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
MESH SURG MIRRAGEN 2.5X2.5CM (per sq cm)
Low
$95
Average
$173
Median
$184
High
$366
Each hospital's average Medica rate, under the methodology and billing class chosen below.
19 hospitals; the 90th percentile is 1.9× 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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22 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 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 4 | $83 | $100 | $47 | 47% | — | $59 – $174 |
| 2 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 4 | $83 | $100 | $47 | 47% | — | $59 – $174 |
| 3 | Curators of the University of Missouri Jefferson City, MO facility · percent of total billed charges · inpatientfrom % of charges | 1 | $270 | $369 | $189 | 51% | — | $203 – $634 |
| 4 | Curators of the University of Missouri Jefferson City, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $264 | $362 | $186 | 51% | — | $199 – $622 |
| 5 | Fairview Bethesda Hospital St. Paul, MN fee schedule · both | 2 | $186 | $186 | $2 | 1% | — | $184 – $188 |
| 6 | Fairview Health Services Edina, MN fee schedule · both | 2 | $186 | $186 | $2 | 1% | — | $184 – $188 |
| 7 | Fairview Health Services Minneapolis, MN fee schedule · both | 2 | $186 | $186 | $2 | 1% | — | $184 – $188 |
| 8 | Fairview Health Services Burnsville, MN fee schedule · both | 2 | $186 | $186 | $2 | 1% | — | $184 – $188 |
| 9 | Fairview Health Services Wyoming, MN fee schedule · both | 2 | $186 | $186 | $2 | 1% | — | $184 – $188 |
| 10 | Fairview Health Services Princeton, MN fee schedule · both | 2 | $186 | $186 | $2 | 1% | — | $184 – $188 |
| 11 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 4 | $184 | $184 | — | — | — | $184 – $184 |
| 12 | GILLETTE CHILDREN'S SPECIALTY HEALTHCARE PAUL, MN professional · fee schedule · outpatient | 1 | $179 | $179 | — | — | — | $179 – $179 |
| 13 | HealthEast St John's Hospital Maplewood, MN fee schedule · both | 2 | $186 | $186 | $2 | 1% | — | $184 – $188 |
| 14 | HealthEast Woodwinds Hospital Woodbury, MN fee schedule · both | 2 | $184 | $184 | — | — | — | $184 – $184 |
| 15 | Mercy Hospital South Louis, MO facility · other · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 16 | Mercy Hospital South Louis, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $47 | $65 | $43 | 66% | — | $33 – $157 |
| 17 | Mercy Hospitals East Communities dba Mercy Hospital Washington Washington, MO facility · other · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 18 | Mercy Hospitals East Communities dba Mercy Hospital Washington Washington, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $125 | $125 | $51 | 40% | — | $75 – $176 |
| 19 | Mercy Perry Perryville, MO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $138 | $166 | $125 | 76% | — | $28 – $378 |
| 20 | Range Regional Health Services Hibbing, MN professional · fee schedule · both | 1 | $174 | $174 | — | — | — | $174 – $174 |
| 21 | Southeast Hospital dba Mercy Hospital Southeast Girardeau, MO facility · other · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 22 | Valley County Hospital NE 68862-1240; 400 S 23rd St Ord, NE professional · fee schedule · both | 3 | $226 | $194 | $54 | 28% | — | $117 – $238 |
← Payers reporting HCPCS A2002 · Snapshot 20261111T120946Z-9134e7f7