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
Exoskeletal ak ultra-light m
Cedar Rapids, IA
See all hospitals reporting HCPCS L5790 →Price type
St Luke's Methodist Hospital’s median price of $931 is 1% below the median hospital's median price ($943), higher than 48% of the 830 hospitals reporting HCPCS L5790. 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 | $442 | $442 | — | — | — | $442 – $442 |
| 2 | UnitedHealthcare ppo fee schedule · both | $442 | $442 | — | — | — | $442 – $442 |
| 3 | Wellmark commercial fee schedule · both | $869 | $869 | — | — | — | $869 – $869 |
| 4 | Wellmark hmo fee schedule · both | $869 | $869 | — | — | — | $869 – $869 |
| 5 | Wellmark ppo fee schedule · both | $869 | $869 | — | — | — | $869 – $869 |
| 6 | Aetna medicare advantage case rate · outpatient | $904 | $904 | — | — | — | $904 – $904 |
| 7 | Molina medicare advantage case rate · outpatient | $904 | $904 | — | — | — | $904 – $904 |
| 8 | Wellmark medicare advantage case rate · outpatient | $904 | $904 | — | — | — | $904 – $904 |
| 9 | Humana medicare advantage case rate · outpatient | $931 | $931 | — | — | — | $931 – $931 |
| 10 | UnitedHealthcare medicare advantage case rate · outpatient | $931 | $931 | — | — | — | $931 – $931 |
| 11 | Aetna hmo fee schedule · both | $991 | $991 | — | — | — | $991 – $991 |
| 12 | Aetna ppo fee schedule · both | $991 | $991 | — | — | — | $991 – $991 |
| 13 | Cigna commercial fee schedule · both | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 14 | UnitedHealthcare hmo fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 15 | UnitedHealthcare ppo fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 16 | Aetna hmo fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 17 | Aetna ppo fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
Last updated: Jan 28, 2026
See Above-knee prosthetic leg addition, ultra-light material pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.