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
Endo ak/hip knee extens assi
Sioux City, IA
See all hospitals reporting HCPCS L5850 →Price type
Northwest Iowa Hospital Corporation’s median price of $161 is 6% below the median hospital's median price ($171), higher than 35% of the 855 hospitals reporting HCPCS L5850. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 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 | UnitedHealthcare hmo fee schedule · both | $76.60 | $76.60 | $76.60 – $76.60 |
| 2 | UnitedHealthcare ppo fee schedule · both | $76.60 | $76.60 | $76.60 – $76.60 |
| 3 | Wellmark commercial fee schedule · both | $150.47 | $150.47 | $150.47 – $150.47 |
| 4 | Wellmark hmo fee schedule · both | $150.47 | $150.47 | $150.47 – $150.47 |
| 5 | Wellmark ppo fee schedule · both | $150.47 | $150.47 | $150.47 – $150.47 |
| 6 | Aetna medicare advantage case rate · outpatient | $156.61 | $156.61 | $156.61 – $156.61 |
| 7 | Molina medicare advantage case rate · outpatient | $156.61 | $156.61 | $156.61 – $156.61 |
| 8 | Wellmark medicare advantage case rate · outpatient | $156.61 | $156.61 | $156.61 – $156.61 |
| 9 | Humana medicare advantage case rate · outpatient | $161.22 | $161.22 | $161.22 – $161.22 |
| 10 | UnitedHealthcare medicare advantage case rate · outpatient | $161.22 | $161.22 | $161.22 – $161.22 |
| 11 | Aetna hmo fee schedule · both | $171.71 | $171.71 | $171.71 – $171.71 |
| 12 | Aetna ppo fee schedule · both | $171.71 | $171.71 | $171.71 – $171.71 |
| 13 | Cigna commercial fee schedule · both | $194.92 | $194.92 | $194.92 – $194.92 |
| 14 | Aetna hmo fee schedule · outpatient | $230.31 | $230.31 | $230.31 – $230.31 |
| 15 | Aetna ppo fee schedule · outpatient | $230.31 | $230.31 | $230.31 – $230.31 |
| 16 | UnitedHealthcare hmo fee schedule · outpatient | $245.65 | $245.65 | $245.65 – $245.65 |
| 17 | UnitedHealthcare ppo fee schedule · outpatient | $245.65 | $245.65 | $245.65 – $245.65 |
Last updated: Jan 28, 2026
See Knee extension assist 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.