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
$166
Average
$888
Median
$495
High
$5.6k
Each hospital's average Magellan rate, under the methodology and billing class chosen below.
27 hospitals; the 90th percentile is 8.2× 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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45 hospital rates
iThe hospitals that file a Magellan 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 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL per diem · inpatient | 1 | $900 | $900 | — | — | — | $900 – $900 |
| 2 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $704 | $704 | — | — | — | $704 – $704 |
| 3 | Bullhead City Hospital Corporation City, AZ facility · fee schedule · outpatient | 1 | $480 | $480 | — | — | — | $480 – $480 |
| 4 | Bullhead City Hospital Corporation City, AZ facility · other · outpatient | 1 | $517 | $517 | — | — | — | $517 – $517 |
| 5 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 1 | $215 | $215 | — | — | — | $215 – $215 |
| 6 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 1 | $215 | $215 | — | — | — | $215 – $215 |
| 7 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 1 | $215 | $215 | — | — | — | $215 – $215 |
| 8 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 1 | $215 | $215 | — | — | — | $215 – $215 |
| 9 | Gerald Champion Regional Medical Center Alamogordo, NM fee schedule · outpatient | 2 | $495 | $495 | $196 | 40% | — | $299 – $691 |
| 10 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · inpatient | 1 | $199 | $199 | — | — | — | $199 – $199 |
| 11 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · outpatient | 1 | $199 | $199 | — | — | — | $199 – $199 |
| 12 | Holyoke Medical Center Holyoke, MA facility · percent of total billed charges · inpatientfrom % of charges | 2 | $440 | $440 | — | — | — | $440 – $440 |
| 13 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 14 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL professional · fee schedule · outpatient | 1 | $248 | $248 | — | — | — | $248 – $248 |
| 15 | Lake Charles Memorial Hospital Charles., LA percent of total billed charges · outpatientfrom % of charges | 1 | $252 | $252 | — | — | — | $252 – $252 |
| 16 | Lancaster General Health Lancaster, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $3.8k | $3.8k | $129 | 3% | — | $3.7k – $3.9k |
| 17 | Lancaster General Health Lancaster, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.8k | $3.8k | $129 | 3% | — | $3.7k – $3.9k |
| 18 | MedStar Good Samaritan Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 19 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $988 | $988 | — | — | — | $988 – $988 |
| 20 | Mercy Medical Center-Clinton Inc Clinton, IA professional · fee schedule · inpatient | 1 | $215 | $215 | — | — | — | $215 – $215 |
| 21 | Mercy Medical Center-Clinton Inc Clinton, IA professional · fee schedule · outpatient | 1 | $215 | $215 | — | — | — | $215 – $215 |
| 22 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · inpatient | 1 | $236 | $236 | — | — | — | $236 – $236 |
| 23 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · outpatient | 1 | $353 | $353 | — | — | — | $353 – $353 |
| 24 | Morristown Medical Center Morristown, NJ other · both | 1 | $669 | $669 | — | — | — | $669 – $669 |
| 25 | Morristown Medical Center Morristown, NJ other · outpatient | 1 | $710 | $710 | — | — | — | $710 – $710 |
← Payers reporting CPT 15004 · Snapshot 20261111T120946Z-9134e7f7