shield mgmcrhmo fee schedule · outpatient	$444.91	$444.91	$444.91 – $444.91
4	Devoted hmo fee schedule · outpatient	$453.81	$453.81	$453.81 – $453.81
5	Devoted mcr fee schedule · outpatient	$453.81	$453.81	$453.81 – $453.81
6	Devoted mme fee schedule · outpatient	$453.81	$453.81	$453.81 – $453.81
7	Devoted pos fee schedule · outpatient	$453.81	$453.81	$453.81 – $453.81
8	Devoted ppo fee schedule · outpatient	$453.81	$453.81	$453.81 – $453.81
9	Devoted snp fee schedule · outpatient	$453.81	$453.81	$453.81 – $453.81
10	Humana mgmcr fee schedule · outpatient	$453.81	$453.81	$453.81 – $453.81
11	UnitedHealthcare mgmcr fee schedule · outpatient	$456.08	$456.08	$456.08 – $456.08
12	Aetna mcr fee schedule · outpatient	$457.67	$457.67	$457.67 – $457.67
13	Cigna Healthspring mgmcr fee schedule · outpatient	$462.89	$462.89	$462.89 – $462.89
14	WellCare mgmcr fee schedule · outpatient	$467.42	$467.42	$467.42 – $467.42
15	Superior Healthplan mgmcrdualeligible fee schedule · outpatient	$476.50	$476.50	$476.50 – $476.50
16	Superior Healthplan mgmcrhmo fee schedule · outpatient	$476.50	$476.50	$476.50 – $476.50
17	Superior Healthplan mgmcrpffs fee schedule · outpatient	$476.50	$476.50	$476.50 – $476.50
18	Superior Healthplan mgmcrpos fee schedule · outpatient	$476.50	$476.50	$476.50 – $476.50
19	Superior Healthplan mgmcrppo fee schedule · outpatient	$476.50	$476.50	$476.50 – $476.50
20	Superior Healthplan mgmcrsnp fee schedule · outpatient	$476.50	$476.50	$476.50 – $476.50
21	Molina mcr fee schedule · outpatient	$494.65	$494.65	$494.65 – $494.65
22	Molina mme fee schedule · outpatient	$494.65	$494.65	$494.65 – $494.65
23	Molina mmp fee schedule · outpatient	$494.65	$494.65	$494.65 – $494.65
24	Molina hix fee schedule · outpatient	$1,189	$1,189	$1,189 – $1,189
25	Humana comm fee schedule · outpatient	$2,564	$2,564	$2,564 – $2,564

Last updated: Mar 1, 2026

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See Below-knee test socket addition for prosthesis pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.