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
Hip disarticulation, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot
SAN ANTONIO, TX
See all hospitals reporting HCPCS L5250 →Price type
Methodist Hospital’s median price of $7.1k is about the same as the median hospital's median price ($7.1k), higher than 48% of the 829 hospitals reporting HCPCS L5250. 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, 20 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield mgmcrhmo fee schedule · outpatient | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 2 | Blue Cross Blue Shield mgmcrpos fee schedule · outpatient | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 3 | Blue Cross Blue Shield mgmcrppo fee schedule · outpatient | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 4 | Devoted dualeligible fee schedule · outpatient | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 5 | Devoted mcrhmo fee schedule · outpatient | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 6 | Devoted mcrpffs fee schedule · outpatient | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 7 | Devoted mcrpos fee schedule · outpatient | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 8 | Devoted mcrppo fee schedule · outpatient | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 9 | Devoted mcrsnp fee schedule · outpatient | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 10 | Aetna mcr fee schedule · outpatient | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 11 | UnitedHealthcare mcr fee schedule · outpatient | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 12 | WellCare mcrhmo fee schedule · outpatient | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 13 | WellCare mcrpos fee schedule · outpatient | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 14 | WellCare mcrppo fee schedule · outpatient | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 15 | WellCare mcrsnp fee schedule · outpatient | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 16 | WellCare pffs fee schedule · outpatient | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 17 | Clover mcr fee schedule · outpatient | $7.3k | $7.3k | — | — | — | $7.3k – $7.3k |
| 18 | Molina mcr fee schedule · outpatient | $11.0k | $11.0k | — | — | — | $11.0k – $11.0k |
| 19 | Molina mme-mmp fee schedule · outpatient | $11.0k | $11.0k | — | — | — | $11.0k – $11.0k |
| 20 | Optum comm fee schedule · outpatient | $17.3k | $17.3k | — | — | — | $17.3k – $17.3k |
Last updated: May 1, 2026
See Prosthetic leg for hip disarticulation, with single-axis knee and SACH foot pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.