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
TX S WND DEHISC; SMPL [A4]
Low
$87
Average
$1.5k
Median
$1.0k
High
$7.1k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
505 hospitals; the 90th percentile is 10.5× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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1,034 hospital rates
iThe hospitals that file a Anthem rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Curators of the University of Missouri Jefferson City, MO facility · percent of total billed charges · outpatientfrom % of charges | 3 | $1.1k | $1.1k | $15 | 1% | 2–20 | $1.1k – $1.2k |
| 2 | Inova Fairfax Hospital Falls Church, VA fee schedule · both | 5 | $1.5k | $1.2k | $502 | 42% | 2–20 | $564 – $1.7k |
| 3 | University of Virginia Medical Center Charlottesville, VA other · both | 2 | $2.2k | $2.0k | $256 | 13% | 2–20 | $1.7k – $2.2k |
| 4 | Wayne County Hospital Monticello, KY percent of total billed charges · bothfrom % of charges | 1 | $571 | $571 | $511 | 89% | 2–20 | $60 – $1.1k |
| 5 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY other · outpatient | 1 | $457 | $457 | — | — | 1–10 | $457 – $457 |
| 6 | Appalachian Regional Healthcare, Inc. Hazard, KY other · outpatient | 1 | $497 | $497 | — | — | 1–10 | $497 – $497 |
| 7 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges | 2 | $1.1k | $844 | $389 | 46% | 1–10 | $295 – $1.1k |
| 8 | DIGNITY COMMUNITY CARE Sacramento, CA fee schedule · outpatient | 3 | $759 | $685 | $157 | 23% | 1–10 | $467 – $829 |
| 9 | DIGNITY HEALTH Camarillo, CA fee schedule · outpatient | 2 | $654 | $654 | $123 | 19% | 1–10 | $531 – $778 |
| 10 | Froedtert Community Hospital Pewaukee Pewaukee, WI other · inpatient | 1 | $879 | $879 | — | — | 1–10 | $879 – $879 |
| 11 | Froedtert Community Hospital Pewaukee Pewaukee, WI percent of total billed charges · outpatientfrom % of charges | 2 | $542 | $542 | — | — | 1–10 | $542 – $542 |
| 12 | HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT percent of total billed charges · outpatientfrom % of charges | 1 | $10.3k | $10.3k | — | — | 1–10 | $10.3k – $10.3k |
| 13 | Inova Fair Oaks Hospital Fairfax, VA fee schedule · both | 5 | $1.4k | $1.2k | $494 | 42% | 1–10 | $564 – $1.7k |
| 14 | Inova Loudoun Hospital Leesburg, VA fee schedule · both | 5 | $1.4k | $1.2k | $491 | 42% | 1–10 | $564 – $1.6k |
| 15 | Inova Mount Vernon Hospital Alexandria, VA fee schedule · both | 5 | $1.4k | $1.2k | $485 | 41% | 1–10 | $564 – $1.6k |
| 16 | La Porte Hospital Company LLC La Porte, IN facility · other · outpatient | 2 | $1.0k | $1.0k | $229 | 23% | 1–10 | $784 – $1.2k |
| 17 | Lutheran Musculoskeletal Center LLC Fort Wayne, IN facility · other · outpatient | 3 | $1.3k | $1.2k | $174 | 15% | 1–10 | $782 – $1.3k |
| 18 | MIDSTATE MEDICAL CENTER MERIDEN, CT case rate · outpatient | 2 | $7.8k | $7.8k | $1.1k | 14% | 1–10 | $6.7k – $8.9k |
| 19 | MIDSTATE MEDICAL CENTER MERIDEN, CT other · outpatient | 1 | $302 | $302 | — | — | 1–10 | $302 – $302 |
| 20 | Norton Hospitals INC Louisville, KY percent of total billed charges · inpatientfrom % of charges | 1 | $1.7k | $1.5k | $419 | 29% | 1–10 | $873 – $1.8k |
| 21 | Renown Regional Medical Center Reno, NV facility · case rate · outpatient | 1 | $1.5k | $1.5k | — | — | 1–10 | $1.5k – $1.5k |
| 22 | ST VINCENT HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Oconto Falls, WI case rate · outpatient | 1 | $2.5k | $2.5k | — | — | 1–10 | $2.5k – $2.5k |
| 23 | St. Joseph Health System, LLC Wayne, IN facility · other · outpatient | 3 | $1.3k | $1.2k | $174 | 15% | 1–10 | $782 – $1.3k |
| 24 | Tanner Medical Center - Carrollton Carrollton, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7.1k | $7.1k | — | — | 1–10 | $7.1k – $7.1k |
| 25 | The Cleveland Clinic Foundation Brunswick, OH facility · percent of total billed charges · outpatientfrom % of charges | 3 | $995 | $1.1k | $240 | 22% | 1–10 | $845 – $1.4k |
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