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
Add UE prost a/e ultlite mat
Dubuque, IA
See all hospitals reporting HCPCS L7401 →Price type
The Finley Hospital’s median price of $426 is 2% below the median hospital's median price ($433), higher than 41% of the 821 hospitals reporting HCPCS L7401. 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 | $206 | $206 | — | — | — | $206 – $206 |
| 2 | UnitedHealthcare ppo fee schedule · both | $206 | $206 | — | — | — | $206 – $206 |
| 3 | Wellmark commercial fee schedule · both | $404 | $404 | — | — | — | $404 – $404 |
| 4 | Wellmark hmo fee schedule · both | $404 | $404 | — | — | — | $404 – $404 |
| 5 | Wellmark ppo fee schedule · both | $404 | $404 | — | — | — | $404 – $404 |
| 6 | Aetna hmo fee schedule · outpatient | $412 | $412 | — | — | — | $412 – $412 |
| 7 | Aetna ppo fee schedule · outpatient | $412 | $412 | — | — | — | $412 – $412 |
| 8 | Aetna medicare advantage case rate · outpatient | $420 | $420 | — | — | — | $420 – $420 |
| 9 | Molina medicare advantage case rate · outpatient | $420 | $420 | — | — | — | $420 – $420 |
| 10 | Wellmark medicare advantage case rate · outpatient | $420 | $420 | — | — | — | $420 – $420 |
| 11 | Humana medicare advantage case rate · outpatient | $433 | $433 | — | — | — | $433 – $433 |
| 12 | UnitedHealthcare medicare advantage case rate · outpatient | $433 | $433 | — | — | — | $433 – $433 |
| 13 | Aetna hmo fee schedule · both | $461 | $461 | — | — | — | $461 – $461 |
| 14 | Aetna ppo fee schedule · both | $461 | $461 | — | — | — | $461 – $461 |
| 15 | Cigna commercial fee schedule · both | $523 | $523 | — | — | — | $523 – $523 |
| 16 | UnitedHealthcare hmo fee schedule · outpatient | $592 | $592 | — | — | — | $592 – $592 |
| 17 | UnitedHealthcare ppo fee schedule · outpatient | $592 | $592 | — | — | — | $592 – $592 |
Last updated: Jan 28, 2026
See Upper arm prosthesis addition, ultralight material pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.