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
HC POSTOP APP NON-WGT BEAR DSG BELOW KNEE LVL 3
Cedar Rapids, IA
See all hospitals reporting HCPCS L5450 →Price type
St Luke's Methodist Hospital’s median price of $620 is 3% below the median hospital's median price ($640), higher than 48% of the 1,044 hospitals reporting HCPCS L5450. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 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.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare hmo fee schedule · both | $295 | $295 | — | — | — | $295 – $295 |
| 2 | UnitedHealthcare ppo fee schedule · both | $295 | $295 | — | — | — | $295 – $295 |
| 3 | Wellmark commercial fee schedule · both | $579 | $579 | — | — | — | $579 – $579 |
| 4 | Wellmark hmo fee schedule · both | $579 | $579 | — | — | — | $579 – $579 |
| 5 | Wellmark ppo fee schedule · both | $579 | $579 | — | — | — | $579 – $579 |
| 6 | Aetna medicare advantage case rate · outpatient | $603 | $603 | — | — | — | $603 – $603 |
| 7 | Molina medicare advantage case rate · outpatient | $603 | $603 | — | — | — | $603 – $603 |
| 8 | Wellmark medicare advantage case rate · outpatient | $603 | $603 | — | — | — | $603 – $603 |
| 9 | Humana medicare advantage case rate · outpatient | $620 | $620 | — | — | — | $620 – $620 |
| 10 | UnitedHealthcare medicare advantage case rate · outpatient | $620 | $620 | — | — | — | $620 – $620 |
| 11 | Medica commercial percent of total billed charges · outpatientfrom % of charges | $634 | $634 | $37 | 6% | — | $597 – $670 |
| 12 | Aetna hmo fee schedule · both | $661 | $661 | — | — | — | $661 – $661 |
| 13 | Aetna ppo fee schedule · both | $661 | $661 | — | — | — | $661 – $661 |
| 14 | Cigna commercial fee schedule · both | $750 | $750 | — | — | — | $750 – $750 |
| 15 | UnitedHealthcare hmo fee schedule · outpatient | $782 | $782 | — | — | — | $782 – $782 |
| 16 | UnitedHealthcare ppo fee schedule · outpatient | $782 | $782 | — | — | — | $782 – $782 |
| 17 | Cigna commercial percent of total billed charges · inpatientfrom % of charges | $979 | $979 | — | — | — | $979 – $979 |
| 18 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $979 | $979 | — | — | — | $979 – $979 |
| 19 | Aetna hmo fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 20 | Aetna ppo fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
Last updated: Jan 28, 2026
See Post-surgery non-weight-bearing dressing application pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.