Prosthetic addition for above-knee leg device, pelvic joint 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/knee disartic pelvic join

Cedar Rapids, IA

See all hospitals reporting HCPCS L5696 →

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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 $249 is 3% below the median hospital's median price ($256), higher than 45% of the 832 hospitals reporting HCPCS L5696. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L5696 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	$118	$118	—	—	—	$118 – $118
2	UnitedHealthcare ppo fee schedule · both	$118	$118	—	—	—	$118 – $118
3	Wellmark commercial fee schedule · both	$232	$232	—	—	—	$232 – $232
4	Wellmark hmo fee schedule · both	$232	$232	—	—	—	$232 – $232
5	Wellmark ppo fee schedule · both	$232	$232	—	—	—	$232 – $232
6	Aetna medicare advantage case rate · outpatient	$242	$242	—	—	—	$242 – $242
7	Molina medicare advantage case rate · outpatient	$242	$242	—	—	—	$242 – $242
8	Wellmark medicare advantage case rate · outpatient	$242	$242	—	—	—	$242 – $242
9	Humana medicare advantage case rate · outpatient	$249	$249	—	—	—	$249 – $249
10	UnitedHealthcare medicare advantage case rate · outpatient	$249	$249	—	—	—	$249 – $249
11	Aetna hmo fee schedule · both	$265	$265	—	—	—	$265 – $265
12	Aetna ppo fee schedule · both	$265	$265	—	—	—	$265 – $265
13	Cigna commercial fee schedule · both	$301	$301	—	—	—	$301 – $301
14	UnitedHealthcare hmo fee schedule · outpatient	$355	$355	—	—	—	$355 – $355
15	UnitedHealthcare ppo fee schedule · outpatient	$355	$355	—	—	—	$355 – $355
16	Aetna hmo fee schedule · outpatient	$439	$439	—	—	—	$439 – $439
17	Aetna ppo fee schedule · outpatient	$439	$439	—	—	—	$439 – $439

Last updated: Jan 28, 2026

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