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
Therapy procedure using a special bandage, vacuum pump and disposable medical equipment, surface area 50.0 sq cm or less
Low
$2
Average
$3.2k
Median
$408
High
$4327.4k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1667 hospitals; the 90th percentile is 5.0× 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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3,260 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | Northern Hospital District of Surry County Mount Airy, NC facility · fee schedule · both | 1 | $347 | $347 | — | — | 47 | $347 – $347 |
| 2 | HealthEast St John's Hospital Maplewood, MN other · inpatient | 3 | $688 | $465 | $315 | 68% | 41–59 | $21 – $688 |
| 3 | HealthEast St John's Hospital Maplewood, MN other · outpatient | 1 | $688 | $688 | — | — | 39 | $688 – $688 |
| 4 | PRISMA HEALTH OCONEE MEMORIAL HOSPITAL SENECA, SC other · both | 1 | $428 | $428 | — | — | 38 | $428 – $428 |
| 5 | St Luke's Regional Medical Center, LTD Mountain Home, ID other · outpatient | 1 | $461 | $461 | — | — | 33 | $461 – $461 |
| 6 | North Carolina Baptist Hospital Winston Salem, NC other · outpatient | 1 | $276 | $276 | — | — | 24 | $276 – $276 |
| 7 | Lexington Medical Center Lexington, NC other · outpatient | 1 | $334 | $334 | — | — | 22 | $334 – $334 |
| 8 | WRMC Hospital Operating Corporation North Wilkesboro, NC other · outpatient | 1 | $318 | $318 | — | — | 13 | $318 – $318 |
| 9 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 1 | $702 | $702 | — | — | 12 | $702 – $702 |
| 10 | Shannon Medical Center San Angelo, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $775 | $775 | — | — | 12 | $775 – $775 |
| 11 | Shannon Medical Center Big Spring Big Spring, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $775 | $775 | — | — | 12 | $775 – $775 |
| 12 | Shannon River Crest Hospital San Angelo, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $775 | $775 | — | — | 12 | $775 – $775 |
| 13 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 3 | $381 | $377 | $146 | 39% | 6–60 | $196 – $555 |
| 14 | Hendrick Medical Center Abilene, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $679 | $679 | — | — | 5–50 | $679 – $679 |
| 15 | Hendrick Medical Center Abilene, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $679 | $679 | — | — | 5–50 | $679 – $679 |
| 16 | Mon Health Medical Center Morgantown, WV fee schedule · outpatient | 1 | $19 | $73 | $131 | 180% | 3–30 | $19 – $393 |
| 17 | Fairview Health Services Wyoming, MN other · outpatient | 1 | $466 | $466 | — | — | 2–20 | $466 – $466 |
| 18 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · outpatient | 1 | $196 | $196 | — | — | 2–20 | $196 – $196 |
| 19 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 3 | $572 | $570 | $12 | 2% | 2–20 | $555 – $591 |
| 20 | HealthEast St John's Hospital Maplewood, MN percent of total billed charges · outpatientfrom % of charges | 1 | $688 | $688 | — | — | 2–20 | $688 – $688 |
| 21 | Mon Health Medical Center Morgantown, WV percent of total billed charges · outpatientfrom % of charges | 1 | $2.8k | $2.8k | $87 | 3% | 2–20 | $2.7k – $2.9k |
| 22 | Piedmont Walton Monroe, GA per diem · both | 2 | $273 | $273 | $58 | 21% | 2–20 | $215 – $331 |
| 23 | University of Virginia Prince William Medical Center Manassas, VA other · both | 2 | $1.3k | $1.0k | $415 | 41% | 2–20 | $421 – $1.3k |
| 24 | University of Virginia Prince William Medical Center Manassas, VA percent of total billed charges · bothfrom % of charges | 3 | $172 | $177 | $42 | 24% | 2–20 | $127 – $226 |
| 25 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | 2–20 | $1.3k – $1.3k |
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