Replacement pillows for nasal oxygen cannula, pair

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Replacement nasal pillows

Blue Cross Blue Shield pricing summary

Low

Average

$96

Median

$25

High

$8.8k

Blue Cross Blue Shield rate distribution

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256 hospital rates

#		Plans
1	ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient	1	$19	$19	—	—	—	$19 – $19
2	Adventhealth Ottawa Ottawa, KS fee schedule · outpatient	1	$28	$28	—	—	—	$28 – $28
3	Alomere Health Alexandria, MN facility · fee schedule · outpatient	2	$19	$19	—	—	—	$19 – $19
4	Altru Hospital Grand Forks, ND facility · fee schedule · outpatient	2	$19	$19	—	—	—	$19 – $19
5	Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient	2	$19	$19	—	—	—	$19 – $19
6	Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · outpatient	4	$1	$1	$0	43%	—	$0 – $1
7	BELTON REGIONAL MEDICAL CENTER Kansas City, MO fee schedule · outpatient	3	$19	$19	$0	0%	—	$19 – $20
8	Beth Israel Deaconess Hospital - Needham Needham, MA fee schedule · outpatient	1	$37	$37	—	—	—	$37 – $37
9	Beth Israel Deaconess Hospital - Plymouth Plymouth, MA fee schedule · outpatient	2	$38	$38	$1	3%	—	$37 – $39
10	Beth Israel Deaconess Hospital-Milton Inc Milton, MA fee schedule · outpatient	1	$29	$29	—	—	—	$29 – $29
11	Beth Israel Deaconess Medical Center Boston, MA fee schedule · outpatient	2	$47	$47	$1	2%	—	$46 – $48
12	Blessing Hospital Quincy, IL professional · fee schedule · both	1	$15	$14	$2	13%	—	$11 – $15
13	Brunswick Community Hospital, LLC Bolivia, NC fee schedule · outpatient	1	$30	$30	—	—	—	$30 – $30
14	CENTERPOINT MEDICAL CENTER Independence, MO fee schedule · outpatient	3	$19	$19	$0	0%	—	$19 – $20
15	CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient	1	$19	$19	—	—	—	$19 – $19
16	CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient	6	$32	$32	—	—	—	$32 – $32
17	CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · fee schedule · outpatient	2	$23	$33	$15	45%	—	$23 – $54
18	COLUMBIA MEMORIAL HOSPITAL Hudson, NY facility · fee schedule · outpatient	2	$30	$30	$2	8%	—	$28 – $32
19	CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient	6	$32	$32	—	—	—	$32 – $32
20	Covenant Medical Center Lubbock, TX fee schedule · outpatient	4	$26	$27	$0	2%	—	$26 – $27
21	Covenant Medical Center Inc Saginaw, MI facility · fee schedule · outpatient	1	$37	$37	—	—	—	$37 – $37
22	Covenant Medical Center Inc Saginaw, MI facility · fee schedule · outpatient	1	$37	$37	—	—	—	$37 – $37
23	Cuero Regional Hospital Cuero, TX percent of total billed charges · inpatientfrom % of charges	1	$65	$65	$0	1%	—	$65 – $65
24	Edward Hospital Plainfield, IL fee schedule · outpatient	1	$49	$49	—	—	—	$49 – $49
25	Elmhurst Memorial Hospital Elmhurst, IL fee schedule · outpatient	1	$49	$49	—	—	—	$49 – $49