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
Ak/knee disartic acrylic soc
Dubuque, IA
See all hospitals reporting HCPCS L5631 →Price type
The Finley Hospital’s median price of $545 is 8% below the median hospital's median price ($593), higher than 32% of the 848 hospitals reporting HCPCS L5631. 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 | $263 | $263 | — | — | — | $263 – $263 |
| 2 | UnitedHealthcare ppo fee schedule · both | $263 | $263 | — | — | — | $263 – $263 |
| 3 | Wellmark commercial fee schedule · both | $517 | $517 | — | — | — | $517 – $517 |
| 4 | Wellmark hmo fee schedule · both | $517 | $517 | — | — | — | $517 – $517 |
| 5 | Wellmark ppo fee schedule · both | $517 | $517 | — | — | — | $517 – $517 |
| 6 | Aetna hmo fee schedule · outpatient | $527 | $527 | — | — | — | $527 – $527 |
| 7 | Aetna ppo fee schedule · outpatient | $527 | $527 | — | — | — | $527 – $527 |
| 8 | Aetna medicare advantage case rate · outpatient | $538 | $538 | — | — | — | $538 – $538 |
| 9 | Molina medicare advantage case rate · outpatient | $538 | $538 | — | — | — | $538 – $538 |
| 10 | Wellmark medicare advantage case rate · outpatient | $538 | $538 | — | — | — | $538 – $538 |
| 11 | Humana medicare advantage case rate · outpatient | $554 | $554 | — | — | — | $554 – $554 |
| 12 | UnitedHealthcare medicare advantage case rate · outpatient | $554 | $554 | — | — | — | $554 – $554 |
| 13 | Aetna hmo fee schedule · both | $590 | $590 | — | — | — | $590 – $590 |
| 14 | Aetna ppo fee schedule · both | $590 | $590 | — | — | — | $590 – $590 |
| 15 | Cigna commercial fee schedule · both | $670 | $670 | — | — | — | $670 – $670 |
| 16 | UnitedHealthcare hmo fee schedule · outpatient | $844 | $844 | — | — | — | $844 – $844 |
| 17 | UnitedHealthcare ppo fee schedule · outpatient | $844 | $844 | — | — | — | $844 – $844 |
Last updated: Jan 28, 2026
See Acrylic socket addition for above-knee prosthesis pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.