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
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for headrest, cushioned, any type
Low
$16
Average
$30
Median
$17
High
$244
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
216 hospitals; the 90th percentile is 3.1× 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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217 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 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 2 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 2 | $32 | $38 | $17 | 46% | — | $16 – $63 |
| 3 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 2 | $137 | $112 | $69 | 62% | — | $18 – $182 |
| 4 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $182 | $150 | $92 | 62% | — | $24 – $246 |
| 5 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 2 | $60 | $61 | $48 | 80% | — | $8 – $150 |
| 6 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $104 | $81 | $57 | 70% | — | $14 – $138 |
| 7 | Brunswick Community Hospital, LLC Bolivia, NC fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 8 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $244 | $244 | — | — | — | $244 – $244 |
| 9 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 2 | $33 | $38 | $18 | 46% | — | $16 – $64 |
| 10 | CAREPARTNERS REHABILITATION HOSPITAL Asheville, NC fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 11 | CATHOLIC MEDICAL CENTER MANCHESTER, NH fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 12 | CENTENNIAL HOSPITAL A CAMPUS OF TMCA ENGLEWOOD, CO fee schedule · outpatient | 2 | $16 | $16 | — | — | — | $16 – $16 |
| 13 | CHIPPENHAM HOSPITAL RICHMOND, VA fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 14 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 15 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY facility · fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 16 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 17 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 1 | $21 | $21 | $5 | 24% | — | $16 – $25 |
| 18 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $244 | $244 | — | — | — | $244 – $244 |
| 19 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · fee schedule · outpatient | 1 | $71 | $56 | $39 | 70% | — | $9 – $95 |
| 20 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 1 | $21 | $21 | $5 | 24% | — | $16 – $25 |
| 21 | Clinton Memorial Hospital Wilmington, OH fee schedule · outpatient | 1 | $182 | $150 | $92 | 62% | — | $24 – $246 |
| 22 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $104 | $81 | $57 | 70% | — | $14 – $138 |
| 23 | ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 24 | East Cooper Medical Center LLC Mt Pleasant, SC fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 25 | Eastern Maine Medical Center Bangor, ME facility · fee schedule · outpatient | 1 | $156 | $156 | — | — | — | $156 – $156 |
← Payers reporting HCPCS E1033 · Snapshot 20261113T090226Z-3ce6c0b8