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
Supra sdrm, per sq cm
Low
$0
Average
$485
Median
$131
High
$12.6k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
237 hospitals; the 90th percentile is 7.6× 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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269 hospital rates
iThe hospitals that file a Aetna 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 2 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 1 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 3 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $119 | $119 | — | — | — | $119 – $119 |
| 4 | Adventhealth Port Charlotte Port Charlotte, FL fee schedule · outpatient | 1 | $135 | $135 | — | — | — | $135 – $135 |
| 5 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 6 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 2 | $134 | $163 | $47 | 29% | — | $127 – $229 |
| 7 | Aspirus Divine Savior Hospital Portage, WI fee schedule · outpatient | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 8 | Aspirus Rhinelander Hospital Rhinelander, WI fee schedule · outpatient | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 9 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 10 | Aspirus Stevens Point Hospital Stevens Point, WI fee schedule · outpatient | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 11 | Aspirus Wausau Hospital Wausau, WI fee schedule · outpatient | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 12 | Aspirus Wisconsin Rapids Hospital Wisconsin Rapids, WI fee schedule · outpatient | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 13 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 2 | $946 | $677 | $393 | 58% | — | $121 – $965 |
| 14 | Blessing Hospital Quincy, IL professional · case rate · both | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 15 | Blue Ridge HealthCare Hospitals, Inc Valdese, NC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 16 | Blue Ridge HealthCare Hospitals, Inc Valdese, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.2k | $1.2k | $694 | 56% | — | $538 – $1.9k |
| 17 | Boulder Community Health Lafayette, CO facility · case rate · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 18 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 2 | $344 | $445 | $143 | 32% | — | $344 – $647 |
| 19 | Bristol Regional Medical Center BRISTOL, VA fee schedule · both | 2 | $118 | $112 | $29 | 26% | — | $6 – $122 |
| 20 | Bristol Regional Medical Center BRISTOL, VA percent of total billed charges · bothfrom % of charges | 1 | $817 | $2.2k | $3.4k | 152% | — | $3 – $13.0k |
| 21 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 2 | $99 | $99 | $23 | 23% | — | $77 – $122 |
| 22 | Brunswick Community Hospital, LLC Bolivia, NC fee schedule · outpatient | 1 | $137 | $137 | — | — | — | $137 – $137 |
| 23 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 24 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 25 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
← Payers reporting HCPCS A2011 · Snapshot 20261111T120946Z-9134e7f7