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
Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each
SAN ANTONIO, TX
See all hospitals reporting HCPCS E2390 →Price type
Metropolitan Methodist’s median price of $53 is 5% above the median hospital's median price ($51), higher than 68% of the 586 hospitals reporting HCPCS E2390. 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 | $40 | $40 | — | — | — | $40 – $40 |
| 2 | Blue Cross Blue Shield blueadvantage fee schedule · outpatient | $46 | $46 | — | — | — | $46 – $46 |
| 3 | Blue Cross Blue Shield mgmcrhmo fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 4 | Blue Cross Blue Shield mgmcrpos fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 5 | Blue Cross Blue Shield mgmcrppo fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 6 | Devoted dualeligible fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 7 | Devoted mcrhmo fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 8 | Devoted mcrpffs fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 9 | Devoted mcrpos fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 10 | Devoted mcrppo fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 11 | Devoted mcrsnp fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 12 | Aetna mcr fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 13 | UnitedHealthcare mcr fee schedule · outpatient | $53 | $53 | — | — | — | $53 – $53 |
| 14 | WellCare mcrhmo fee schedule · outpatient | $53 | $53 | — | — | — | $53 – $53 |
| 15 | WellCare mcrpos fee schedule · outpatient | $53 | $53 | — | — | — | $53 – $53 |
| 16 | WellCare mcrppo fee schedule · outpatient | $53 | $53 | — | — | — | $53 – $53 |
| 17 | WellCare mcrsnp fee schedule · outpatient | $53 | $53 | — | — | — | $53 – $53 |
| 18 | WellCare pffs fee schedule · outpatient | $53 | $53 | — | — | — | $53 – $53 |
| 19 | Clover mcr fee schedule · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 20 | Blue Cross Blue Shield blueessentials fee schedule · outpatient | $59 | $59 | — | — | — | $59 – $59 |
| 21 | Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient | $59 | $59 | — | — | — | $59 – $59 |
| 22 | Blue Cross Blue Shield healthselectopenaccess(eposoa) fee schedule · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 23 | Blue Cross Blue Shield ppo fee schedule · outpatient | $70 | $70 | — | — | — | $70 – $70 |
| 24 | Molina mcr fee schedule · outpatient | $82 | $82 | — | — | — | $82 – $82 |
| 25 | Molina mme-mmp fee schedule · outpatient | $82 | $82 | — | — | — | $82 – $82 |
Last updated: May 1, 2026
See Replacement solid drive tire for power wheelchair pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.