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
Ak/knee disartic silesian ba
Cedar Rapids, IA
See all hospitals reporting HCPCS L5698 →Price type
St Luke's Methodist Hospital’s median price of $146 is 7% below the median hospital's median price ($157), higher than 32% of the 855 hospitals reporting HCPCS L5698. 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare hmo fee schedule · both | $69 | $69 | — | — | — | $69 – $69 |
| 2 | UnitedHealthcare ppo fee schedule · both | $69 | $69 | — | — | — | $69 – $69 |
| 3 | Wellmark commercial fee schedule · both | $136 | $136 | — | — | — | $136 – $136 |
| 4 | Wellmark hmo fee schedule · both | $136 | $136 | — | — | — | $136 – $136 |
| 5 | Wellmark ppo fee schedule · both | $136 | $136 | — | — | — | $136 – $136 |
| 6 | Aetna medicare advantage case rate · outpatient | $142 | $142 | — | — | — | $142 – $142 |
| 7 | Molina medicare advantage case rate · outpatient | $142 | $142 | — | — | — | $142 – $142 |
| 8 | Wellmark medicare advantage case rate · outpatient | $142 | $142 | — | — | — | $142 – $142 |
| 9 | Humana medicare advantage case rate · outpatient | $146 | $146 | — | — | — | $146 – $146 |
| 10 | UnitedHealthcare medicare advantage case rate · outpatient | $146 | $146 | — | — | — | $146 – $146 |
| 11 | Aetna hmo fee schedule · both | $156 | $156 | — | — | — | $156 – $156 |
| 12 | Aetna ppo fee schedule · both | $156 | $156 | — | — | — | $156 – $156 |
| 13 | Cigna commercial fee schedule · both | $177 | $177 | — | — | — | $177 – $177 |
| 14 | UnitedHealthcare hmo fee schedule · outpatient | $200 | $200 | — | — | — | $200 – $200 |
| 15 | UnitedHealthcare ppo fee schedule · outpatient | $200 | $200 | — | — | — | $200 – $200 |
| 16 | Aetna hmo fee schedule · outpatient | $257 | $257 | — | — | — | $257 – $257 |
| 17 | Aetna ppo fee schedule · outpatient | $257 | $257 | — | — | — | $257 – $257 |
Last updated: Jan 28, 2026
See Prosthetic addition for above-knee leg, silesian bandage pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.