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 acrylic
Marshalltown, IA
See all hospitals reporting HCPCS L7404 →Price type
UnityPoint Health Marshalltown’s median price of $815 is 16% above the median hospital's median price ($701), higher than 80% of the 822 hospitals reporting HCPCS L7404. 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 | $333 | $333 | — | — | — | $333 – $333 |
| 2 | UnitedHealthcare ppo fee schedule · both | $333 | $333 | — | — | — | $333 – $333 |
| 3 | Wellmark commercial fee schedule · both | $654 | $654 | — | — | — | $654 – $654 |
| 4 | Wellmark hmo fee schedule · both | $654 | $654 | — | — | — | $654 – $654 |
| 5 | Wellmark ppo fee schedule · both | $654 | $654 | — | — | — | $654 – $654 |
| 6 | Aetna hmo fee schedule · both | $746 | $746 | — | — | — | $746 – $746 |
| 7 | Aetna ppo fee schedule · both | $746 | $746 | — | — | — | $746 – $746 |
| 8 | Aetna medicare advantage case rate · outpatient | $815 | $815 | — | — | — | $815 – $815 |
| 9 | Molina medicare advantage case rate · outpatient | $815 | $815 | — | — | — | $815 – $815 |
| 10 | Wellmark medicare advantage case rate · outpatient | $815 | $815 | — | — | — | $815 – $815 |
| 11 | Humana medicare advantage case rate · outpatient | $839 | $839 | — | — | — | $839 – $839 |
| 12 | UnitedHealthcare medicare advantage case rate · outpatient | $839 | $839 | — | — | — | $839 – $839 |
| 13 | Cigna commercial fee schedule · both | $848 | $848 | — | — | — | $848 – $848 |
| 14 | UnitedHealthcare hmo fee schedule · outpatient | $959 | $959 | — | — | — | $959 – $959 |
| 15 | UnitedHealthcare ppo fee schedule · outpatient | $959 | $959 | — | — | — | $959 – $959 |
Last updated: Jan 28, 2026
See Upper arm prosthesis addition, acrylic, above-elbow pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.