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
Prep Wound F/Nhf/G 1st 100cm Child
Low
$9
Average
$1.9k
Median
$990
High
$59.3k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1619 hospitals; the 90th percentile is 11.2× 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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2,632 hospital rates
iThe hospitals that file a Aetna 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 | University of Virginia Medical Center Charlottesville, VA fee schedule · both | 4 | $1.8k | $1.6k | $282 | 17% | 4–40 | $1.1k – $1.8k |
| 2 | University of Virginia Medical Center Charlottesville, VA other · both | 1 | $408 | $408 | — | — | 3–30 | $408 – $408 |
| 3 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $410 | $410 | — | — | 2–20 | $410 – $410 |
| 4 | Fairview Health Services Minneapolis, MN percent of total billed charges · bothfrom % of charges | 1 | $1.1k | $1.1k | — | — | 2–20 | $1.1k – $1.1k |
| 5 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $2.3k | $2.3k | $1.3k | 54% | 2–20 | $1.1k – $3.6k |
| 6 | Massachusetts General Hospital Boston, MA other · both | 1 | $749 | $749 | — | — | 2–20 | $749 – $749 |
| 7 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | $261 | 25% | 2–20 | $796 – $1.3k |
| 8 | University of Virginia Culpeper Medical Center Culpeper, VA other · both | 1 | $421 | $421 | — | — | 2–20 | $421 – $421 |
| 9 | University of Virginia Medical Center Charlottesville, VA fee schedule · outpatient | 4 | $1.8k | $1.6k | $282 | 17% | 2–20 | $1.1k – $1.8k |
| 10 | University of Virginia Medical Center Charlottesville, VA percent of total billed charges · bothfrom % of charges | 4 | $1.2k | $1.2k | $76 | 6% | 2–20 | $1.1k – $1.3k |
| 11 | BETHESDA HOSPITAL BOYNTON BEACH, FL fee schedule · outpatient | 1 | $337 | $337 | — | — | 1–10 | $337 – $337 |
| 12 | Barnes Jewish Hospital St. Louis, MO case rate · outpatient | 1 | $8.5k | $8.5k | — | — | 1–10 | $8.5k – $8.5k |
| 13 | Barnes Jewish Hospital St. Louis, MO other · outpatient | 2 | $407 | $719 | $540 | 75% | 1–10 | $407 – $1.7k |
| 14 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · other · outpatient | 2 | $407 | $365 | $102 | 28% | 1–10 | $163 – $440 |
| 15 | Curators of the University of Missouri Jefferson City, MO facility · percent of total billed charges · outpatientfrom % of charges | 3 | $887 | $919 | $297 | 32% | 1–10 | $402 – $1.4k |
| 16 | DIGNITY COMMUNITY CARE Chandler, AZ fee schedule · outpatient | 1 | $372 | $372 | — | — | 1–10 | $372 – $372 |
| 17 | Duke University Hospital Durham, NC facility · fee schedule · outpatient | 2 | $589 | $589 | — | — | 1–10 | $589 – $589 |
| 18 | Duke University Hospital Raleigh, NC facility · fee schedule · outpatient | 2 | $589 | $589 | — | — | 1–10 | $589 – $589 |
| 19 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN percent of total billed charges · outpatientfrom % of charges | 1 | $13.1k | $13.1k | — | — | 1–10 | $13.1k – $13.1k |
| 20 | Massachusetts Eye and Ear Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $415 | $415 | — | — | 1–10 | $415 – $415 |
| 21 | Missouri Baptist Medical Center Saint Louis, MO other · outpatient | 2 | $407 | $407 | — | — | 1–10 | $407 – $407 |
| 22 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.5k | — | — | 1–10 | $1.5k – $1.5k |
| 23 | North Carolina Baptist Hospital Winston Salem, NC other · outpatient | 1 | $430 | $430 | — | — | 1–10 | $430 – $430 |
| 24 | North Memorial Health Care Robbinsdale, MN professional · percent of total billed charges · bothfrom % of charges | 1 | $836 | $836 | — | — | 1–10 | $836 – $836 |
| 25 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC other · both | 1 | $410 | $410 | — | — | 1–10 | $410 – $410 |
← Payers reporting CPT 15004 · Snapshot 20261111T120946Z-9134e7f7