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
SLEEVE, DISP. HEMO-FORCE SCD
Low
$0
Average
$36
Median
$20
High
$213
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
30 payers; the 90th percentile is 10.1× 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.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Ambetter facility · fee schedule · both | 1 | $10 | $10 | — | — | 1–10 | $10 – $10 |
| 2 | Wellmark facility · fee schedule · both | 1 | $19 | $19 | $8 | 46% | 1–10 | $10 – $27 |
| 3 | Aetna fee schedule · outpatient · +8 other terms | 38 | $37 | $71 | $80 | 113% | — | $16 – $287 |
| 4 | Blue Cross Blue Shield facility · fee schedule · outpatient · +8 other terms | 20 | $248 | $355 | $369 | 104% | — | $8 – $1.3k |
| 5 | Cigna facility · fee schedule · outpatient · +6 other terms | 17 | $36 | $92 | $98 | 107% | — | $32 – $282 |
| 6 | Anthem facility · case rate · outpatient · +5 other terms | 15 | $10 | $11 | $3 | 23% | — | $7 – $17 |
| 7 | Caresource facility · case rate · outpatient · +2 other terms | 15 | $10 | $11 | $3 | 23% | — | $7 – $17 |
| 8 | Molina facility · case rate · outpatient · +3 other terms | 15 | $10 | $11 | $3 | 23% | — | $7 – $17 |
| 9 | UnitedHealthcare fee schedule · outpatient · +5 other terms | 15 | $13 | $14 | $1 | 10% | — | $13 – $17 |
| 10 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $25 | $19 | $10 | 56% | — | $8 – $31 |
| 11 | Optum facility · case rate · outpatient · +1 other terms | 11 | $10 | $10 | $2 | 22% | — | $9 – $15 |
| 12 | Highmark fee schedule · outpatient · +3 other terms | 10 | $42 | $42 | — | — | — | $42 – $42 |
| 13 | Phcs percent of total billed charges · bothfrom % of charges | 8 | $14 | $14 | — | — | — | $14 – $14 |
| 14 | Aetna Better Health fee schedule · inpatient · +2 other terms | 7 | $38 | $38 | — | — | — | $38 – $38 |
| 15 | Bcbs Id percent of total billed charges · bothfrom % of charges | 5 | $17 | $17 | $8 | 45% | — | $12 – $32 |
| 16 | Humana fee schedule · inpatient · +6 other terms | 5 | $37 | $37 | — | — | — | $37 – $37 |
| 17 | MultiPlan facility · percent of total billed charges · inpatientfrom % of charges · +3 other terms | 4 | $120 | $120 | $2 | 2% | — | $118 – $122 |
| 18 | First Health professional · fee schedule · both · +2 other terms | 3 | $41 | $41 | — | — | — | $41 – $41 |
| 19 | Kaiser facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms | 3 | $122 | $121 | $2 | 2% | — | $118 – $122 |
| 20 | Medica percent of total billed charges · bothfrom % of charges | 2 | $3 | $3 | — | — | — | $3 – $3 |
| 21 | Medicare percent of total billed charges · bothfrom % of charges | 2 | $4 | $4 | $1 | 15% | — | $3 – $4 |
| 22 | Regence percent of total billed charges · bothfrom % of charges | 2 | $12 | $12 | $5 | 45% | — | $8 – $21 |
| 23 | Tricare facility · fee schedule · outpatient | 2 | $213 | $213 | — | — | — | $213 – $213 |
| 24 | Bcbs La fee schedule · outpatient · +1 other terms | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 25 | Bcbs Nc facility · fee schedule · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
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