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
Prefab glove for term device
Low
$226
Average
$332
Median
$294
High
$540
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Prices here combine facility and professional fees. See them separately →Experimental
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 6 hospitals; the 90th percentile is 2.0× 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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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Nationwide Children's Hospital Columbus, OH | $540 | $540 | — | — | — | $540 – $540 |
| 2 | Montefiore Mount Vernon Hospital Mount Vernon, NY | $238 | $238 | — | — | — | $238 – $238 |
| 3 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Albuquerque, NM | $226 | $310 | $125 | 40% | — | $203 – $553 |
| 4 | Nationwide Children's Hospital Toledo, Llc Toledo, OH | $401 | $400 | $2 | 0% | — | $397 – $401 |
| 5 | Arkansas Childrens Hospital Little Rock, AR | $226 | $226 | — | — | — | $226 – $226 |
| 6 | Arkansas Childrens Northwest Springdale, AR | $278 | $278 | — | — | — | $278 – $278 |
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