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
Add UE prost be/wd, ultlite
Cedar Rapids, IA
See all hospitals reporting HCPCS L7400 →Price type
St Luke's Methodist Hospital’s median price of $387 is about the same as the median hospital's median price ($387), higher than 49% of the 825 hospitals reporting HCPCS L7400. 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 | $184 | $184 | — | — | — | $184 – $184 |
| 2 | UnitedHealthcare ppo fee schedule · both | $184 | $184 | — | — | — | $184 – $184 |
| 3 | Wellmark commercial fee schedule · both | $361 | $361 | — | — | — | $361 – $361 |
| 4 | Wellmark hmo fee schedule · both | $361 | $361 | — | — | — | $361 – $361 |
| 5 | Wellmark ppo fee schedule · both | $361 | $361 | — | — | — | $361 – $361 |
| 6 | Aetna medicare advantage case rate · outpatient | $376 | $376 | — | — | — | $376 – $376 |
| 7 | Molina medicare advantage case rate · outpatient | $376 | $376 | — | — | — | $376 – $376 |
| 8 | Wellmark medicare advantage case rate · outpatient | $376 | $376 | — | — | — | $376 – $376 |
| 9 | Humana medicare advantage case rate · outpatient | $387 | $387 | — | — | — | $387 – $387 |
| 10 | UnitedHealthcare medicare advantage case rate · outpatient | $387 | $387 | — | — | — | $387 – $387 |
| 11 | Aetna hmo fee schedule · both | $412 | $412 | — | — | — | $412 – $412 |
| 12 | Aetna ppo fee schedule · both | $412 | $412 | — | — | — | $412 – $412 |
| 13 | Cigna commercial fee schedule · both | $467 | $467 | — | — | — | $467 – $467 |
| 14 | UnitedHealthcare hmo fee schedule · outpatient | $529 | $529 | — | — | — | $529 – $529 |
| 15 | UnitedHealthcare ppo fee schedule · outpatient | $529 | $529 | — | — | — | $529 – $529 |
| 16 | Aetna hmo fee schedule · outpatient | $681 | $681 | — | — | — | $681 – $681 |
| 17 | Aetna ppo fee schedule · outpatient | $681 | $681 | — | — | — | $681 – $681 |
Last updated: Jan 28, 2026
See Lightweight upper arm prosthesis addition (below elbow) pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.