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
Tot contact ak/knee disart s
Dubuque, IA
See all hospitals reporting HCPCS L5650 →Price type
The Finley Hospital’s median price of $605 is 13% below the median hospital's median price ($693), higher than 27% of the 852 hospitals reporting HCPCS L5650. 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare hmo fee schedule · both | $292 | $292 | — | — | — | $292 – $292 |
| 2 | UnitedHealthcare ppo fee schedule · both | $292 | $292 | — | — | — | $292 – $292 |
| 3 | Wellmark commercial fee schedule · both | $574 | $574 | — | — | — | $574 – $574 |
| 4 | Wellmark hmo fee schedule · both | $574 | $574 | — | — | — | $574 – $574 |
| 5 | Wellmark ppo fee schedule · both | $574 | $574 | — | — | — | $574 – $574 |
| 6 | Aetna hmo fee schedule · outpatient | $586 | $586 | — | — | — | $586 – $586 |
| 7 | Aetna ppo fee schedule · outpatient | $586 | $586 | — | — | — | $586 – $586 |
| 8 | Aetna medicare advantage case rate · outpatient | $598 | $598 | — | — | — | $598 – $598 |
| 9 | Molina medicare advantage case rate · outpatient | $598 | $598 | — | — | — | $598 – $598 |
| 10 | Wellmark medicare advantage case rate · outpatient | $598 | $598 | — | — | — | $598 – $598 |
| 11 | Humana medicare advantage case rate · outpatient | $615 | $615 | — | — | — | $615 – $615 |
| 12 | UnitedHealthcare medicare advantage case rate · outpatient | $615 | $615 | — | — | — | $615 – $615 |
| 13 | Aetna hmo fee schedule · both | $655 | $655 | — | — | — | $655 – $655 |
| 14 | Aetna ppo fee schedule · both | $655 | $655 | — | — | — | $655 – $655 |
| 15 | Cigna commercial fee schedule · both | $744 | $744 | — | — | — | $744 – $744 |
| 16 | UnitedHealthcare hmo fee schedule · outpatient | $938 | $938 | — | — | — | $938 – $938 |
| 17 | UnitedHealthcare ppo fee schedule · outpatient | $938 | $938 | — | — | — | $938 – $938 |
Last updated: Jan 28, 2026
See Above-knee prosthetic socket addition (total contact) pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.