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
Custom grad sleeve med
Prices here combine facility and professional fees. See them separately →Experimental
Low
$0
Average
$131
Median
$107
High
$472
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Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 193 hospitals; the 90th percentile is 50.2× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Fairview Health Services Edina, MN | $167 | $166 | $24 | 15% | — | $117 – $199 |
| 2 | Mayo Regional Hospital Dover Foxcroft, ME | $73 | $65 | $47 | 72% | — | $4 – $131 |
| 3 | Hoopeston Community Memorial Hospital Hoopeston, IL | $4 | $4 | — | — | — | $4 – $4 |
| 4 | Kadlec Regional Medical Center Richland, WA | $81 | $81 | — | — | — | $81 – $81 |
| 5 | William Beaumont Hospital Grosse Pointe, MI | $87 | $87 | — | — | — | $87 – $87 |
| 6 | Westfield Memorial Hospital Inc WESTFIELD, NY | $413 | $359 | $126 | 35% | — | $63 – $413 |
| 7 | Sanford USD Medical Center Sioux Falls, SD | $181 | $181 | — | — | — | $181 – $181 |
| 8 | Jefferson Health - Northeast Langhorne, PA | $13 | $13 | $1 | 4% | — | $13 – $14 |
| 9 | Munson Healthcare Charlevoix Hospital Charlevoix, MI | $93 | $93 | — | — | — | $93 – $93 |
| 10 | Gundersen Luthern Medical Center Inc La Crosse, WI | $177 | $177 | — | — | — | $177 – $177 |
Ask Claude or any MCP client for HCPCS S8422 pricing at a specific hospital — see how to connect.