Prosthetic leg addition: pelvic band for above-knee prosthesis 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

Ak/knee disartic pelvic band

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 $127 is 18% above the median hospital's median price ($107), higher than 71% of the 832 hospitals reporting HCPCS L5697. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L5697 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	$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 · both	$108	$108	—	—	—	$108 – $108
7	Aetna ppo fee schedule · both	$108	$108	—	—	—	$108 – $108
8	Cigna commercial fee schedule · both	$122	$122	—	—	—	$122 – $122
9	Aetna medicare advantage case rate · outpatient	$131	$131	—	—	—	$131 – $131
10	Molina medicare advantage case rate · outpatient	$131	$131	—	—	—	$131 – $131
11	Wellmark medicare advantage case rate · outpatient	$131	$131	—	—	—	$131 – $131
12	Humana medicare advantage case rate · outpatient	$135	$135	—	—	—	$135 – $135
13	UnitedHealthcare medicare advantage case rate · outpatient	$135	$135	—	—	—	$135 – $135
14	UnitedHealthcare hmo fee schedule · outpatient	$154	$154	—	—	—	$154 – $154
15	UnitedHealthcare ppo fee schedule · outpatient	$154	$154	—	—	—	$154 – $154

Last updated: Jan 28, 2026

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