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
POUCH OST 57MM
Low
$0
Average
$33
Median
$12
High
$287
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. 62 hospitals; the 90th percentile is 45.2× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Hca Healthone Northeast Er THORNTON, CO | $13 | $13 | $6 | 44% | — | $4 – $23 |
| 2 | SwedishAmerican Hospital Rockford, IL | $128 | $134 | $37 | 27% | — | $66 – $182 |
| 3 | Texas Health Harris Methodist Hospital HurstEulessBedford Bedford, TX | $2 | $3 | $4 | 111% | — | $0 – $17 |
| 4 | Hca Healthone Southwest Er LITTLETON, CO | $8 | $9 | $4 | 47% | — | $3 – $16 |
| 5 | Hca Healthone Aurora Aurora, CO | $2 | $2 | $1 | 46% | — | $1 – $5 |
| 6 | Hca Florida Memorial Hospital JACKSONVILLE, FL | $18 | $29 | $18 | 62% | — | $7 – $54 |
| 7 | Reston Hospital Center VIENNA, VA | $30 | $31 | $13 | 42% | — | $11 – $52 |
| 8 | Jefferson County Hospital OK Waurika, OK | $9 | $8 | $2 | 21% | — | $5 – $10 |
| 9 | Tristar Northcrest Medical Center SPRINGFIELD, TN | $15 | $19 | $13 | 67% | — | $3 – $41 |
| 10 | Hca Florida Orange Park Hospital MIDDLEBURG, FL | $8 | $9 | $5 | 61% | — | $2 – $16 |
Ask Claude or any MCP client for HCPCS A5057 pricing at a specific hospital — see how to connect.