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
DISK/FOAM PAD +OR- ADHESIVE
Based on 12–120 billing samples across every hospital reporting.
Low
$0
Average
$4
Median
$2
High
$507
Filter by billing methodology
Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 668 hospitals; the 90th percentile is 2.5× 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 | Tanner Medical Center - Carrollton Carrollton, GA | $1 | $1 | $0 | 43% | 10–100 | $0 – $1 |
| 2 | Fresno Community Hospital And Medical Center Fresno, CA | $2 | $2 | $2 | 98% | 2–20 | $2 – $14 |
| 3 | St. Anthony Shawnee Hospital, Inc Shawnee, OK | $3 | $3 | $0 | 5% | — | $3 – $3 |
| 4 | Lewisgale Hospital Montgomery CHRISTIANSBURG, VA | $2 | $2 | $0 | 5% | — | $1 – $2 |
| 5 | Fairview Health Services Edina, MN | $2 | $2 | $1 | 35% | — | $1 – $4 |
| 6 | Hca Florida West Hospital PENSACOLA, FL | $2 | $2 | $1 | 35% | — | $2 – $4 |
| 7 | Mayo Regional Hospital Dover Foxcroft, ME | $1 | $1 | $1 | 60% | — | $0 – $2 |
| 8 | Hoopeston Community Memorial Hospital Hoopeston, IL | $1 | $1 | $0 | 39% | — | $1 – $2 |
| 9 | Deaconess Hospital, Inc Newburgh, IN | $2 | $2 | — | — | — | $2 – $2 |
| 10 | Newark-Wayne Community Hospital Newark, NY | $3 | $3 | — | — | — | $3 – $3 |
Ask Claude or any MCP client for HCPCS A5126 pricing at a specific hospital — see how to connect.