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
Refilling and Maintenance of Portable Pump
Low
$1
Average
$843
Median
$321
High
$438.9k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1247 hospitals; the 90th percentile is 4.5× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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2,315 hospital rates
iThe hospitals that file a UnitedHealthcare rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 5 | $362 | $352 | $208 | 59% | 84–102 | $57 – $666 |
| 2 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 1 | $242 | $242 | — | — | 79 | $242 – $242 |
| 3 | ROBERT PACKER HOSPITAL Doing Business As: ROBERT PACKER HOSPITAL, TOWANDA CAMPUS Towanda, PA facility · other · outpatient | 1 | $214 | $214 | — | — | 79 | $214 – $214 |
| 4 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN percent of total billed charges · bothfrom % of charges | 10 | $707 | $703 | $6 | 1% | 77 | $693 – $707 |
| 5 | St. Peter's Health Helena, MT percent of total billed charges · outpatientfrom % of charges | 1 | $202 | $202 | — | — | 58 | $202 – $202 |
| 6 | St Luke's Magic Valley Regional Medical Center, LTD Jerome, ID other · outpatient | 1 | $249 | $249 | — | — | 47 | $249 – $249 |
| 7 | St Luke's Wood River Medical Center, LTD Ketchum, ID percent of total billed charges · bothfrom % of charges | 2 | $552 | $552 | $112 | 20% | 38 | $439 – $664 |
| 8 | St Luke's Nampa Medical Center, LTD Nampa, ID other · outpatient | 1 | $226 | $226 | — | — | 35 | $226 – $226 |
| 9 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | 23 | $1.1k – $1.1k |
| 10 | Northwestern Medicine Kishwaukee Hospital DeKalb, IL percent of total billed charges · outpatientfrom % of charges | 3 | $666 | $720 | $206 | 29% | 23 | $499 – $995 |
| 11 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 2 | $524 | $524 | $257 | 49% | 22 | $267 – $781 |
| 12 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 1 | $531 | $531 | — | — | 19 | $531 – $531 |
| 13 | Stormont Vail Healthcare, Inc Topeka, KS percent of total billed charges · bothfrom % of charges | 1 | $53.2k | $53.2k | — | — | 18–27 | $53.2k – $53.2k |
| 14 | Grundy County Memorial Hospital Grundy Center, IA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $244 | $244 | $40 | 16% | 16–25 | $204 – $284 |
| 15 | Deaconess Health System Henderson Hospital Henderson, KY facility · other · inpatient | 1 | $197 | $197 | — | — | 15 | $197 – $197 |
| 16 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY CITY, IN percent of total billed charges · bothfrom % of charges | 2 | $341 | $341 | $18 | 5% | 14 | $323 – $359 |
| 17 | Strong Memorial Hospital Rochester, NY percent of total billed charges · outpatientfrom % of charges | 1 | $748 | $748 | — | — | 14 | $748 – $748 |
| 18 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 3 | $424 | $462 | $81 | 18% | 14 | $388 – $575 |
| 19 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 2 | $240 | $240 | $9 | 4% | 12 | $231 – $249 |
| 20 | HealthEast St John's Hospital Maplewood, MN other · inpatient | 2 | $86 | $86 | $2 | 2% | 12–21 | $84 – $88 |
| 21 | Advocate Lutheran General Hospital Park Ridge, IL percent of total billed charges · outpatientfrom % of charges | 2 | $210 | $214 | $58 | 27% | 2–20 | $147 – $290 |
| 22 | Monument Health Network Inc Deadwood, SD percent of total billed charges · outpatientfrom % of charges | 2 | $485 | $485 | $262 | 54% | 2–20 | $223 – $747 |
| 23 | Monument Health Network Inc Sturgis, SD percent of total billed charges · outpatientfrom % of charges | 2 | $466 | $466 | $281 | 60% | 2–20 | $185 – $747 |
| 24 | Novant Health New Hanover Regional Medical Center LLC Wilmington, NC percent of total billed charges · outpatientfrom % of charges | 2 | $328 | $328 | $196 | 60% | 2–20 | $132 – $524 |
| 25 | Appalachian Regional Healthcare, Inc. Beckley, WV other · outpatient | 1 | $182 | $182 | — | — | 1–10 | $182 – $182 |
← Payers reporting CPT 96521 · Snapshot 20261111T120946Z-9134e7f7