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
HC (SUP SHELL A5057) 1 PC OST POU W BUILT-IN CONV
Low
$0
Average
$18
Median
$14
High
$151
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
248 hospitals; the 90th percentile is 3.6× 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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281 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 2 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 3 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 5 | $2 | $2 | $3 | 107% | — | $0 – $10 |
| 4 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 6 | $182 | $148 | $47 | 32% | — | $79 – $182 |
| 5 | Adventhealth Ottawa Ottawa, KS fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 6 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · outpatient | 3 | $1 | $1 | $0 | 46% | — | $0 – $1 |
| 10 | Ascension Seton Austin, TX fee schedule · outpatient | 4 | $12 | $12 | $1 | 8% | — | $11 – $13 |
| 11 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL percent of total billed charges · bothfrom % of charges | 6 | $5 | $6 | $3 | 51% | — | $1 – $11 |
| 12 | BELTON REGIONAL MEDICAL CENTER Kansas City, MO fee schedule · outpatient | 3 | $14 | $14 | $0 | 1% | — | $14 – $14 |
| 13 | BETHESDA HOSPITAL BOYNTON BEACH, FL percent of total billed charges · bothfrom % of charges | 7 | $4 | $4 | $1 | 37% | — | $2 – $6 |
| 14 | BLUE RIDGE REGIONAL HOSPITAL Spruce Pine, NC percent of total billed charges · outpatientfrom % of charges | 6 | $41 | $80 | $84 | 104% | — | $3 – $193 |
| 15 | Benson Hospital Corporation Benson, AZ facility · fee schedule · outpatient | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 16 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 17 | Blessing Hospital Quincy, IL professional · fee schedule · both | 1 | $8 | $8 | $0 | 2% | — | $7 – $8 |
| 18 | CENTERPOINT MEDICAL CENTER Independence, MO fee schedule · outpatient | 3 | $14 | $14 | $0 | 1% | — | $14 – $14 |
| 19 | CENTERPOINT MEDICAL CENTER Independence, MO percent of total billed charges · outpatientfrom % of charges | 5 | $1 | $1 | $0 | 28% | — | $1 – $1 |
| 20 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 21 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · case rate · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 22 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · fee schedule · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 23 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY facility · fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 24 | Carle BroMenn Medical Center Normal, IL case rate · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 25 | Covenant Medical Center Lubbock, TX fee schedule · outpatient | 4 | $13 | $13 | $0 | 2% | — | $13 – $13 |
← Payers reporting HCPCS A5057 · Snapshot 20261112T124536Z-e251e855