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.
Generation details were not recorded for this description.
Original text from hospital filings
Special casting material
Low
$26
Average
$104
Median
$138
High
$138
Each hospital's average Ucare rate, under the methodology and billing class chosen below.
7 hospitals; the 90th percentile is 3.2× 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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8 hospital rates
iThe hospitals that file a Ucare 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 | Covenant Medical Center Inc Waterloo, IA professional · percent of total billed charges · inpatientfrom % of charges | 3 | $24 | $26 | $3 | 13% | — | $24 – $31 |
| 2 | Covenant Medical Center Inc Waterloo, IA professional · percent of total billed charges · outpatientfrom % of charges | 3 | $24 | $26 | $3 | 13% | — | $24 – $31 |
| 3 | Mayo Clinic Health System Menomonie, WI professional · percent of total billed charges · outpatientfrom % of charges | 1 | $138 | $138 | $31 | 22% | — | $107 – $169 |
| 4 | Mayo Clinic Health System Bloomer, WI professional · percent of total billed charges · outpatientfrom % of charges | 1 | $138 | $138 | $31 | 22% | — | $107 – $169 |
| 5 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 2 | $138 | $138 | $31 | 22% | — | $107 – $169 |
| 6 | Mayo Clinic Health System Sparta, WI professional · percent of total billed charges · outpatientfrom % of charges | 2 | $96 | $96 | $6 | 6% | — | $90 – $102 |
| 7 | Mayo Clinic Health System Barron, WI professional · percent of total billed charges · outpatientfrom % of charges | 1 | $138 | $138 | $31 | 22% | — | $107 – $169 |
| 8 | Westfields Hospital New Richmond, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $55 | $55 | — | — | — | $55 – $55 |
← Payers reporting HCPCS A4590 · Snapshot 20261111T120946Z-9134e7f7