Half-arm pneumatic compression sleeve at Methodist Hospital

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

Non-segmental pneumatic appliance for use with pneumatic compressor, half arm

SAN ANTONIO, TX

See all hospitals reporting HCPCS E0655 →

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How this price compares nationally

Methodist Hospital’s median price of $153 is 10% above the median hospital's median price ($139), higher than 69% of the 571 hospitals reporting HCPCS E0655. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS E0655 at Methodist Hospital

Negotiated rates from the hospital’s own file: 8 payers, 26 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$108	$108	—	—	—	$108 – $108
2	Blue Cross Blue Shield blueadvantage fee schedule · outpatient	$124	$124	—	—	—	$124 – $124
3	Blue Cross Blue Shield mgmcrhmo fee schedule · outpatient	$149	$149	—	—	—	$149 – $149
4	Blue Cross Blue Shield mgmcrpos fee schedule · outpatient	$149	$149	—	—	—	$149 – $149
5	Blue Cross Blue Shield mgmcrppo fee schedule · outpatient	$149	$149	—	—	—	$149 – $149
6	Devoted dualeligible fee schedule · outpatient	$149	$149	—	—	—	$149 – $149
7	Devoted mcrhmo fee schedule · outpatient	$149	$149	—	—	—	$149 – $149
8	Devoted mcrpffs fee schedule · outpatient	$149	$149	—	—	—	$149 – $149
9	Devoted mcrpos fee schedule · outpatient	$149	$149	—	—	—	$149 – $149
10	Devoted mcrppo fee schedule · outpatient	$149	$149	—	—	—	$149 – $149
11	Devoted mcrsnp fee schedule · outpatient	$149	$149	—	—	—	$149 – $149
12	Aetna mcr fee schedule · outpatient	$152	$152	—	—	—	$152 – $152
13	UnitedHealthcare mcr fee schedule · outpatient	$152	$152	—	—	—	$152 – $152
14	WellCare mcrhmo fee schedule · outpatient	$153	$153	—	—	—	$153 – $153
15	WellCare mcrpos fee schedule · outpatient	$153	$153	—	—	—	$153 – $153
16	WellCare mcrppo fee schedule · outpatient	$153	$153	—	—	—	$153 – $153
17	WellCare mcrsnp fee schedule · outpatient	$153	$153	—	—	—	$153 – $153
18	WellCare pffs fee schedule · outpatient	$153	$153	—	—	—	$153 – $153
19	Clover mcr fee schedule · outpatient	$156	$156	—	—	—	$156 – $156
20	Blue Cross Blue Shield blueessentials fee schedule · outpatient	$159	$159	—	—	—	$159 – $159
21	Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient	$159	$159	—	—	—	$159 – $159
22	Blue Cross Blue Shield healthselectopenaccess(eposoa) fee schedule · outpatient	$175	$175	—	—	—	$175 – $175
23	Blue Cross Blue Shield ppo fee schedule · outpatient	$189	$189	—	—	—	$189 – $189
24	Molina mcr fee schedule · outpatient	$237	$237	—	—	—	$237 – $237
25	Molina mme-mmp fee schedule · outpatient	$237	$237	—	—	—	$237 – $237

Page 1 of 2 · 26 rates

Last updated: May 1, 2026

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