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
W/c component-accessory NOS
Low
$2
Average
$158
Median
$34
High
$1.9k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
23 hospitals; the 90th percentile is 15.1× 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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24 hospital rates
iThe hospitals that file a Anthem 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 2 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 3 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 4 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 5 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 6 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 7 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 8 | Covenant Medical Center Inc Saginaw, MI facility · fee schedule · outpatient | 1 | $380 | $380 | — | — | — | $380 – $380 |
| 9 | Covenant Medical Center Inc Saginaw, MI facility · fee schedule · outpatient | 1 | $380 | $380 | — | — | — | $380 – $380 |
| 10 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 11 | Fisher-Titus Medical Center Norwalk, OH facility · case rate · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 12 | LODI COMMUNITY HOSPITAL Lodi, OH facility · case rate · outpatient | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 13 | LUTHERAN HOSPITAL Cleveland, OH facility · case rate · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 14 | Little Company of Mary Hospital of Indiana Inc Jasper, IN professional · fee schedule · both | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 15 | MARYMOUNT HOSPITAL INC Garfield Heights, OH facility · case rate · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 16 | MEDINA HOSPITAL Medina, OH facility · case rate · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 17 | NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC Toledo, OH facility · other · outpatient | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 18 | Nationwide Children's Hospital Columbus, OH facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | Nationwide Children's Hospital Columbus, OH facility · other · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 20 | Norton Kings Daughters Health Inc Madison, IN professional · fee schedule · both | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 21 | Pemiscot Memorial Health System Hayti, MO percent of total billed charges · outpatientfrom % of charges | 1 | $304 | $304 | $17 | 6% | — | $287 – $321 |
| 22 | THE UNION HOSPITAL ASSOCIATION Dover, OH facility · case rate · outpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 23 | The Cleveland Clinic Foundation Brunswick, OH facility · case rate · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 24 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 4 | $25 | $34 | $23 | 67% | — | $11 – $88 |
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