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
$1
Average
$1.2k
Median
$140
High
$16.2k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
93 hospitals; the 90th percentile is 126.7× 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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108 hospital rates
iThe hospitals that file a Molina 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 · case rate · outpatient | 1 | $966 | $966 | — | — | — | $966 – $966 |
| 2 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $127 | $127 | — | — | — | $127 – $127 |
| 3 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 2 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 4 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $2.7k | $5.4k | $5.3k | 97% | — | $1.7k – $15.8k |
| 5 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 4 | $2.1k | $4.2k | $4.1k | 98% | — | $1.2k – $14.5k |
| 6 | Adena Fayette Medical Center Washington Court House, OH facility · case rate · outpatient | 1 | $238 | $238 | — | — | — | $238 – $238 |
| 7 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $177 | $177 | $61 | 34% | — | $116 – $238 |
| 8 | Aurora Medical Center Kenosha Kenosha, WI percent of total billed charges · outpatientfrom % of charges | 1 | $64 | $6.8k | $9.6k | 140% | — | $61 – $20.3k |
| 9 | CATHOLIC HEALTH INITIATIVES COLORADO West Valley City, UT fee schedule · outpatient | 2 | $209 | $209 | $73 | 35% | — | $135 – $282 |
| 10 | CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT fee schedule · outpatient | 2 | $209 | $209 | $73 | 35% | — | $135 – $282 |
| 11 | CATHOLIC HEALTH INITIATIVES COLORADO Lehi, UT fee schedule · outpatient | 2 | $209 | $209 | $73 | 35% | — | $135 – $282 |
| 12 | CATHOLIC HEALTH INITIATIVES COLORADO Layton, UT fee schedule · outpatient | 1 | $282 | $282 | — | — | — | $282 – $282 |
| 13 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $282 | $282 | — | — | — | $282 – $282 |
| 14 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $938 | $938 | — | — | — | $938 – $938 |
| 15 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 16 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 17 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 18 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 19 | COMMUNITY HOSPITAL OF SAN BERNARDINO San Bernardino, CA fee schedule · inpatient | 1 | $3.6k | $4.4k | $2.8k | 64% | — | $1.4k – $8.9k |
| 20 | COMMUNITY HOSPITAL OF SAN BERNARDINO San Bernardino, CA fee schedule · outpatient | 1 | $3.6k | $4.4k | $2.8k | 64% | — | $1.4k – $8.9k |
| 21 | Carle BroMenn Medical Center Normal, IL case rate · outpatient | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 22 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $943 | $943 | — | — | — | $943 – $943 |
| 23 | Covenant Medical Center Inc Saginaw, MI facility · case rate · outpatient | 2 | $88 | $88 | $28 | 31% | — | $61 – $116 |
| 24 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 2 | $116 | $116 | — | — | — | $116 – $116 |
| 25 | Covenant Medical Center Inc Saginaw, MI facility · case rate · outpatient | 2 | $88 | $88 | $28 | 31% | — | $61 – $116 |
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