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
Ak/knee disartic pelvic band
Covington, WA
See all hospitals reporting HCPCS L5697 →Price type
MultiCare Covington Medical Center’s median price of $138 is 29% above the median hospital's median price ($107), higher than 79% of the 832 hospitals reporting HCPCS L5697. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 17 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 | $110 | $110 | — | — | — | $110 – $110 |
| 2 | Regence mcc/ahn fee schedule · outpatient | $110 | $110 | — | — | — | $110 – $110 |
| 3 | Regence realvalue fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 4 | Regence commercial fee schedule · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 5 | Aetna medadvantage fee schedule · outpatient | $132 | $132 | — | — | — | $132 – $132 |
| 6 | Regence medadvantage fee schedule · outpatient | $132 | $132 | — | — | — | $132 – $132 |
| 7 | UnitedHealthcare medadvantage fee schedule · outpatient | $134 | $134 | — | — | — | $134 – $134 |
| 8 | Molina medadvantage fee schedule · outpatient | $135 | $135 | — | — | — | $135 – $135 |
| 9 | WellCare medadvantage fee schedule · outpatient | $135 | $135 | — | — | — | $135 – $135 |
| 10 | Aetna all commercial plans fee schedule · outpatient | $172 | $172 | — | — | — | $172 – $172 |
| 11 | Cigna all commercial plans fee schedule · outpatient | $180 | $180 | — | — | — | $180 – $180 |
| 12 | Premera hmo fee schedule · outpatient | $196 | $196 | — | — | — | $196 – $196 |
| 13 | Premera prime fee schedule · outpatient | $226 | $226 | — | — | — | $226 – $226 |
| 14 | Premera signature fee schedule · outpatient | $226 | $226 | — | — | — | $226 – $226 |
| 15 | Ambetter coordinated care exchange fee schedule · outpatient | $257 | $257 | — | — | — | $257 – $257 |
| 16 | Premera other commercial plans fee schedule · outpatient | $276 | $276 | — | — | — | $276 – $276 |
| 17 | Kaiser ppo fee schedule · outpatient | $566 | $566 | — | — | — | $566 – $566 |
Last updated: Aug 27, 2026
See Prosthetic leg addition: pelvic band for above-knee prosthesis pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.