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
HMES filter holder or cap
Low
$9
Average
$179
Median
$230
High
$325
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
29 hospitals; the 90th percentile is 14.7× 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.
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31 hospital rates
iThe hospitals that file a MultiPlan rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 2 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 3 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 4 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 5 | HMH HOSPITALS CORPORATION North Bergen, NJ facility · fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 6 | Piedmont Athens Regional Athens, GA percent of total billed charges · bothfrom % of charges | 1 | $269 | $269 | — | — | — | $269 – $269 |
| 7 | Piedmont Atlanta Atlanta, GA percent of total billed charges · bothfrom % of charges | 1 | $279 | $279 | — | — | — | $279 – $279 |
| 8 | Piedmont Cartersville Cartersville, GA percent of total billed charges · bothfrom % of charges | 1 | $325 | $325 | — | — | — | $325 – $325 |
| 9 | Piedmont Columbus Regional - Midtown Columbus, GA percent of total billed charges · bothfrom % of charges | 1 | $307 | $307 | — | — | — | $307 – $307 |
| 10 | Piedmont Columbus Regional - Northside Columbus, GA percent of total billed charges · bothfrom % of charges | 1 | $307 | $307 | — | — | — | $307 – $307 |
| 11 | Piedmont Eastside Snellville, GA percent of total billed charges · bothfrom % of charges | 1 | $325 | $325 | — | — | — | $325 – $325 |
| 12 | Piedmont Fayette Fayetteville, GA percent of total billed charges · bothfrom % of charges | 1 | $279 | $279 | — | — | — | $279 – $279 |
| 13 | Piedmont Henry Stockbridge, GA percent of total billed charges · bothfrom % of charges | 1 | $279 | $279 | — | — | — | $279 – $279 |
| 14 | Piedmont Macon Macon, GA percent of total billed charges · bothfrom % of charges | 1 | $325 | $325 | — | — | — | $325 – $325 |
| 15 | Piedmont Macon North Macon, GA percent of total billed charges · bothfrom % of charges | 1 | $325 | $325 | — | — | — | $325 – $325 |
| 16 | Piedmont Mountainside Jasper, GA percent of total billed charges · bothfrom % of charges | 1 | $279 | $279 | — | — | — | $279 – $279 |
| 17 | Piedmont Newnan Newnan, GA percent of total billed charges · bothfrom % of charges | 1 | $279 | $279 | — | — | — | $279 – $279 |
| 18 | Piedmont Newton Covington, GA percent of total billed charges · bothfrom % of charges | 1 | $279 | $279 | — | — | — | $279 – $279 |
| 19 | Piedmont Rockdale Conyers, GA percent of total billed charges · bothfrom % of charges | 1 | $230 | $230 | — | — | — | $230 – $230 |
| 20 | Piedmont Walton Monroe, GA percent of total billed charges · bothfrom % of charges | 1 | $262 | $262 | — | — | — | $262 – $262 |
| 21 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · outpatientfrom % of charges | 1 | $144 | $144 | — | — | — | $144 – $144 |
| 22 | UCHealth Estes Valley Medical Center Estes Park, CO fee schedule · both | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 23 | University of Iowa Health Care Medical Center Iowa City, IA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $168 | $168 | — | — | — | $168 – $168 |
| 24 | University of Iowa Health Care Medical Center Iowa City, IA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $168 | $168 | — | — | — | $168 – $168 |
| 25 | University of Iowa Health Care Medical Center Downtown Iowa City, IA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $168 | $168 | — | — | — | $168 – $168 |
← Payers reporting HCPCS A7503 · Snapshot 20261112T124536Z-e251e855