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 pelvic band
Dubuque, IA
See all hospitals reporting HCPCS L5697 →Price type
The Finley Hospital’s median price of $100 is 7% below the median hospital's median price ($107), higher than 22% of the 832 hospitals reporting HCPCS L5697. 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 | $48 | $48 | — | — | — | $48 – $48 |
| 2 | UnitedHealthcare ppo fee schedule · both | $48 | $48 | — | — | — | $48 – $48 |
| 3 | Wellmark commercial fee schedule · both | $94 | $94 | — | — | — | $94 – $94 |
| 4 | Wellmark hmo fee schedule · both | $94 | $94 | — | — | — | $94 – $94 |
| 5 | Wellmark ppo fee schedule · both | $94 | $94 | — | — | — | $94 – $94 |
| 6 | Aetna hmo fee schedule · outpatient | $96 | $96 | — | — | — | $96 – $96 |
| 7 | Aetna ppo fee schedule · outpatient | $96 | $96 | — | — | — | $96 – $96 |
| 8 | Aetna medicare advantage case rate · outpatient | $98 | $98 | — | — | — | $98 – $98 |
| 9 | Molina medicare advantage case rate · outpatient | $98 | $98 | — | — | — | $98 – $98 |
| 10 | Wellmark medicare advantage case rate · outpatient | $98 | $98 | — | — | — | $98 – $98 |
| 11 | Humana medicare advantage case rate · outpatient | $101 | $101 | — | — | — | $101 – $101 |
| 12 | UnitedHealthcare medicare advantage case rate · outpatient | $101 | $101 | — | — | — | $101 – $101 |
| 13 | Aetna hmo fee schedule · both | $108 | $108 | — | — | — | $108 – $108 |
| 14 | Aetna ppo fee schedule · both | $108 | $108 | — | — | — | $108 – $108 |
| 15 | Cigna commercial fee schedule · both | $122 | $122 | — | — | — | $122 – $122 |
| 16 | UnitedHealthcare hmo fee schedule · outpatient | $154 | $154 | — | — | — | $154 – $154 |
| 17 | UnitedHealthcare ppo fee schedule · outpatient | $154 | $154 | — | — | — | $154 – $154 |
Last updated: Jan 28, 2026
See Prosthetic leg addition: pelvic band 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.