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
Multi-durometer below knee
Cedar Rapids, IA
See all hospitals reporting HCPCS L5665 →Price type
St Luke's Methodist Hospital’s median price of $850 is 23% above the median hospital's median price ($690), higher than 79% of the 830 hospitals reporting HCPCS L5665. 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 | $404 | $404 | — | — | — | $404 – $404 |
| 2 | UnitedHealthcare ppo fee schedule · both | $404 | $404 | — | — | — | $404 – $404 |
| 3 | Wellmark commercial fee schedule · both | $794 | $794 | — | — | — | $794 – $794 |
| 4 | Wellmark hmo fee schedule · both | $794 | $794 | — | — | — | $794 – $794 |
| 5 | Wellmark ppo fee schedule · both | $794 | $794 | — | — | — | $794 – $794 |
| 6 | Aetna medicare advantage case rate · outpatient | $826 | $826 | — | — | — | $826 – $826 |
| 7 | Molina medicare advantage case rate · outpatient | $826 | $826 | — | — | — | $826 – $826 |
| 8 | Wellmark medicare advantage case rate · outpatient | $826 | $826 | — | — | — | $826 – $826 |
| 9 | Humana medicare advantage case rate · outpatient | $850 | $850 | — | — | — | $850 – $850 |
| 10 | UnitedHealthcare medicare advantage case rate · outpatient | $850 | $850 | — | — | — | $850 – $850 |
| 11 | Aetna hmo fee schedule · both | $905 | $905 | — | — | — | $905 – $905 |
| 12 | Aetna ppo fee schedule · both | $905 | $905 | — | — | — | $905 – $905 |
| 13 | UnitedHealthcare hmo fee schedule · outpatient | $983 | $983 | — | — | — | $983 – $983 |
| 14 | UnitedHealthcare ppo fee schedule · outpatient | $983 | $983 | — | — | — | $983 – $983 |
| 15 | Cigna commercial fee schedule · both | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 16 | Aetna hmo fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 17 | Aetna ppo fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
Last updated: Jan 28, 2026
See Below-knee prosthetic socket insert, multi-durometer addition pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.