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 pelvic control belt pad/l
Marshalltown, IA
See all hospitals reporting HCPCS L5694 →Price type
UnityPoint Health Marshalltown’s median price of $286 is 17% above the median hospital's median price ($246), higher than 58% of the 840 hospitals reporting HCPCS L5694. 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, 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 | $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 · both | $243 | $243 | — | — | — | $243 – $243 |
| 7 | Aetna ppo fee schedule · both | $243 | $243 | — | — | — | $243 – $243 |
| 8 | Cigna commercial fee schedule · both | $276 | $276 | — | — | — | $276 – $276 |
| 9 | Aetna medicare advantage case rate · outpatient | $296 | $296 | — | — | — | $296 – $296 |
| 10 | Molina medicare advantage case rate · outpatient | $296 | $296 | — | — | — | $296 – $296 |
| 11 | Wellmark medicare advantage case rate · outpatient | $296 | $296 | — | — | — | $296 – $296 |
| 12 | Humana medicare advantage case rate · outpatient | $305 | $305 | — | — | — | $305 – $305 |
| 13 | UnitedHealthcare medicare advantage case rate · outpatient | $305 | $305 | — | — | — | $305 – $305 |
| 14 | UnitedHealthcare hmo fee schedule · outpatient | $348 | $348 | — | — | — | $348 – $348 |
| 15 | UnitedHealthcare ppo fee schedule · outpatient | $348 | $348 | — | — | — | $348 – $348 |
Last updated: Jan 28, 2026
See Pelvic control belt 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.