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
System Polar Care Cube F/Polar Pads
Low
$0
Average
$237
Median
$203
High
$1.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
35 payers; the 90th percentile is 7.0× 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 | Humana fee schedule · outpatient · +12 other terms | 65 | $172 | $202 | $114 | 56% | — | $36 – $332 |
| 2 | UnitedHealthcare fee schedule · both · +15 other terms | 36 | $266 | $253 | $210 | 83% | — | $20 – $809 |
| 3 | Blue Cross Blue Shield facility · fee schedule · outpatient · +15 other terms | 23 | $201 | $537 | $1.2k | 214% | — | $86 – $5.2k |
| 4 | Aetna fee schedule · outpatient · +13 other terms | 19 | $219 | $356 | $467 | 131% | — | $16 – $2.3k |
| 5 | Anthem facility · case rate · outpatient · +8 other terms | 15 | $29 | $31 | $7 | 23% | — | $20 – $49 |
| 6 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $29 | $31 | $7 | 23% | — | $20 – $50 |
| 7 | Cigna fee schedule · both · +12 other terms | 15 | $421 | $382 | $246 | 64% | — | $34 – $677 |
| 8 | Molina facility · case rate · outpatient · +5 other terms | 15 | $29 | $31 | $7 | 23% | — | $20 – $49 |
| 9 | Wellmark fee schedule · both · +1 other terms | 13 | $244 | $248 | $201 | 81% | — | $44 – $595 |
| 10 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $600 | $456 | $252 | 55% | — | $201 – $751 |
| 11 | Regence fee schedule · outpatient · +1 other terms | 12 | $333 | $361 | $94 | 26% | — | $260 – $861 |
| 12 | Optum facility · case rate · outpatient · +4 other terms | 11 | $27 | $30 | $7 | 22% | — | $24 – $44 |
| 13 | Highmark fee schedule · outpatient · +1 other terms | 10 | $163 | $163 | $173 | 106% | — | $41 – $408 |
| 14 | Medcost professional · percent of total billed charges · outpatientfrom % of charges · +3 other terms | 10 | $217 | $186 | $65 | 35% | — | $41 – $217 |
| 15 | Medica fee schedule · outpatient · +7 other terms | 10 | $593 | $565 | $193 | 34% | — | $48 – $766 |
| 16 | Medical Mutual professional · percent of total billed charges · outpatientfrom % of charges · +1 other terms | 10 | $217 | $174 | $74 | 42% | — | $41 – $217 |
| 17 | Oscar professional · percent of total billed charges · outpatientfrom % of charges · +1 other terms | 10 | $217 | $199 | $53 | 26% | — | $41 – $217 |
| 18 | Sanford Health Plan professional · percent of total billed charges · outpatientfrom % of charges · +1 other terms | 9 | $217 | $217 | — | — | — | $217 – $217 |
| 19 | Ucare professional · percent of total billed charges · outpatientfrom % of charges · +1 other terms | 8 | $215 | $211 | $16 | 7% | — | $171 – $228 |
| 20 | Aetna Better Health fee schedule · inpatient · +1 other terms | 7 | $144 | $144 | — | — | — | $144 – $144 |
| 21 | MultiPlan facility · percent of total billed charges · inpatientfrom % of charges · +6 other terms | 4 | $164 | $157 | $135 | 86% | — | $48 – $360 |
| 22 | First Health professional · fee schedule · both · +5 other terms | 3 | $127 | $127 | $86 | 68% | — | $25 – $213 |
| 23 | Bcbs Il fee schedule · both · +2 other terms | 2 | $104 | $104 | $23 | 22% | — | $80 – $127 |
| 24 | Devoted facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 2 | $280 | $280 | — | — | — | $280 – $280 |
| 25 | Kaiser fee schedule · both · +1 other terms | 2 | $116 | $116 | — | — | — | $116 – $116 |
← Hospitals reporting HCPCS E0218 · Snapshot 20261111T120946Z-9134e7f7