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
HB-Tray, Track, Basic, 4 Gauze (Ea)
Low
$0
Average
$6
Median
$2
High
$96
Filter by billing methodology
Prices here combine facility and professional fees. See them separately →Experimental
Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 56 hospitals; the 90th percentile is 9.6× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | SwedishAmerican Hospital Rockford, IL | $31 | $33 | $9 | 27% | — | $16 – $45 |
| 2 | Mercy Health Services-Iowa Corp. Mason City, IA | $0 | $1 | $0 | 29% | — | $0 – $1 |
| 3 | Holy Cross Hospital-Silver Spring Silver Spring, MD | $2 | $2 | $0 | 3% | — | $2 – $2 |
| 4 | Sunnyview Rehab Hospital Schenectady, NY | $3 | $3 | $1 | 20% | — | $1 – $3 |
| 5 | Mercy Medical Center - Dyersville Dyersville, IA | $1 | $1 | $0 | 19% | — | $0 – $1 |
| 6 | St. Francis Hospital Inc Wilmington, DE | $1 | $2 | $1 | 55% | — | $1 – $5 |
| 7 | Plymouth Medical Center Plymouth, IN | $1 | $2 | $0 | 19% | — | $1 – $2 |
| 8 | Mercy Medical Center - Dubuque Dubuque, IA | $1 | $1 | $0 | 20% | — | $0 – $1 |
| 9 | Saint Alphonsus Medical Center - Ontario Ontario, OR | $1 | $2 | $1 | 56% | — | $1 – $4 |
| 10 | Central Community Hospital Elkader, IA | $1 | $1 | $0 | 21% | — | $0 – $1 |
Ask Claude or any MCP client for HCPCS A4626 pricing at a specific hospital — see how to connect.