Replacement lacer for custom leg brace at UnityPoint Health Marshalltown

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

Replace non-molded calf lace

Marshalltown, IA

See all hospitals reporting HCPCS L4055 →

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Pricing by billing methodology

Price type

How this price compares nationally

UnityPoint Health Marshalltown’s median price of $409 is 27% above the median hospital's median price ($322), higher than 78% of the 816 hospitals reporting HCPCS L4055. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L4055 at UnityPoint Health Marshalltown

Negotiated rates from the hospital’s own file: 6 payers, 15 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	$161	$161	—	—	—	$161 – $161
2	UnitedHealthcare ppo fee schedule · both	$161	$161	—	—	—	$161 – $161
3	Wellmark commercial fee schedule · both	$306	$306	—	—	—	$306 – $306
4	Wellmark hmo fee schedule · both	$306	$306	—	—	—	$306 – $306
5	Wellmark ppo fee schedule · both	$306	$306	—	—	—	$306 – $306
6	Aetna hmo fee schedule · both	$360	$360	—	—	—	$360 – $360
7	Aetna ppo fee schedule · both	$360	$360	—	—	—	$360 – $360
8	Cigna commercial fee schedule · both	$409	$409	—	—	—	$409 – $409
9	Aetna medicare advantage case rate · outpatient	$410	$410	—	—	—	$410 – $410
10	Molina medicare advantage case rate · outpatient	$410	$410	—	—	—	$410 – $410
11	Wellmark medicare advantage case rate · outpatient	$410	$410	—	—	—	$410 – $410
12	Humana medicare advantage case rate · outpatient	$422	$422	—	—	—	$422 – $422
13	UnitedHealthcare medicare advantage case rate · outpatient	$422	$422	—	—	—	$422 – $422
14	UnitedHealthcare hmo fee schedule · outpatient	$482	$482	—	—	—	$482 – $482
15	UnitedHealthcare ppo fee schedule · outpatient	$482	$482	—	—	—	$482 – $482

Last updated: Jan 28, 2026

Compare to other hospitals

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