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
Spokane, WA
See all hospitals reporting HCPCS L5697 →Price type
MultiCare Deaconess Hospital’s median price of $157 is 46% above the median hospital's median price ($107), higher than 86% 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: 10 payers, 14 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 | Aetna medadvantage fee schedule · outpatient | $132 | $132 | — | — | — | $132 – $132 |
| 2 | Bcbs Id medadvantage fee schedule · outpatient | $132 | $132 | — | — | — | $132 – $132 |
| 3 | Regence medadvantage fee schedule · outpatient | $132 | $132 | — | — | — | $132 – $132 |
| 4 | UnitedHealthcare medadvantage fee schedule · outpatient | $134 | $134 | — | — | — | $134 – $134 |
| 5 | Molina medadvantage fee schedule · outpatient | $135 | $135 | — | — | — | $135 – $135 |
| 6 | WellCare medadvantage fee schedule · outpatient | $135 | $135 | — | — | — | $135 – $135 |
| 7 | Premera other commercial plans fee schedule · outpatient | $157 | $157 | — | — | — | $157 – $157 |
| 8 | Premera prime fee schedule · outpatient | $157 | $157 | — | — | — | $157 – $157 |
| 9 | Premera signature fee schedule · outpatient | $157 | $157 | — | — | — | $157 – $157 |
| 10 | Cigna commercial fee schedule · outpatient | $180 | $180 | — | — | — | $180 – $180 |
| 11 | Premera hmo fee schedule · outpatient | $196 | $196 | — | — | — | $196 – $196 |
| 12 | Ambetter coordinated care exchange fee schedule · outpatient | $238 | $238 | — | — | — | $238 – $238 |
| 13 | Aetna all commercial plans fee schedule · outpatient | $397 | $397 | — | — | — | $397 – $397 |
| 14 | Kaiser ppo fee schedule · outpatient | $545 | $545 | — | — | — | $545 – $545 |
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.