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
Non-segmental pneumatic appliance for use with pneumatic compressor, full arm
SAN ANTONIO, TX
See all hospitals reporting HCPCS E0665 →Price type
Metropolitan Methodist’s median price of $201 is 16% above the median hospital's median price ($174), higher than 81% of the 569 hospitals reporting HCPCS E0665. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 25 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 | $142 | $142 | — | — | — | $142 – $142 |
| 2 | Blue Cross Blue Shield blueadvantage fee schedule · outpatient | $162 | $162 | — | — | — | $162 – $162 |
| 3 | Blue Cross Blue Shield mgmcrhmo fee schedule · outpatient | $195 | $195 | — | — | — | $195 – $195 |
| 4 | Blue Cross Blue Shield mgmcrpos fee schedule · outpatient | $195 | $195 | — | — | — | $195 – $195 |
| 5 | Blue Cross Blue Shield mgmcrppo fee schedule · outpatient | $195 | $195 | — | — | — | $195 – $195 |
| 6 | Devoted dualeligible fee schedule · outpatient | $195 | $195 | — | — | — | $195 – $195 |
| 7 | Devoted mcrhmo fee schedule · outpatient | $195 | $195 | — | — | — | $195 – $195 |
| 8 | Devoted mcrpffs fee schedule · outpatient | $195 | $195 | — | — | — | $195 – $195 |
| 9 | Devoted mcrpos fee schedule · outpatient | $195 | $195 | — | — | — | $195 – $195 |
| 10 | Devoted mcrppo fee schedule · outpatient | $195 | $195 | — | — | — | $195 – $195 |
| 11 | Devoted mcrsnp fee schedule · outpatient | $195 | $195 | — | — | — | $195 – $195 |
| 12 | Aetna mcr fee schedule · outpatient | $199 | $199 | — | — | — | $199 – $199 |
| 13 | UnitedHealthcare mcr fee schedule · outpatient | $199 | $199 | — | — | — | $199 – $199 |
| 14 | WellCare mcrhmo fee schedule · outpatient | $201 | $201 | — | — | — | $201 – $201 |
| 15 | WellCare mcrpos fee schedule · outpatient | $201 | $201 | — | — | — | $201 – $201 |
| 16 | WellCare mcrppo fee schedule · outpatient | $201 | $201 | — | — | — | $201 – $201 |
| 17 | WellCare mcrsnp fee schedule · outpatient | $201 | $201 | — | — | — | $201 – $201 |
| 18 | WellCare pffs fee schedule · outpatient | $201 | $201 | — | — | — | $201 – $201 |
| 19 | Clover mcr fee schedule · outpatient | $205 | $205 | — | — | — | $205 – $205 |
| 20 | Blue Cross Blue Shield blueessentials fee schedule · outpatient | $209 | $209 | — | — | — | $209 – $209 |
| 21 | Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient | $209 | $209 | — | — | — | $209 – $209 |
| 22 | Blue Cross Blue Shield healthselectopenaccess(eposoa) fee schedule · outpatient | $229 | $229 | — | — | — | $229 – $229 |
| 23 | Blue Cross Blue Shield ppo fee schedule · outpatient | $248 | $248 | — | — | — | $248 – $248 |
| 24 | Molina mcr fee schedule · outpatient | $310 | $310 | — | — | — | $310 – $310 |
| 25 | Molina mme-mmp fee schedule · outpatient | $310 | $310 | — | — | — | $310 – $310 |
Last updated: May 1, 2026
See Full-arm compression sleeve for pneumatic pump pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.