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
WOUND MATRIX SYN 10X23CM (230 SQ CM) PELASHIELDAM
Low
$0
Average
$2.3k
Median
$1.7k
High
$9.0k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
48 payers; the 90th percentile is 66.2× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +16 other terms | 237 | $210 | $2.7k | $4.5k | 168% | — | $1 – $23.7k |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +16 other terms | 74 | $232 | $1.6k | $4.1k | 257% | — | $0 – $33.0k |
| 3 | Humana fee schedule · outpatient · +15 other terms | 31 | $133 | $1.7k | $2.5k | 149% | — | $1 – $9.7k |
| 4 | Bcbs Tx fee schedule · outpatient | 30 | $204 | $210 | $66 | 31% | — | $155 – $767 |
| 5 | MultiPlan fee schedule · inpatient · +9 other terms | 29 | $7.8k | $9.7k | $7.7k | 79% | — | $2.1k – $31.0k |
| 6 | Aetna fee schedule · outpatient · +17 other terms | 28 | $133 | $1.8k | $2.1k | 120% | — | $1 – $7.5k |
| 7 | Cigna fee schedule · outpatient · +13 other terms | 28 | $710 | $8.8k | $8.8k | 99% | — | $133 – $38.0k |
| 8 | Anthem fee schedule · outpatient · +11 other terms | 23 | $133 | $8.5k | $7.7k | 91% | — | $48 – $32.6k |
| 9 | Kaiser fee schedule · outpatient · +6 other terms | 23 | $133 | $5.9k | $6.8k | 116% | — | $133 – $27.1k |
| 10 | Molina facility · case rate · outpatient · +10 other terms | 23 | $943 | $693 | $506 | 73% | — | $61 – $1.7k |
| 11 | Caresource facility · case rate · outpatient · +5 other terms | 19 | $968 | $858 | $460 | 54% | — | $49 – $1.7k |
| 12 | Medicare fee schedule · outpatient · +2 other terms | 18 | $133 | $133 | — | — | — | $133 – $133 |
| 13 | Medica fee schedule · outpatient · +6 other terms | 17 | $6.0k | $6.3k | $4.3k | 68% | — | $847 – $13.1k |
| 14 | WellCare facility · fee schedule · outpatient · +9 other terms | 14 | $116 | $117 | $3 | 2% | — | $116 – $123 |
| 15 | Healthcare Highways percent of total billed charges · outpatientfrom % of charges | 13 | $57 | $103 | $123 | 119% | — | $12 – $560 |
| 16 | First Health fee schedule · outpatient · +7 other terms | 11 | $12.6k | $10.9k | $7.7k | 71% | — | $1.9k – $27.1k |
| 17 | Optum facility · case rate · outpatient · +2 other terms | 11 | $940 | $1.0k | $231 | 22% | — | $848 – $1.5k |
| 18 | Medical Mutual facility · fee schedule · outpatient | 10 | $116 | $143 | $30 | 21% | — | $116 – $184 |
| 19 | Phcs fee schedule · inpatient · +5 other terms | 10 | $5.7k | $6.5k | $4.2k | 64% | — | $1.7k – $13.3k |
| 20 | Devoted fee schedule · outpatient · +3 other terms | 9 | $133 | $133 | — | — | — | $133 – $133 |
| 21 | Superior Healthplan percent of total billed charges · outpatientfrom % of charges | 9 | $19 | $24 | $27 | 114% | — | $3 – $116 |
| 22 | Ucare facility · percent of total billed charges · outpatientfrom % of charges | 9 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 23 | Ambetter facility · fee schedule · outpatient · +4 other terms | 8 | $209 | $209 | — | — | — | $209 – $209 |
| 24 | Aetna Better Health percent of total billed charges · outpatientfrom % of charges | 7 | $3.4k | $2.6k | $1.5k | 58% | — | $2 – $3.4k |
| 25 | Amerihealth Caritas other · outpatient · +1 other terms | 6 | $717 | $717 | — | — | — | $717 – $717 |
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