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
Low
$1
Average
$21
Median
$11
High
$82
Filter by billing methodology
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. 11 hospitals; the 90th percentile is 40.7× 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 | $11 | $11 | $3 | 26% | 2–20 | $2 – $14 |
| 3 | University of Iowa Health Care Medical Center Downtown Iowa City, IA | $22 | $21 | $17 | 84% | — | $0 – $50 |
| 4 | University of Iowa Health Care Medical Center Iowa City, IA | $22 | $21 | $17 | 83% | — | $0 – $50 |
| 5 | Memorial Hospital of Laramie County Cheyenne, WY | $2 | $2 | $0 | 3% | — | $1 – $2 |
| 6 | University of Texas MD Anderson Cancer Center Houston, TX | $28 | $28 | $4 | 14% | — | $11 – $33 |
| 7 | Covenant Medical Center Inc Saginaw, MI | $6 | $6 | $2 | 25% | — | $1 – $9 |
| 8 | Covenant Medical Center Inc Saginaw, MI | $6 | $6 | $2 | 25% | — | $1 – $9 |
| 9 | Holy Redeemer Health System Meadowbrook, PA | $1 | $1 | $1 | 57% | — | $1 – $3 |
| 10 | Charleston Area Medical Center Charleston, WV | $70 | $53 | $45 | 84% | — | $2 – $101 |
Ask Claude or any MCP client for HCPCS A5126 pricing at a specific hospital — see how to connect.