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
MATRIX WOUND W 10CM 10CM POLYURETHANE NOVOSORB MTX SINGLE
Low
$6
Average
$1.8k
Median
$127
High
$35.7k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
128 hospitals; the 90th percentile is 8.9× 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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152 hospital rates
iThe hospitals that file a WellCare 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 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $135 | $135 | $3 | 2% | — | $131 – $138 |
| 2 | Adventhealth Port Charlotte Port Charlotte, FL fee schedule · outpatient | 1 | $146 | $146 | — | — | — | $146 – $146 |
| 3 | BATON ROUGE GENERAL MEDICAL CENTER BATON ROUGE, LA fee schedule · both | 1 | $120 | $120 | $2 | 1% | — | $118 – $122 |
| 4 | Boston Medical Center Boston, MA other · both | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 5 | Bristol Regional Medical Center BRISTOL, VA fee schedule · both | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 6 | Bristol Regional Medical Center BRISTOL, VA percent of total billed charges · bothfrom % of charges | 1 | $23.6k | $41.8k | $34.3k | 82% | — | $11.8k – $89.9k |
| 7 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $127 | $127 | — | — | — | $127 – $127 |
| 8 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · case rate · outpatient | 1 | $160 | $160 | — | — | — | $160 – $160 |
| 9 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $127 | $127 | — | — | — | $127 – $127 |
| 10 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 2 | $123 | $123 | — | — | — | $123 – $123 |
| 11 | Carle BroMenn Medical Center Normal, IL case rate · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 12 | Carle Eureka Hospital Eureka, IL case rate · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 13 | Central Maine Medical Center Lewiston, ME fee schedule · outpatient | 1 | $127 | $127 | — | — | — | $127 – $127 |
| 14 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · outpatient | 1 | $171 | $171 | — | — | — | $171 – $171 |
| 15 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · fee schedule · outpatient | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 16 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 17 | Duplin General Hospital, Inc. Kenansville, NC percent of total billed charges · bothfrom % of charges | 1 | $14 | $15 | $1 | 8% | — | $14 – $16 |
| 18 | ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · both | 1 | $155 | $155 | — | — | — | $155 – $155 |
| 19 | East Carolina Health Ahoskie, NC percent of total billed charges · bothfrom % of charges | 1 | $13 | $14 | $1 | 8% | — | $13 – $16 |
| 20 | East Carolina Health-Bertie Windsor, NC percent of total billed charges · bothfrom % of charges | 1 | $22 | $23 | $2 | 8% | — | $22 – $26 |
| 21 | East Carolina Health-Chowan, Inc. Edenton, NC percent of total billed charges · bothfrom % of charges | 1 | $16 | $17 | $1 | 8% | — | $16 – $20 |
| 22 | East Carolina Health-Heritage, Inc. Tarboro, NC percent of total billed charges · bothfrom % of charges | 1 | $9 | $10 | $1 | 8% | — | $9 – $11 |
| 23 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 1 | $127 | $127 | — | — | — | $127 – $127 |
| 24 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · outpatient | 1 | $119 | $119 | — | — | — | $119 – $119 |
| 25 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 1 | $119 | $119 | — | — | — | $119 – $119 |
← Payers reporting HCPCS A2006 · Snapshot 20261111T120946Z-9134e7f7