Below-elbow prosthesis add-on, acrylic material 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
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Add UE prost b/e acrylic

Cedar Rapids, IA

See all hospitals reporting HCPCS L7403 →

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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 $465 is about the same as the median hospital's median price ($465), higher than 49% of the 826 hospitals reporting HCPCS L7403. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L7403 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	$221	$221	—	—	—	$221 – $221
2	UnitedHealthcare ppo fee schedule · both	$221	$221	—	—	—	$221 – $221
3	Wellmark commercial fee schedule · both	$434	$434	—	—	—	$434 – $434
4	Wellmark hmo fee schedule · both	$434	$434	—	—	—	$434 – $434
5	Wellmark ppo fee schedule · both	$434	$434	—	—	—	$434 – $434
6	Aetna medicare advantage case rate · outpatient	$451	$451	—	—	—	$451 – $451
7	Molina medicare advantage case rate · outpatient	$451	$451	—	—	—	$451 – $451
8	Wellmark medicare advantage case rate · outpatient	$451	$451	—	—	—	$451 – $451
9	Humana medicare advantage case rate · outpatient	$465	$465	—	—	—	$465 – $465
10	UnitedHealthcare medicare advantage case rate · outpatient	$465	$465	—	—	—	$465 – $465
11	Aetna hmo fee schedule · both	$495	$495	—	—	—	$495 – $495
12	Aetna ppo fee schedule · both	$495	$495	—	—	—	$495 – $495
13	Cigna commercial fee schedule · both	$562	$562	—	—	—	$562 – $562
14	UnitedHealthcare hmo fee schedule · outpatient	$635	$635	—	—	—	$635 – $635
15	UnitedHealthcare ppo fee schedule · outpatient	$635	$635	—	—	—	$635 – $635
16	Aetna hmo fee schedule · outpatient	$818	$818	—	—	—	$818 – $818
17	Aetna ppo fee schedule · outpatient	$818	$818	—	—	—	$818 – $818

Last updated: Jan 28, 2026

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See Below-elbow prosthesis add-on, acrylic material pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.