Below-knee prosthesis suspension sleeve add-on at St Luke's Methodist 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

Below knee sus/seal sleeve

Cedar Rapids, IA

See all hospitals reporting HCPCS L5685 →

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Pricing by billing methodology

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How this price compares nationally

St Luke's Methodist Hospital’s median price of $162 is about the same as the median hospital's median price ($162), higher than 46% of the 921 hospitals reporting HCPCS L5685. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L5685 at St Luke's Methodist Hospital

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	$77	$77	—	—	—	$77 – $77
2	UnitedHealthcare ppo fee schedule · both	$77	$77	—	—	—	$77 – $77
3	Wellmark commercial fee schedule · both	$151	$151	—	—	—	$151 – $151
4	Wellmark hmo fee schedule · both	$151	$151	—	—	—	$151 – $151
5	Wellmark ppo fee schedule · both	$151	$151	—	—	—	$151 – $151
6	Aetna medicare advantage case rate · outpatient	$157	$157	—	—	—	$157 – $157
7	Molina medicare advantage case rate · outpatient	$157	$157	—	—	—	$157 – $157
8	Wellmark medicare advantage case rate · outpatient	$157	$157	—	—	—	$157 – $157
9	Humana medicare advantage case rate · outpatient	$162	$162	—	—	—	$162 – $162
10	UnitedHealthcare medicare advantage case rate · outpatient	$162	$162	—	—	—	$162 – $162
11	Aetna hmo fee schedule · both	$172	$172	—	—	—	$172 – $172
12	Aetna ppo fee schedule · both	$172	$172	—	—	—	$172 – $172
13	Cigna commercial fee schedule · both	$195	$195	—	—	—	$195 – $195
14	UnitedHealthcare hmo fee schedule · outpatient	$221	$221	—	—	—	$221 – $221
15	UnitedHealthcare ppo fee schedule · outpatient	$221	$221	—	—	—	$221 – $221
16	Aetna hmo fee schedule · outpatient	$285	$285	—	—	—	$285 – $285
17	Aetna ppo fee schedule · outpatient	$285	$285	—	—	—	$285 – $285

Last updated: Jan 28, 2026

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