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CPT A6197

UrgoClean AG 4X5 - Antibacterial Wound Dressing with Silver

Reported by 26 hospitals in the network.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

National pricing summary

Low

$6

Average

$61

Median

$56

High

$427

Hospitals reporting this code

#HospitalLocation
1AHS Southcrest Hospital, LLCTulsa, OK$5$26$32$248$12
2Virginia Mason Medical CenterSeattle, WA$371$433$427$494$40
3IHC Health Services Inc., DBA Intermountain Health Intermountain Medical CenterMurray, UT$56$63$61$66$4
4IHC Health Services Inc., DBA Intermountain Health Utah Valley HospitalProvo, UT$56$63$61$66$4
5IHC Health Services Inc., DBA Intermountain Health McKay-Dee HospitalOgden, UT$56$63$61$66$4
6IHC Health Services Inc., DBA Intermountain Health St George Regional HospitalSt. George, UT$56$56$56$56—
7IHC Health Services Inc., DBA Intermountain Health LDS HospitalSalt Lake City, UT$56$63$61$66$4
8Scl Health - Montana, Dba Intermountain Health St. Vincent HealthcareBillings, MT$24$40$35$40$7
9Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$35$35$35$35—
10IHC Health Services Inc., DBA Intermountain Health Logan Regional HospitalLogan, UT$50$53$53$56$3
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