Pediatric tilt-in-space wheelchair without seat system 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

Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system

SAN ANTONIO, TX

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How this price compares nationally

Methodist Hospital’s median price of $325 is 3% below the median hospital's median price ($335), higher than 34% of the 577 hospitals reporting HCPCS E1233. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS E1233 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	$229	$229	—	—	—	$229 – $229
2	Blue Cross Blue Shield blueadvantage fee schedule · outpatient	$263	$263	—	—	—	$263 – $263
3	Blue Cross Blue Shield mgmcrhmo fee schedule · outpatient	$316	$316	—	—	—	$316 – $316
4	Blue Cross Blue Shield mgmcrpos fee schedule · outpatient	$316	$316	—	—	—	$316 – $316
5	Blue Cross Blue Shield mgmcrppo fee schedule · outpatient	$316	$316	—	—	—	$316 – $316
6	Devoted dualeligible fee schedule · outpatient	$316	$316	—	—	—	$316 – $316
7	Devoted mcrhmo fee schedule · outpatient	$316	$316	—	—	—	$316 – $316
8	Devoted mcrpffs fee schedule · outpatient	$316	$316	—	—	—	$316 – $316
9	Devoted mcrpos fee schedule · outpatient	$316	$316	—	—	—	$316 – $316
10	Devoted mcrppo fee schedule · outpatient	$316	$316	—	—	—	$316 – $316
11	Devoted mcrsnp fee schedule · outpatient	$316	$316	—	—	—	$316 – $316
12	Aetna mcr fee schedule · outpatient	$322	$322	—	—	—	$322 – $322
13	UnitedHealthcare mcr fee schedule · outpatient	$322	$322	—	—	—	$322 – $322
14	WellCare mcrhmo fee schedule · outpatient	$325	$325	—	—	—	$325 – $325
15	WellCare mcrpos fee schedule · outpatient	$325	$325	—	—	—	$325 – $325
16	WellCare mcrppo fee schedule · outpatient	$325	$325	—	—	—	$325 – $325
17	WellCare mcrsnp fee schedule · outpatient	$325	$325	—	—	—	$325 – $325
18	WellCare pffs fee schedule · outpatient	$325	$325	—	—	—	$325 – $325
19	Clover mcr fee schedule · outpatient	$332	$332	—	—	—	$332 – $332
20	Blue Cross Blue Shield blueessentials fee schedule · outpatient	$337	$337	—	—	—	$337 – $337
21	Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient	$337	$337	—	—	—	$337 – $337
22	Blue Cross Blue Shield healthselectopenaccess(eposoa) fee schedule · outpatient	$371	$371	—	—	—	$371 – $371
23	Blue Cross Blue Shield ppo fee schedule · outpatient	$402	$402	—	—	—	$402 – $402
24	Molina mcr fee schedule · outpatient	$502	$502	—	—	—	$502 – $502
25	Molina mme-mmp fee schedule · outpatient	$502	$502	—	—	—	$502 – $502

Page 1 of 2 · 26 rates

Last updated: May 1, 2026

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