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
HB-Foam Wedge, Wonder
Low
$0
Average
$67
Median
$24
High
$738
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
38 payers; the 90th percentile is 25.8× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield facility · fee schedule · outpatient · +16 other terms | 26 | $20 | $84 | $268 | 319% | — | $5 – $1.4k |
| 2 | Aetna fee schedule · outpatient · +13 other terms | 18 | $4 | $14 | $21 | 149% | — | $3 – $79 |
| 3 | Anthem facility · case rate · outpatient · +12 other terms | 15 | $15 | $17 | $4 | 23% | — | $10 – $26 |
| 4 | Caresource facility · case rate · outpatient · +7 other terms | 15 | $16 | $17 | $4 | 23% | — | $10 – $27 |
| 5 | Molina facility · case rate · outpatient · +9 other terms | 15 | $15 | $17 | $4 | 23% | — | $11 – $26 |
| 6 | UnitedHealthcare facility · case rate · outpatient · +12 other terms | 15 | $16 | $17 | $4 | 23% | — | $11 – $27 |
| 7 | Wellmark fee schedule · both · +1 other terms | 13 | $22 | $22 | $0 | 0% | — | $22 – $22 |
| 8 | Bcbs Mn fee schedule · outpatient · +4 other terms | 12 | $21 | $15 | $9 | 62% | — | $5 – $26 |
| 9 | Optum facility · case rate · outpatient · +6 other terms | 11 | $14 | $16 | $4 | 22% | — | $13 – $24 |
| 10 | Highmark fee schedule · outpatient · +2 other terms | 10 | $7 | $7 | — | — | — | $7 – $7 |
| 11 | Bcbs Il professional · fee schedule · both · +1 other terms | 8 | $6 | $7 | $10 | 151% | — | $0 – $22 |
| 12 | WellCare professional · fee schedule · both · +3 other terms | 8 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | Aetna Better Health professional · fee schedule · both · +1 other terms | 7 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | Humana professional · fee schedule · both · +11 other terms | 7 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | Bcbs Id percent of total billed charges · bothfrom % of charges | 5 | $52 | $52 | $1 | 1% | — | $52 – $54 |
| 16 | First Health professional · fee schedule · both · +7 other terms | 5 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | Cigna professional · fee schedule · both · +14 other terms | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | Devoted facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms | 4 | $6 | $6 | $3 | 56% | — | $2 – $12 |
| 19 | Ambetter professional · fee schedule · both · +5 other terms | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 20 | Bcbs Ks fee schedule · outpatient · +1 other terms | 3 | $30 | $31 | $2 | 6% | — | $30 – $34 |
| 21 | Regence percent of total billed charges · bothfrom % of charges · +3 other terms | 3 | $35 | $30 | $5 | 17% | — | $25 – $35 |
| 22 | Healthpartners facility · fee schedule · both · +1 other terms | 2 | $432 | $754 | $525 | 70% | — | $10 – $1.7k |
| 23 | Medica fee schedule · outpatient · +7 other terms | 2 | $62 | $62 | $21 | 34% | — | $33 – $80 |
| 24 | MultiPlan professional · fee schedule · both · +9 other terms | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 25 | Phcs professional · fee schedule · both · +1 other terms | 2 | $0 | $0 | — | — | — | $0 – $0 |
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