Above-knee prosthetic pelvic control sleeve suspension addition 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

Ak sleeve susp neoprene/equa

Cedar Rapids, IA

See all hospitals reporting HCPCS L5695 →

SharePost on X LinkedIn

Pricing by billing methodology

Price type

How this price compares nationally

St Luke's Methodist Hospital’s median price of $206 is 14% below the median hospital's median price ($238), higher than 23% of the 901 hospitals reporting HCPCS L5695. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L5695 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.

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare hmo fee schedule · both	$98	$98	—	—	—	$98 – $98
2	UnitedHealthcare ppo fee schedule · both	$98	$98	—	—	—	$98 – $98
3	Wellmark commercial fee schedule · both	$192	$192	—	—	—	$192 – $192
4	Wellmark hmo fee schedule · both	$192	$192	—	—	—	$192 – $192
5	Wellmark ppo fee schedule · both	$192	$192	—	—	—	$192 – $192
6	Aetna medicare advantage case rate · outpatient	$200	$200	—	—	—	$200 – $200
7	Molina medicare advantage case rate · outpatient	$200	$200	—	—	—	$200 – $200
8	Wellmark medicare advantage case rate · outpatient	$200	$200	—	—	—	$200 – $200
9	Humana medicare advantage case rate · outpatient	$206	$206	—	—	—	$206 – $206
10	UnitedHealthcare medicare advantage case rate · outpatient	$206	$206	—	—	—	$206 – $206
11	Aetna hmo fee schedule · both	$219	$219	—	—	—	$219 – $219
12	Aetna ppo fee schedule · both	$219	$219	—	—	—	$219 – $219
13	Cigna commercial fee schedule · both	$249	$249	—	—	—	$249 – $249
14	UnitedHealthcare hmo fee schedule · outpatient	$313	$313	—	—	—	$313 – $313
15	UnitedHealthcare ppo fee schedule · outpatient	$313	$313	—	—	—	$313 – $313
16	Aetna hmo fee schedule · outpatient	$362	$362	—	—	—	$362 – $362
17	Aetna ppo fee schedule · outpatient	$362	$362	—	—	—	$362 – $362

Last updated: Jan 28, 2026

Compare to other hospitals

See Above-knee prosthetic pelvic control sleeve suspension addition pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.