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
Application of chemical to stop tissue regrowth in wound
Low
$15
Average
$381
Median
$210
High
$5.7k
Each hospital's average Medica rate, under the methodology and billing class chosen below.
259 hospitals; the 90th percentile is 9.1× 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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552 hospital rates
iThe hospitals that file a Medica 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 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $213 | $213 | — | — | 5–50 | $213 – $213 |
| 2 | Fairview Health Services Edina, MN other · inpatient | 1 | $194 | $194 | — | — | 4–40 | $194 – $194 |
| 3 | Fairview Health Services Burnsville, MN other · inpatient | 1 | $213 | $213 | — | — | 4–40 | $213 – $213 |
| 4 | HealthEast Woodwinds Hospital Woodbury, MN other · inpatient | 1 | $169 | $169 | — | — | 4–40 | $169 – $169 |
| 5 | Prairie Lakes Health Care System Inc. Watertown, SD percent of total billed charges · bothfrom % of charges | 2 | $210 | $210 | $3 | 1% | 4–40 | $207 – $213 |
| 6 | Avera McKennan Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 2 | $129 | $130 | $17 | 13% | 2–20 | $108 – $155 |
| 7 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 5 | $122 | $137 | $42 | 31% | 2–20 | $119 – $257 |
| 8 | Monument Health Network Inc Custer, SD percent of total billed charges · outpatientfrom % of charges | 3 | $197 | $308 | $190 | 62% | 2–20 | $152 – $575 |
| 9 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 3 | $174 | $269 | $154 | 57% | 2–20 | $146 – $487 |
| 10 | Fairview Health Services Minneapolis, MN other · outpatient | 1 | $213 | $213 | — | — | 1–10 | $213 – $213 |
| 11 | Fairview Health Services Burnsville, MN other · outpatient | 1 | $213 | $213 | — | — | 1–10 | $213 – $213 |
| 12 | HealthEast Woodwinds Hospital Woodbury, MN other · outpatient | 1 | $169 | $169 | — | — | 1–10 | $169 – $169 |
| 13 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 11 | $745 | $663 | $146 | 22% | 1–10 | $391 – $761 |
| 14 | Mayo Clinic Rochester, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.9k | $1.9k | — | — | 1–10 | $1.9k – $1.9k |
| 15 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 7 | $333 | $329 | $6 | 2% | 1–10 | $322 – $340 |
| 16 | Mayo Clinic Health System Mankato 56001-4752 professional · fee schedule · outpatient | 2 | $27 | $28 | $12 | 45% | 1–10 | $15 – $40 |
| 17 | SAINT ELIZABETH REGIONAL MEDICAL CENTER Lincoln, NE fee schedule · outpatient | 2 | $142 | $142 | $72 | 50% | 1–10 | $71 – $214 |
| 18 | AHS Hillcrest Medical Center, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 19 | AHS Pryor Hospital, LLC Pryor, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $401 | $401 | — | — | — | $401 – $401 |
| 20 | AHS Southcrest Hospital, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $806 | $806 | — | — | — | $806 – $806 |
| 21 | ALEGENT CREIGHTON HEALTH Papillion, NE case rate · outpatient | 3 | $953 | $816 | $463 | 57% | — | $194 – $1.3k |
| 22 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient | 2 | $119 | $119 | $48 | 40% | — | $71 – $167 |
| 23 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · inpatient | 4 | $212 | $212 | $23 | 11% | — | $185 – $241 |
| 24 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · outpatient | 5 | $195 | $188 | $54 | 28% | — | $63 – $241 |
| 25 | ALEGENT CREIGHTON HEALTH Omaha, NE case rate · outpatient | 3 | $953 | $816 | $463 | 57% | — | $194 – $1.3k |
← Payers reporting CPT 17250 · Snapshot 20261111T120946Z-9134e7f7