Prosthetic arm quick-disconnect collar and coupling 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

Lamination collar w/ couplin

Cedar Rapids, IA

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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 $190 is 14% below the median hospital's median price ($220), higher than 33% of the 822 hospitals reporting HCPCS L6629. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L6629 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	$90	$90	—	—	—	$90 – $90
2	UnitedHealthcare ppo fee schedule · both	$90	$90	—	—	—	$90 – $90
3	Wellmark commercial fee schedule · both	$177	$177	—	—	—	$177 – $177
4	Wellmark hmo fee schedule · both	$177	$177	—	—	—	$177 – $177
5	Wellmark ppo fee schedule · both	$177	$177	—	—	—	$177 – $177
6	Aetna medicare advantage case rate · outpatient	$185	$185	—	—	—	$185 – $185
7	Molina medicare advantage case rate · outpatient	$185	$185	—	—	—	$185 – $185
8	Wellmark medicare advantage case rate · outpatient	$185	$185	—	—	—	$185 – $185
9	Humana medicare advantage case rate · outpatient	$190	$190	—	—	—	$190 – $190
10	UnitedHealthcare medicare advantage case rate · outpatient	$190	$190	—	—	—	$190 – $190
11	Aetna hmo fee schedule · both	$202	$202	—	—	—	$202 – $202
12	Aetna ppo fee schedule · both	$202	$202	—	—	—	$202 – $202
13	Cigna commercial fee schedule · both	$230	$230	—	—	—	$230 – $230
14	UnitedHealthcare hmo fee schedule · outpatient	$281	$281	—	—	—	$281 – $281
15	UnitedHealthcare ppo fee schedule · outpatient	$281	$281	—	—	—	$281 – $281
16	Aetna hmo fee schedule · outpatient	$335	$335	—	—	—	$335 – $335
17	Aetna ppo fee schedule · outpatient	$335	$335	—	—	—	$335 – $335

Last updated: Jan 28, 2026

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