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 12.5X10CM 125SQ CM RESTRATA SOFT NONFRIABLE ABSORBABLE WOUND STERILE LATEX FREE WHITE
The hospitals that file a Medcost 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.
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66 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1,873 | $53.36 – $3,772 |
| 2 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1,873 | $53.36 – $3,772 |
| 3 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · inpatientfrom % of charges | 2 | $1,243 | $32.36 – $2,718 |
| 4 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 2 | $1,243 | $32.36 – $2,718 |
| 5 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · inpatientfrom % of charges | 2 | $1,145 | $27.32 – $2,681 |
| 6 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 2 | $1,254 | $33.52 – $2,681 |
| 7 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · inpatientfrom % of charges | 2 | $1,561 | $34.39 – $3,854 |
| 8 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 2 | $1,561 | $34.39 – $3,854 |
| 9 | Caldwell Memorial Hospital Lenoir, NC facility · percent of total billed charges · inpatientfrom % of charges | 2 | $129.11 | $37.44 – $294.05 |
| 10 | Caldwell Memorial Hospital Lenoir, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $196.13 | $61.89 – $429.02 |
| 11 | Carolinas Medical Center Charlotte, NC percent of total billed charges · inpatientfrom % of charges | 2 | $1,129 | $30.10 – $2,419 |
| 12 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $1,129 | $30.10 – $2,419 |
| 13 | Carolinas Medical Center Charlotte, NC percent of total billed charges · inpatientfrom % of charges | 2 | $1,129 | $30.10 – $2,419 |
| 14 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $1,129 | $30.10 – $2,419 |
| 15 | Carolinas Medical Center Davidson, NC percent of total billed charges · inpatientfrom % of charges | 1 | $631.19 | $17.98 – $1,271 |
| 16 | Carolinas Medical Center Davidson, NC percent of total billed charges · outpatientfrom % of charges | 1 | $651.55 | $18.56 – $1,312 |
| 17 | Carolinas Medical Center Charlotte, NC percent of total billed charges · inpatientfrom % of charges | 2 | $1,090 | $28.42 – $2,382 |
| 18 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $1,090 | $28.42 – $2,382 |
| 19 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $158.50 | $96.78 – $221.82 |
| 20 | HCA Healthcare Live Oak Mental Health and Wellness Ladson, SC percent of total billed charges · outpatientfrom % of charges | 3 | $601.81 | $169.99 – $1,465 |
| 21 | HCA Healthcare Summerville Hospital SUMMERVILLE, SC percent of total billed charges · outpatientfrom % of charges | 3 | $601.81 | $169.99 – $1,465 |
| 22 | HCA Healthcare Trident Hospital SUMMERVILLE, SC percent of total billed charges · outpatientfrom % of charges | 3 | $601.81 | $169.99 – $1,465 |
| 23 | High Point Regional Health High Point, NC percent of total billed charges · inpatientfrom % of charges | 3 | $838.87 | $15.54 – $2,247 |
| 24 | High Point Regional Health High Point, NC percent of total billed charges · outpatientfrom % of charges | 3 | $921.00 | $18.73 – $2,628 |
| 25 | Lexington Medical Center Lexington, NC percent of total billed charges · inpatientfrom % of charges | 3 | $832.09 | $12.70 – $2,743 |
← Payers reporting HCPCS A2007 · Snapshot 20261109T115250Z-6452cf6e