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
$120
Average
$128
Median
$120
High
$140
Each hospital's average Clover rate, under the methodology and billing class chosen below.
5 hospitals; the 90th percentile is 1.2× 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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5 hospital rates
iThe hospitals that file a Clover 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 | East Cooper Medical Center LLC Mt Pleasant, SC fee schedule · outpatient | 2 | $120 | $120 | — | — | — | $120 – $120 |
| 2 | Hilton Head Medical Center LLC Hilton Head Island, SC fee schedule · outpatient | 2 | $120 | $120 | — | — | — | $120 – $120 |
| 3 | Inspira Medical Center Mullica Hill Hill, NJ fee schedule · outpatient | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 4 | Inspira Medical Center Vineland Vineland, NJ fee schedule · outpatient | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 5 | South Carolina Coastal Medical Center LLC Hardeeville, SC fee schedule · outpatient | 2 | $120 | $120 | — | — | — | $120 – $120 |
← Payers reporting HCPCS A2011 · Snapshot 20261111T120946Z-9134e7f7