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-Dycem Non Slip Mat, per Foot
Low
$0
Average
$136
Median
$120
High
$729
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
25 payers; the 90th percentile is 18.7× 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.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Anthem facility · case rate · outpatient · +8 other terms | 15 | $15 | $17 | $4 | 23% | — | $10 – $26 |
| 2 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $16 | $17 | $4 | 23% | — | $10 – $27 |
| 3 | Molina facility · case rate · outpatient · +8 other terms | 15 | $15 | $17 | $4 | 23% | — | $11 – $26 |
| 4 | UnitedHealthcare facility · case rate · outpatient · +9 other terms | 15 | $16 | $17 | $4 | 23% | — | $11 – $27 |
| 5 | Blue Cross Blue Shield facility · fee schedule · outpatient · +8 other terms | 12 | $154 | $251 | $255 | 102% | — | $108 – $1.1k |
| 6 | Optum facility · case rate · outpatient · +4 other terms | 11 | $14 | $16 | $4 | 22% | — | $13 – $24 |
| 7 | Cigna professional · fee schedule · outpatient · +10 other terms | 10 | $70 | $69 | $3 | 4% | — | $62 – $70 |
| 8 | First Health facility · percent of total billed charges · inpatientfrom % of charges · +4 other terms | 10 | $209 | $209 | $193 | 92% | — | $55 – $667 |
| 9 | Medica facility · percent of total billed charges · inpatientfrom % of charges · +2 other terms | 10 | $210 | $215 | $201 | 94% | — | $55 – $830 |
| 10 | Premera percent of total billed charges · outpatientfrom % of charges | 8 | $42 | $41 | $2 | 4% | — | $39 – $42 |
| 11 | Regence percent of total billed charges · outpatientfrom % of charges | 8 | $35 | $38 | $4 | 11% | — | $34 – $49 |
| 12 | Humana fee schedule · outpatient · +5 other terms | 7 | $4 | $3 | $1 | 33% | — | $1 – $4 |
| 13 | Bcbs Tx facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 3 | $10 | $16 | $10 | 60% | — | $7 – $32 |
| 14 | Oscar professional · percent of total billed charges · outpatientfrom % of charges · +3 other terms | 3 | $16 | $16 | — | — | — | $16 – $16 |
| 15 | Aetna fee schedule · outpatient · +9 other terms | 2 | $5.3k | $5.3k | $1.9k | 35% | — | $3.6k – $8.4k |
| 16 | Ucare facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms | 2 | $151 | $133 | $158 | 119% | — | $44 – $448 |
| 17 | Ambetter case rate · outpatient | 1 | $0 | $0 | $0 | 14% | — | $0 – $0 |
| 18 | Bcbs La fee schedule · outpatient · +1 other terms | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | Bcbs Nd facility · fee schedule · both | 1 | $11 | $11 | $4 | 33% | — | $8 – $15 |
| 20 | Devoted percent of total billed chargesfrom % of charges | 1 | $19 | $19 | $25 | 130% | — | $3 – $140 |
| 21 | Healthpartners facility · percent of total billed charges · bothfrom % of charges | 1 | $729 | $729 | — | — | — | $729 – $729 |
| 22 | Kaiser professional · fee schedule · outpatient · +1 other terms | 1 | $388 | $388 | — | — | — | $388 – $388 |
| 23 | Medicaid facility · other · outpatient · +1 other terms | 1 | $102 | $102 | — | — | — | $102 – $102 |
| 24 | MultiPlan professional · fee schedule · outpatient · +8 other terms | 1 | $476 | $476 | — | — | — | $476 – $476 |
| 25 | Sanford Health Plan facility · fee schedule · both · +2 other terms | 1 | $13 | $13 | $4 | 33% | — | $9 – $17 |
← Hospitals reporting HCPCS A9999 · Snapshot 20261111T120946Z-9134e7f7