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
HOL POUCH 4126
Low
$2
Average
$4
Median
$3
High
$6
Filter by billing methodology
Prices here combine facility and professional fees. See them separately →Experimental
Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 8 hospitals; the 90th percentile is 3.0× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Pemiscot Memorial Health System Hayti, MO | $3 | $2 | $1 | 47% | — | $1 – $4 |
| 2 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL | $6 | $6 | $3 | 46% | — | $2 – $12 |
| 3 | Covenant Medical Center Inc Saginaw, MI | $6 | $6 | $2 | 25% | — | $5 – $9 |
| 4 | Covenant Medical Center Inc Saginaw, MI | $6 | $6 | $2 | 25% | — | $5 – $9 |
| 5 | Loyola University Medical Center Maywood, IL | $2 | $3 | $1 | 36% | — | $1 – $4 |
| 6 | Memorial Hospital of Laramie County Cheyenne, WY | $2 | $3 | $0 | 3% | — | $2 – $3 |
| 7 | Gottlieb Memorial Hospital Melrose Park, IL | $2 | $2 | $1 | 27% | — | $1 – $3 |
| 8 | MacNeal Hospital Berwyn, IL | $2 | $2 | $1 | 64% | — | $1 – $6 |
Ask Claude or any MCP client for HCPCS A5051 pricing at a specific hospital — see how to connect.