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 Phcs 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.
Filter by billing methodology
Filter by billing class
96 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | AHS Hillcrest Medical Center, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $13,238 | $4,317 – $30,337 |
| 2 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · inpatientfrom % of charges | 1 | $249.84 | $110.21 – $497.88 |
| 3 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $233.07 | $102.81 – $464.47 |
| 4 | Alton Memorial Hospital Alton, IL percent of total billed charges · bothfrom % of charges | 2 | $0.01 | $0.01 – $0.01 |
| 5 | Athens Hospital, LLC Athens, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $889.17 | $203.52 – $1,824 |
| 6 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL percent of total billed charges · bothfrom % of charges | 1 | $25,653 | $6,064 – $60,708 |
| 7 | BETHESDA HOSPITAL BOYNTON BEACH, FL percent of total billed charges · bothfrom % of charges | 1 | $25,653 | $6,064 – $60,708 |
| 8 | BSA Hospital Amarillo, TX facility · percent of total billed charges · bothfrom % of charges | 2 | $13,292 | $13,292 – $13,292 |
| 9 | Barnes Jewish Hospital St. Louis, MO percent of total billed charges · bothfrom % of charges | 2 | $213.56 | $0.01 – $438.14 |
| 10 | Boulder Community Health Lafayette, CO facility · percent of total billed charges · inpatientfrom % of charges | 1 | $9,985 | $4,401 – $17,235 |
| 11 | Boulder Community Health Lafayette, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $10,124 | $4,463 – $17,475 |
| 12 | CentraState Medical Center Freehold Township, NJ percent of total billed charges · bothfrom % of charges | 1 | $15,001 | $4,174 – $41,784 |
| 13 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges | 1 | $3,894 | $3,894 – $3,894 |
| 14 | Christian Hospital St. Louis, MO percent of total billed charges · bothfrom % of charges | 2 | $219.46 | $0.01 – $438.14 |
| 15 | DOCTORS HOSPITAL CORAL GABLES, FL percent of total billed charges · bothfrom % of charges | 1 | $25,653 | $6,064 – $60,708 |
| 16 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $271.19 | $165.58 – $379.52 |
| 17 | FISHERMENS HEALTH, INC MARATHON, FL percent of total billed charges · bothfrom % of charges | 1 | $25,653 | $6,064 – $60,708 |
| 18 | HOMESTEAD HOSPITAL Homestead, FL percent of total billed charges · bothfrom % of charges | 1 | $25,653 | $6,064 – $60,708 |
| 19 | Henderson Hospital, LLC Henderson, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $1,881 | $1,881 – $1,881 |
| 20 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $237.59 | $145.07 – $332.49 |
| 21 | Jacksonville Hospital, LLC Jacksonville, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $1,824 | $1,824 – $1,824 |
| 22 | Johnson Memorial Hospital Stafford Springs, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $160.98 | $98.29 – $225.28 |
| 23 | Longs Peak Hospital Longmont, CO percent of total billed charges · outpatientfrom % of charges | 1 | $105.15 | $105.15 – $105.15 |
| 24 | MARINERS HOSPITAL TAVERNIER, FL percent of total billed charges · bothfrom % of charges | 1 | $25,653 | $6,064 – $60,708 |
| 25 | MedStar Franklin Square Medical Center Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $5,788 | $1,556 – $14,830 |
← Payers reporting HCPCS A2007 · Snapshot 20261109T115250Z-6452cf6e