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 s/d acrylic
Cedar Rapids, IA
See all hospitals reporting HCPCS L7405 →Price type
St Luke's Methodist Hospital’s median price of $917 is about the same as the median hospital's median price ($918), higher than 47% of the 821 hospitals reporting HCPCS L7405. 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 | $436 | $436 | — | — | — | $436 – $436 |
| 2 | UnitedHealthcare ppo fee schedule · both | $436 | $436 | — | — | — | $436 – $436 |
| 3 | Wellmark commercial fee schedule · both | $856 | $856 | — | — | — | $856 – $856 |
| 4 | Wellmark hmo fee schedule · both | $856 | $856 | — | — | — | $856 – $856 |
| 5 | Wellmark ppo fee schedule · both | $856 | $856 | — | — | — | $856 – $856 |
| 6 | Aetna medicare advantage case rate · outpatient | $891 | $891 | — | — | — | $891 – $891 |
| 7 | Molina medicare advantage case rate · outpatient | $891 | $891 | — | — | — | $891 – $891 |
| 8 | Wellmark medicare advantage case rate · outpatient | $891 | $891 | — | — | — | $891 – $891 |
| 9 | Humana medicare advantage case rate · outpatient | $917 | $917 | — | — | — | $917 – $917 |
| 10 | UnitedHealthcare medicare advantage case rate · outpatient | $917 | $917 | — | — | — | $917 – $917 |
| 11 | Aetna hmo fee schedule · both | $976 | $976 | — | — | — | $976 – $976 |
| 12 | Aetna ppo fee schedule · both | $976 | $976 | — | — | — | $976 – $976 |
| 13 | Cigna commercial fee schedule · both | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 14 | UnitedHealthcare hmo fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 15 | UnitedHealthcare ppo fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 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 Shoulder prosthesis addition, acrylic material pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.