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
Nondisp underpads, all sizes
Low
$0
Average
$12
Median
$12
High
$30
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
18 payers; the 90th percentile is 3.3× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +5 other terms | 36 | $18 | $23 | $16 | 70% | — | $9 – $67 |
| 2 | Blue Cross Blue Shield facility · fee schedule · outpatient · +4 other terms | 24 | $11 | $15 | $15 | 100% | — | $2 – $58 |
| 3 | UnitedHealthcare fee schedule · outpatient · +3 other terms | 16 | $17 | $16 | $4 | 23% | — | $3 – $17 |
| 4 | Anthem facility · case rate · outpatient · +4 other terms | 15 | $15 | $17 | $4 | 23% | — | $10 – $26 |
| 5 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $16 | $17 | $4 | 23% | — | $10 – $27 |
| 6 | Molina facility · case rate · outpatient · +1 other terms | 15 | $15 | $17 | $4 | 23% | — | $11 – $26 |
| 7 | Wellmark fee schedule · both · +1 other terms | 13 | $10 | $10 | $0 | 3% | — | $8 – $10 |
| 8 | Optum facility · case rate · outpatient · +1 other terms | 11 | $14 | $16 | $4 | 22% | — | $13 – $24 |
| 9 | Highmark fee schedule · outpatient · +2 other terms | 10 | $7 | $7 | — | — | — | $7 – $7 |
| 10 | Aetna Better Health fee schedule · inpatient · +1 other terms | 7 | $9 | $9 | — | — | — | $9 – $9 |
| 11 | Humana fee schedule · inpatient · +2 other terms | 5 | $9 | $9 | — | — | — | $9 – $9 |
| 12 | Bcbs Ks fee schedule · outpatient · +1 other terms | 3 | $1 | $1 | $0 | 6% | — | $1 – $1 |
| 13 | First Health professional · fee schedule · both | 3 | $10 | $10 | — | — | — | $10 – $10 |
| 14 | Bcbs Il professional · fee schedule · both | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 15 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | Bcbs Nc facility · fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 17 | Bcbs Nv fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 18 | Bcbs Vt professional · fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
← Hospitals reporting HCPCS A4553 · Snapshot 20261112T181611Z-3fa9fb76