Replacement of upper and lower uprights on 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 prox & dist upright

Marshalltown, IA

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Pricing by billing methodology

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How this price compares nationally

UnityPoint Health Marshalltown’s median price of $431 is 18% above the median hospital's median price ($366), higher than 76% of the 811 hospitals reporting HCPCS L4070. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L4070 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	$180	$180	—	—	—	$180 – $180
2	UnitedHealthcare ppo fee schedule · both	$180	$180	—	—	—	$180 – $180
3	Wellmark commercial fee schedule · both	$343	$343	—	—	—	$343 – $343
4	Wellmark hmo fee schedule · both	$343	$343	—	—	—	$343 – $343
5	Wellmark ppo fee schedule · both	$343	$343	—	—	—	$343 – $343
6	Aetna hmo fee schedule · both	$403	$403	—	—	—	$403 – $403
7	Aetna ppo fee schedule · both	$403	$403	—	—	—	$403 – $403
8	Aetna medicare advantage case rate · outpatient	$431	$431	—	—	—	$431 – $431
9	Molina medicare advantage case rate · outpatient	$431	$431	—	—	—	$431 – $431
10	Wellmark medicare advantage case rate · outpatient	$431	$431	—	—	—	$431 – $431
11	Humana medicare advantage case rate · outpatient	$444	$444	—	—	—	$444 – $444
12	UnitedHealthcare medicare advantage case rate · outpatient	$444	$444	—	—	—	$444 – $444
13	Cigna commercial fee schedule · both	$458	$458	—	—	—	$458 – $458
14	UnitedHealthcare hmo fee schedule · outpatient	$507	$507	—	—	—	$507 – $507
15	UnitedHealthcare ppo fee schedule · outpatient	$507	$507	—	—	—	$507 – $507

Last updated: Jan 28, 2026

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