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
Symes type ptb brim design s
Cedar Rapids, IA
See all hospitals reporting HCPCS L5632 →Price type
St Luke's Methodist Hospital’s median price of $317 is about the same as the median hospital's median price ($317), higher than 50% of the 839 hospitals reporting HCPCS L5632. 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 | $151 | $151 | — | — | — | $151 – $151 |
| 2 | UnitedHealthcare ppo fee schedule · both | $151 | $151 | — | — | — | $151 – $151 |
| 3 | Wellmark commercial fee schedule · both | $296 | $296 | — | — | — | $296 – $296 |
| 4 | Wellmark hmo fee schedule · both | $296 | $296 | — | — | — | $296 – $296 |
| 5 | Wellmark ppo fee schedule · both | $296 | $296 | — | — | — | $296 – $296 |
| 6 | Aetna medicare advantage case rate · outpatient | $308 | $308 | — | — | — | $308 – $308 |
| 7 | Molina medicare advantage case rate · outpatient | $308 | $308 | — | — | — | $308 – $308 |
| 8 | Wellmark medicare advantage case rate · outpatient | $308 | $308 | — | — | — | $308 – $308 |
| 9 | Humana medicare advantage case rate · outpatient | $317 | $317 | — | — | — | $317 – $317 |
| 10 | UnitedHealthcare medicare advantage case rate · outpatient | $317 | $317 | — | — | — | $317 – $317 |
| 11 | Aetna hmo fee schedule · both | $338 | $338 | — | — | — | $338 – $338 |
| 12 | Aetna ppo fee schedule · both | $338 | $338 | — | — | — | $338 – $338 |
| 13 | Cigna commercial fee schedule · both | $384 | $384 | — | — | — | $384 – $384 |
| 14 | UnitedHealthcare hmo fee schedule · outpatient | $426 | $426 | — | — | — | $426 – $426 |
| 15 | UnitedHealthcare ppo fee schedule · outpatient | $426 | $426 | — | — | — | $426 – $426 |
| 16 | Aetna hmo fee schedule · outpatient | $559 | $559 | — | — | — | $559 – $559 |
| 17 | Aetna ppo fee schedule · outpatient | $559 | $559 | — | — | — | $559 – $559 |
Last updated: Jan 28, 2026
See Symes-type lower leg prosthesis addition with PTB socket pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.