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
FOAM DRG > 48 SQ IN W/O BRDR
Low
$0
Average
$59
Median
$56
High
$173
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Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 29 hospitals; the 90th percentile is 3.8× 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 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Albuquerque, NM | $46 | $76 | $43 | 56% | 21–93 | $33 – $136 |
| 2 | Abbeville Area Medical Center Abbeville, SC | $55 | $55 | — | — | 3–30 | $14 – $130 |
| 3 | Tufts Medical Center BOSTON, MA | $30 | $36 | $23 | 65% | 3–30 | $3 – $66 |
| 4 | Owasso Medical Facility, Inc. Owasso, OK | $57 | $57 | — | — | — | $57 – $57 |
| 5 | St. John Medical Center, Inc. Tulsa, OK | $57 | $57 | — | — | — | $57 – $57 |
| 6 | Jane Phillips Memorial Medical Center Bartlesville, OK | $57 | $57 | — | — | — | $57 – $57 |
| 7 | Nebraska Medical Center Omaha, NE | $42 | $43 | $1 | 3% | — | $26 – $72 |
| 8 | Nationwide Children's Hospital Columbus, OH | $56 | $56 | — | — | — | $56 – $56 |
| 9 | Nationwide Children's Hospital Toledo, Llc Toledo, OH | $42 | $42 | $0 | 0% | — | $41 – $42 |
| 10 | Baptist Hospital Of Miami MIAMI, FL | $173 | $173 | — | — | — | $23 – $173 |
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