Replacement inner tube for wheelchair caster tire

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

Tube, pneumatic caster tire

Payers reporting HCPCS E2385

Payer pricing summary

Low

Average

$53

Median

$49

High

$184

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +6 other terms	267	$54	$47	$20	43%	—	$4 – $219
2	Aetna fee schedule · outpatient · +5 other terms	259	$55	$58	$42	73%	—	$2 – $374
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	256	$55	$42	$21	50%	—	$3 – $71
4	WellCare fee schedule · outpatient · +2 other terms	185	$56	$59	$9	16%	—	$53 – $106
5	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	181	$56	$63	$27	43%	—	$0 – $195
6	Devoted fee schedule · outpatient · +1 other terms	165	$55	$52	$11	22%	—	$5 – $65
7	Cigna Healthspring fee schedule · outpatient	111	$57	$56	$2	3%	—	$55 – $62
8	Molina fee schedule · outpatient · +3 other terms	96	$68	$61	$35	57%	—	$5 – $151
9	Cigna fee schedule · outpatient · +3 other terms	77	$56	$50	$31	62%	—	$5 – $158
10	Superior Healthplan fee schedule · outpatient	40	$57	$58	$1	1%	—	$57 – $61
11	Anthem fee schedule · outpatient · +5 other terms	38	$55	$39	$21	53%	—	$5 – $60
12	Clover fee schedule · outpatient	34	$57	$56	$2	4%	—	$53 – $61
13	Bcbs Tx fee schedule · outpatient	31	$55	$57	$17	29%	—	$42 – $209
14	Optum fee schedule · outpatient · +2 other terms	28	$55	$43	$28	65%	—	$5 – $137
15	Kaiser fee schedule · outpatient · +2 other terms	27	$55	$38	$21	55%	—	$5 – $61
16	Oscar fee schedule · outpatient	24	$54	$55	$2	3%	—	$54 – $57
17	Medicare fee schedule · outpatient	18	$34	$34	$21	62%	—	$5 – $61
18	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$66	$65	$1	2%	—	$62 – $69
19	Caresource fee schedule · outpatient · +3 other terms	15	$55	$55	—	—	—	$55 – $55
20	Wellmark fee schedule · both · +1 other terms	13	$28	$28	$23	82%	—	$4 – $50
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$50	$51	$13	26%	—	$25 – $61
22	Bcbs Nj fee schedule · outpatient	12	$53	$115	$78	68%	—	$53 – $236
23	MultiPlan facility · fee schedule · outpatient · +2 other terms	11	$17	$29	$38	131%	—	$17 – $149
24	Highmark fee schedule · outpatient · +3 other terms	10	$35	$36	$30	82%	—	$3 – $146
25	Medica fee schedule · outpatient · +4 other terms	10	$105	$100	$34	34%	—	$8 – $135

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