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
$98
Median
$16
High
$3.5k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
113 hospitals; the 90th percentile is 23.0× 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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123 hospital rates
iThe hospitals that file a Aetna 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 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 2 | $20 | $67 | $142 | 212% | 26–116 | $4 – $520 |
| 2 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 3 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 2 | $36 | $36 | $0 | 1% | — | $36 – $36 |
| 4 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 2 | $30 | $30 | — | — | — | $30 – $30 |
| 5 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 8 | $62 | $59 | $9 | 16% | — | $35 – $65 |
| 6 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 7 | BOCA RATON REGIONAL HOSPITAL Delray Beach, FL percent of total billed charges · bothfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $62 | $62 | $1 | 1% | — | $62 – $63 |
| 9 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 10 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 2 | $22 | $29 | $9 | 32% | — | $22 – $42 |
| 11 | Bronson Battle Creek Hospital Battle Creek, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 12 | Bronson LakeView Hospital Paw Paw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 13 | Bronson Methodist Hospital Kalamazoo, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 14 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 2 | $36 | $36 | — | — | — | $36 – $36 |
| 15 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 2 | $36 | $36 | — | — | — | $36 – $36 |
| 16 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 17 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 18 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 2 | $12 | $12 | — | — | — | $12 – $12 |
| 19 | Clara Maass Medical Center Belleville, NJ fee schedule · outpatient | 2 | $4 | $4 | — | — | — | $4 – $4 |
| 20 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 21 | Clinton Memorial Hospital Wilmington, OH fee schedule · outpatient | 1 | $62 | $62 | $1 | 1% | — | $62 – $63 |
| 22 | Columbus Regional Hospital Columbus, IN percent of total billed charges · bothfrom % of charges | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 23 | Community Medical Center Toms River, NJ fee schedule · outpatient | 2 | $3 | $3 | — | — | — | $3 – $3 |
| 24 | Cooperman Barnabas Medical Center Livingston, NJ fee schedule · outpatient | 2 | $4 | $4 | — | — | — | $4 – $4 |
| 25 | Covenant Medical Center Lubbock, TX fee schedule · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
← Payers reporting HCPCS A9300 · Snapshot 20261111T120946Z-9134e7f7