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
DME POS
San Antonio, TX
See all hospitals reporting HCPCS A5105 →Price type
Santa Rosa Hospital - Alamo Heights’s median price of $57 is about the same as the median hospital's median price ($58), higher than 40% of the 668 hospitals reporting HCPCS A5105. 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, 14 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 | Bcbs Tx blue advantangehmo fee schedule · outpatient | $40.74 | $40.74 | $40.74 – $40.74 |
| 2 | Bcbs Tx hmo fee schedule · outpatient | $50.21 | $50.21 | $50.21 – $50.21 |
| 3 | Bcbs Tx heb fee schedule · outpatient | $50.69 | $50.69 | $50.69 – $50.69 |
| 4 | Bcbs Tx ppo fee schedule · outpatient | $55.90 | $55.90 | $55.90 – $55.90 |
| 5 | Aetna mm fee schedule · outpatient | $56.97 | $56.97 | $56.97 – $56.97 |
| 6 | Bcbs Tx mm fee schedule · outpatient | $56.97 | $56.97 | $56.97 – $56.97 |
| 7 | Humana gold choice mm fee schedule · outpatient | $56.97 | $56.97 | $56.97 – $56.97 |
| 8 | Humana gold plus mm fee schedule · outpatient | $56.97 | $56.97 | $56.97 – $56.97 |
| 9 | Molina medicare adv mm fee schedule · outpatient | $56.97 | $56.97 | $56.97 – $56.97 |
| 10 | UnitedHealthcare mm fee schedule · outpatient | $56.97 | $56.97 | $56.97 – $56.97 |
| 11 | WellCare mm fee schedule · outpatient | $56.97 | $56.97 | $56.97 – $56.97 |
| 12 | Bcbs Tx traditional fee schedule · outpatient | $59.21 | $59.21 | $59.21 – $59.21 |
| 13 | Devoted mm fee schedule · outpatient | $61.53 | $61.53 | $61.53 – $61.53 |
| 14 | Humana choicecare fee schedule · outpatient | $87.15 | $87.15 | $87.15 – $87.15 |
Last updated: Jan 13, 2026
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