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
HB-Bk/Symes Total Contact (L5637)
Madison, WI
See all hospitals reporting HCPCS L5637 →Price type
University of Wisconsin Hospital and Clinics Authority’s median price of $521 is 14% above the median hospital's median price ($457), higher than 79% of the 877 hospitals reporting HCPCS L5637. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 21 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 | Anthem blue_priority/pathway percent of total billed chargesfrom % of charges | $366.79 | $366.79 | $366.79 – $366.79 |
| 2 | Aetna hmo/ppo fee schedule | $471.56 | $471.56 | $471.56 – $471.56 |
| 3 | Aetna Better Health aetna better health il fee schedule | $471.56 | $471.56 | $471.56 – $471.56 |
| 4 | Anthem anthem medicare adv fee schedule | $471.56 | $471.56 | $471.56 – $471.56 |
| 5 | Humana humana medicare adv fee schedule | $471.56 | $471.56 | $471.56 – $471.56 |
| 6 | Molina molina choice care hmo fee schedule | $471.56 | $471.56 | $471.56 – $471.56 |
| 7 | Molina my choice wi fee schedule | $471.56 | $471.56 | $471.56 – $471.56 |
| 8 | UnitedHealthcare united healthcare medicare adv plans fee schedule | $471.56 | $471.56 | $471.56 – $471.56 |
| 9 | Devoted hmo/pos fee schedule | $480.99 | $480.99 | $480.99 – $480.99 |
| 10 | Anthem hmo/pos percent of total billed chargesfrom % of charges | $506.50 | $506.50 | $506.50 – $506.50 |
| 11 | UnitedHealthcare nexus percent of total billed chargesfrom % of charges | $515.13 | $515.13 | $515.13 – $515.13 |
| 12 | Cigna oap/ppo/epo percent of total billed chargesfrom % of charges | $539.40 | $539.40 | $539.40 – $539.40 |
| 13 | Optum optum_behavioral_health percent of total billed chargesfrom % of charges | $562.77 | $562.77 | $562.77 – $562.77 |
| 14 | UnitedHealthcare nonoptions percent of total billed chargesfrom % of charges | $562.77 | $562.77 | $562.77 – $562.77 |
| 15 | Aetna aetna_w percent of total billed chargesfrom % of charges | $640.99 | $640.99 | $640.99 – $640.99 |
| 16 | Anthem ppo percent of total billed chargesfrom % of charges | $646.29 | $646.29 | $646.29 – $646.29 |
| 17 | MultiPlan healtheos/phcs percent of total billed chargesfrom % of charges | $719.20 | $719.20 | $719.20 – $719.20 |
| 18 | Aetna aetna_non_w percent of total billed chargesfrom % of charges | $721.00 | $721.00 | $721.00 – $721.00 |
| 19 | UnitedHealthcare options percent of total billed chargesfrom % of charges | $763.25 | $763.25 | $763.25 – $763.25 |
| 20 | MultiPlan multiplan percent of total billed chargesfrom % of charges | $827.08 | $827.08 | $827.08 – $827.08 |
| 21 | Anthem anthem_par percent of total billed chargesfrom % of charges | $854.05 | $854.05 | $854.05 – $854.05 |
Last updated: Apr 1, 2026
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