Oral tongue stimulation device with power unit, 90-day supply

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Oral dv nm mouthpc hw remote

Blue Cross Blue Shield pricing summary

Low

Average

$118

Median

$107

High

$310

Blue Cross Blue Shield rate distribution

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226 hospital rates

#		Plans
1	ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient	1	$103	$103	—	—	—	$103 – $103
2	AMH Cath Labs LLC Arlington, TX case rate · outpatient	1	$105	$105	—	—	—	$105 – $105
3	Alomere Health Alexandria, MN facility · fee schedule · outpatient	2	$103	$103	—	—	—	$103 – $103
4	Altru Hospital Grand Forks, ND facility · fee schedule · outpatient	2	$103	$103	—	—	—	$103 – $103
5	Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient	2	$103	$103	—	—	—	$103 – $103
6	BELTON REGIONAL MEDICAL CENTER Kansas City, MO fee schedule · outpatient	3	$104	$105	$0	0%	—	$104 – $105
7	Benson Hospital Corporation Benson, AZ facility · fee schedule · outpatient	1	$275	$275	—	—	—	$275 – $275
8	Bexar County Hospital District San Antonio, TX fee schedule · outpatient	1	$105	$105	—	—	—	$105 – $105
9	CENTERPOINT MEDICAL CENTER Independence, MO fee schedule · outpatient	3	$104	$105	$0	0%	—	$104 – $105
10	CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient	1	$103	$103	—	—	—	$103 – $103
11	CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · case rate · outpatient	1	$105	$105	—	—	—	$105 – $105
12	CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · fee schedule · outpatient	1	$209	$209	—	—	—	$209 – $209
13	COLUMBIA MEMORIAL HOSPITAL Hudson, NY facility · fee schedule · outpatient	1	$178	$178	—	—	—	$178 – $178
14	Carle BroMenn Medical Center Normal, IL case rate · outpatient	1	$105	$105	—	—	—	$105 – $105
15	Essentia Health Duluth Duluth, MN facility · fee schedule · outpatient	1	$96	$96	—	—	—	$96 – $96
16	Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · fee schedule · outpatient	2	$96	$96	—	—	—	$96 – $96
17	Essentia Health St. Joseph's Medical Center Brainerd, MN facility · fee schedule · outpatient	1	$96	$96	—	—	—	$96 – $96
18	Essentia Health St. Mary's - Detroit Lakes 1027 Washington Ave. Detroit Lakes, MN facility · fee schedule · outpatient	2	$96	$96	—	—	—	$96 – $96
19	Essentia Health St. Mary's Children's Hospital Duluth, MN facility · fee schedule · outpatient	1	$96	$96	—	—	—	$96 – $96
20	Essentia Health St. Mary's Medical Center Duluth, MN facility · fee schedule · outpatient	1	$96	$96	—	—	—	$96 – $96
21	Essentia Health Virginia 901 9th St N Virginia, MN facility · fee schedule · outpatient	1	$96	$96	—	—	—	$96 – $96
22	FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · outpatient	6	$111	$111	—	—	—	$111 – $111
23	FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient	6	$111	$111	—	—	—	$111 – $111
24	FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER Fresno, CA facility · fee schedule · outpatient	2	$105	$131	$45	34%	—	$105 – $209
25	Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both	2	$96	$96	—	—	—	$96 – $96