Pelvic control belt for above-knee prosthesis 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

Ak pelvic control belt pad/l

Dubuque, IA

See all hospitals reporting HCPCS L5694 →

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How this price compares nationally

The Finley Hospital’s median price of $225 is 8% below the median hospital's median price ($246), higher than 27% of the 840 hospitals reporting HCPCS L5694. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L5694 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	$109	$109	—	—	—	$109 – $109
2	UnitedHealthcare ppo fee schedule · both	$109	$109	—	—	—	$109 – $109
3	Wellmark commercial fee schedule · both	$213	$213	—	—	—	$213 – $213
4	Wellmark hmo fee schedule · both	$213	$213	—	—	—	$213 – $213
5	Wellmark ppo fee schedule · both	$213	$213	—	—	—	$213 – $213
6	Aetna hmo fee schedule · outpatient	$218	$218	—	—	—	$218 – $218
7	Aetna ppo fee schedule · outpatient	$218	$218	—	—	—	$218 – $218
8	Aetna medicare advantage case rate · outpatient	$222	$222	—	—	—	$222 – $222
9	Molina medicare advantage case rate · outpatient	$222	$222	—	—	—	$222 – $222
10	Wellmark medicare advantage case rate · outpatient	$222	$222	—	—	—	$222 – $222
11	Humana medicare advantage case rate · outpatient	$229	$229	—	—	—	$229 – $229
12	UnitedHealthcare medicare advantage case rate · outpatient	$229	$229	—	—	—	$229 – $229
13	Aetna hmo fee schedule · both	$243	$243	—	—	—	$243 – $243
14	Aetna ppo fee schedule · both	$243	$243	—	—	—	$243 – $243
15	Cigna commercial fee schedule · both	$276	$276	—	—	—	$276 – $276
16	UnitedHealthcare hmo fee schedule · outpatient	$348	$348	—	—	—	$348 – $348
17	UnitedHealthcare ppo fee schedule · outpatient	$348	$348	—	—	—	$348 – $348

Last updated: Jan 28, 2026

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