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
$161
Average
$1.6k
Median
$1.2k
High
$13.9k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
451 hospitals; the 90th percentile is 8.6× 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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843 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 | University of Virginia Medical Center Charlottesville, VA other · both | 3 | $1.1k | $941 | $331 | 35% | 9–90 | $408 – $1.2k |
| 2 | University of Virginia Medical Center Charlottesville, VA other · outpatient | 3 | $8.6k | $7.6k | $2.7k | 35% | 3–30 | $3.3k – $9.8k |
| 3 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 4 | $647 | $666 | $202 | 30% | 3–30 | $412 – $959 |
| 4 | 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 |
| 5 | Eskenazi Health Indianapolis, IN facility · per diem · both | 2 | $1.7k | $1.7k | — | — | 2–20 | $1.7k – $1.7k |
| 6 | Eskenazi Health Indianapolis, IN facility · per diem · outpatient | 2 | $1.7k | $1.7k | — | — | 2–20 | $1.7k – $1.7k |
| 7 | ST VINCENT HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Oconto Falls, WI case rate · outpatient | 2 | $1.0k | $1.0k | $210 | 20% | 2–20 | $819 – $1.2k |
| 8 | Tanner Medical Center - Villa Rica Villa Rica, GA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $4.8k | $4.8k | $352 | 7% | 2–20 | $4.5k – $5.2k |
| 9 | University of Virginia Culpeper Medical Center Culpeper, VA other · both | 3 | $1.1k | $1.0k | $378 | 37% | 2–20 | $421 – $1.3k |
| 10 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO other · inpatient | 1 | $183 | $183 | — | — | 1–10 | $183 – $183 |
| 11 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO other · inpatient | 1 | $238 | $238 | — | — | 1–10 | $238 – $238 |
| 12 | Cleveland Clinic Mercy Hospital Canton, OH facility · percent of total billed charges · outpatientfrom % of charges | 4 | $1.0k | $996 | $78 | 8% | 1–10 | $884 – $1.1k |
| 13 | Eskenazi Health Indianapolis, IN facility · other · both | 1 | $430 | $430 | — | — | 1–10 | $430 – $430 |
| 14 | Eskenazi Health Indianapolis, IN facility · other · outpatient | 1 | $1.7k | $1.7k | — | — | 1–10 | $1.7k – $1.7k |
| 15 | Fairfield Medical Center 401 N Ewing St facility · percent of total billed charges · outpatientfrom % of charges | 3 | $13.3k | $13.3k | $12.7k | 95% | 1–10 | $638 – $26.3k |
| 16 | Mishawaka Medical Center Mishawaka, IN facility · other · outpatient | 2 | $12.2k | $11.6k | $2.2k | 19% | 1–10 | $3.4k – $12.2k |
| 17 | University of Virginia Culpeper Medical Center Culpeper, VA other · outpatient | 3 | $1.1k | $1.0k | $378 | 37% | 1–10 | $421 – $1.3k |
| 18 | ADVENTIST HEALTH DELANO Delano, CA fee schedule · outpatient | 1 | $380 | $380 | — | — | — | $380 – $380 |
| 19 | ADVENTIST HEALTH DELANO Delano, CA percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 20 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $491 | $491 | — | — | — | $491 – $491 |
| 21 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 3 | $968 | $831 | $323 | 39% | — | $385 – $1.1k |
| 22 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 6 | $700 | $696 | $372 | 54% | — | $225 – $1.3k |
| 23 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $1.1k | $1.1k | $179 | 16% | — | $916 – $1.3k |
| 24 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 3 | $906 | $908 | $315 | 35% | — | $523 – $1.3k |
| 25 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 1 | $592 | $592 | — | — | — | $592 – $592 |
← Payers reporting CPT 15004 · Snapshot 20261111T120946Z-9134e7f7