Prosthetic knee joint add-on, polycentric, pair at The Finley 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
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Bk knee joints polycentric p

Dubuque, IA

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Pricing by billing methodology

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How this price compares nationally

The Finley Hospital’s median price of $658 is 3% below the median hospital's median price ($679), higher than 44% of the 834 hospitals reporting HCPCS L5677. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L5677 at The Finley 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	$318	$318	—	—	—	$318 – $318
2	UnitedHealthcare ppo fee schedule · both	$318	$318	—	—	—	$318 – $318
3	Wellmark commercial fee schedule · both	$624	$624	—	—	—	$624 – $624
4	Wellmark hmo fee schedule · both	$624	$624	—	—	—	$624 – $624
5	Wellmark ppo fee schedule · both	$624	$624	—	—	—	$624 – $624
6	Aetna hmo fee schedule · outpatient	$637	$637	—	—	—	$637 – $637
7	Aetna ppo fee schedule · outpatient	$637	$637	—	—	—	$637 – $637
8	Aetna medicare advantage case rate · outpatient	$649	$649	—	—	—	$649 – $649
9	Molina medicare advantage case rate · outpatient	$649	$649	—	—	—	$649 – $649
10	Wellmark medicare advantage case rate · outpatient	$649	$649	—	—	—	$649 – $649
11	Humana medicare advantage case rate · outpatient	$668	$668	—	—	—	$668 – $668
12	UnitedHealthcare medicare advantage case rate · outpatient	$668	$668	—	—	—	$668 – $668
13	Aetna hmo fee schedule · both	$712	$712	—	—	—	$712 – $712
14	Aetna ppo fee schedule · both	$712	$712	—	—	—	$712 – $712
15	Cigna commercial fee schedule · both	$808	$808	—	—	—	$808 – $808
16	UnitedHealthcare hmo fee schedule · outpatient	$947	$947	—	—	—	$947 – $947
17	UnitedHealthcare ppo fee schedule · outpatient	$947	$947	—	—	—	$947 – $947

Last updated: Jan 28, 2026

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