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
Mattress foam rubber
Low
$5
Average
$170
Median
$164
High
$368
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
50 payers; the 90th percentile is 2.7× 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 | Humana fee schedule · outpatient · +6 other terms | 267 | $172 | $158 | $64 | 40% | — | $13 – $713 |
| 2 | Aetna fee schedule · outpatient · +5 other terms | 259 | $178 | $189 | $133 | 70% | — | $9 – $1.5k |
| 3 | UnitedHealthcare fee schedule · outpatient · +8 other terms | 256 | $175 | $140 | $68 | 48% | — | $9 – $263 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 190 | $187 | $214 | $92 | 43% | — | $0 – $698 |
| 5 | WellCare fee schedule · outpatient · +2 other terms | 185 | $179 | $185 | $32 | 17% | — | $163 – $330 |
| 6 | Devoted fee schedule · outpatient · +1 other terms | 165 | $176 | $170 | $31 | 18% | — | $17 – $248 |
| 7 | Cigna Healthspring fee schedule · outpatient | 111 | $185 | $176 | $14 | 8% | — | $168 – $238 |
| 8 | Molina fee schedule · outpatient · +3 other terms | 96 | $219 | $207 | $105 | 50% | — | $14 – $549 |
| 9 | Cigna fee schedule · outpatient · +3 other terms | 77 | $184 | $172 | $99 | 58% | — | $17 – $503 |
| 10 | Superior Healthplan fee schedule · outpatient | 40 | $176 | $178 | $8 | 4% | — | $176 – $220 |
| 11 | Anthem fee schedule · outpatient · +5 other terms | 38 | $174 | $132 | $65 | 49% | — | $17 – $227 |
| 12 | Clover fee schedule · outpatient | 34 | $176 | $179 | $18 | 10% | — | $166 – $231 |
| 13 | Bcbs Tx fee schedule · outpatient | 31 | $184 | $192 | $57 | 30% | — | $143 – $708 |
| 14 | Optum fee schedule · outpatient · +2 other terms | 28 | $178 | $151 | $94 | 63% | — | $17 – $420 |
| 15 | Kaiser fee schedule · outpatient · +3 other terms | 27 | $175 | $127 | $65 | 51% | — | $17 – $212 |
| 16 | Oscar fee schedule · outpatient | 24 | $164 | $174 | $11 | 6% | — | $164 – $187 |
| 17 | Medicare fee schedule · outpatient | 18 | $102 | $106 | $66 | 62% | — | $17 – $212 |
| 18 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 17 | $214 | $217 | $14 | 6% | — | $203 – $256 |
| 19 | Caresource fee schedule · outpatient · +3 other terms | 15 | $178 | $178 | — | — | — | $178 – $178 |
| 20 | Wellmark fee schedule · both · +1 other terms | 13 | $107 | $106 | $87 | 82% | — | $13 – $194 |
| 21 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $190 | $193 | $50 | 26% | — | $96 – $231 |
| 22 | Bcbs Nj fee schedule · outpatient | 12 | $166 | $358 | $243 | 68% | — | $166 – $734 |
| 23 | MultiPlan facility · fee schedule · outpatient · +2 other terms | 11 | $66 | $101 | $109 | 108% | — | $66 – $446 |
| 24 | Highmark fee schedule · outpatient · +3 other terms | 10 | $122 | $127 | $101 | 80% | — | $8 – $505 |
| 25 | Medica fee schedule · outpatient · +4 other terms | 10 | $334 | $319 | $108 | 34% | — | $26 – $431 |
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