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
Custom grad cm sleeve heavy
Low
$1
Average
$195
Median
$176
High
$793
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Prices here combine facility and professional fees. See them separately →Experimental
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 716 hospitals; the 90th percentile is 1.7× 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 | St. Anthony Shawnee Hospital, Inc Shawnee, OK | $189 | $207 | $51 | 25% | — | $162 – $315 |
| 2 | Lewisgale Hospital Montgomery CHRISTIANSBURG, VA | $162 | $162 | $9 | 5% | — | $137 – $173 |
| 3 | Ingalls Memorial Hospital Harvey, IL | $170 | $170 | $8 | 5% | — | $162 – $178 |
| 4 | Fairview Health Services Edina, MN | $175 | $294 | $264 | 90% | — | $145 – $1.3k |
| 5 | Hca Florida West Hospital PENSACOLA, FL | $170 | $196 | $69 | 35% | — | $157 – $388 |
| 6 | Mayo Regional Hospital Dover Foxcroft, ME | $105 | $107 | $50 | 47% | — | $11 – $195 |
| 7 | Corewell Health Ludington Hospital Ludington, MI | $170 | $207 | $59 | 29% | — | $162 – $291 |
| 8 | Kettering Medical Center Miamisburg, OH | $251 | $277 | $91 | 33% | — | $162 – $434 |
| 9 | Hoopeston Community Memorial Hospital Hoopeston, IL | $77 | $105 | $40 | 38% | — | $77 – $162 |
| 10 | Deaconess Hospital, Inc Newburgh, IN | $153 | $153 | — | — | — | $153 – $153 |
Ask Claude or any MCP client for HCPCS A6577 pricing at a specific hospital — see how to connect.