Prosthetic leg socket insert for adjusting limb volume at St.davids Surgical Hospital

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 prosthesis, manual/automated adjustable air, fluid, gel or equal socket insert for limb volume management, any materials

Austin, TX

See all hospitals reporting HCPCS L5657 →

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How this price compares nationally

St.davids Surgical Hospital’s median price of $306 is about the same as the median hospital's median price ($309), higher than 13% of the 120 hospitals reporting HCPCS L5657. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L5657 at St.davids Surgical Hospital

Negotiated rates from the hospital’s own file: 8 payers, 28 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	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$126	$126	—	—	—	$126 – $126
2	Blue Cross Blue Shield blueadvantage fee schedule · outpatient	$132	$132	—	—	—	$132 – $132
3	Blue Cross Blue Shield blueessentials fee schedule · outpatient	$199	$199	—	—	—	$199 – $199
4	Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient	$199	$199	—	—	—	$199 – $199
5	Blue Cross Blue Shield eposoa fee schedule · outpatient	$214	$214	—	—	—	$214 – $214
6	Blue Cross Blue Shield ppo fee schedule · outpatient	$229	$229	—	—	—	$229 – $229
7	Aetna cscamcr fee schedule · outpatient	$306	$306	—	—	—	$306 – $306
8	Blue Cross Blue Shield mcrppo fee schedule · outpatient	$306	$306	—	—	—	$306 – $306
9	Blue Cross Blue Shield mgmcrhmo fee schedule · outpatient	$306	$306	—	—	—	$306 – $306
10	Cigna Healthspring dualeligible fee schedule · outpatient	$306	$306	—	—	—	$306 – $306
11	Cigna Healthspring medicareadvantagehmo fee schedule · outpatient	$306	$306	—	—	—	$306 – $306
12	Cigna Healthspring pffs fee schedule · outpatient	$306	$306	—	—	—	$306 – $306
13	Cigna Healthspring pos fee schedule · outpatient	$306	$306	—	—	—	$306 – $306
14	Cigna Healthspring ppo fee schedule · outpatient	$306	$306	—	—	—	$306 – $306
15	Cigna Healthspring snp fee schedule · outpatient	$306	$306	—	—	—	$306 – $306
16	Devoted mcr fee schedule · outpatient	$306	$306	—	—	—	$306 – $306
17	Humana mcrhmo fee schedule · outpatient	$306	$306	—	—	—	$306 – $306
18	Humana mcrppo fee schedule · outpatient	$306	$306	—	—	—	$306 – $306
19	Humana mgmcr fee schedule · outpatient	$306	$306	—	—	—	$306 – $306
20	Humana mgmcrppo fee schedule · outpatient	$306	$306	—	—	—	$306 – $306
21	Aetna mcr fee schedule · outpatient	$309	$309	—	—	—	$309 – $309
22	UnitedHealthcare mcr fee schedule · outpatient	$312	$312	—	—	—	$312 – $312
23	Superior Healthplan mgmcr fee schedule · outpatient	$322	$322	—	—	—	$322 – $322
24	WellCare mcrhmo fee schedule · outpatient	$325	$325	—	—	—	$325 – $325
25	WellCare mcrpos fee schedule · outpatient	$325	$325	—	—	—	$325 – $325

Page 1 of 2 · 28 rates

Last updated: Sep 1, 2026

Compare to other hospitals

See Prosthetic leg socket insert for adjusting limb volume pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.