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
DRESSING ENDOFORM 2X2 ANTIMICROBIAL FENESTRATED 629312
Low
$0
Average
$442
Median
$78
High
$5.4k
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
151 hospitals; the 90th percentile is 52.7× 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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210 hospital rates
iThe hospitals that file a MultiPlan 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 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 1 | $73 | $73 | — | — | — | $73 – $73 |
| 2 | AHS Cushing Hospital, LLC Cushing, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $53 | $72 | $45 | 62% | — | $31 – $164 |
| 3 | AHS Henryetta Hospital, LLC Henryetta, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $42 | $42 | $5 | 13% | — | $36 – $49 |
| 4 | AHS Hillcrest Medical Center, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $43 | $73 | $63 | 86% | — | $9 – $195 |
| 5 | AHS Pryor Hospital, LLC Pryor, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $37 | $47 | $38 | 80% | — | $11 – $128 |
| 6 | AHS Southcrest Hospital, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $36 | $39 | $7 | 19% | — | $26 – $49 |
| 7 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · inpatientfrom % of charges | 1 | $40 | $47 | $20 | 42% | — | $27 – $81 |
| 8 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $40 | $47 | $20 | 42% | — | $27 – $81 |
| 9 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · inpatientfrom % of charges | 1 | $377 | $377 | — | — | — | $377 – $377 |
| 10 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $377 | $377 | — | — | — | $377 – $377 |
| 11 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · inpatientfrom % of charges | 1 | $377 | $377 | — | — | — | $377 – $377 |
| 12 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 1 | $377 | $377 | — | — | — | $377 – $377 |
| 13 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · inpatientfrom % of charges | 1 | $377 | $377 | — | — | — | $377 – $377 |
| 14 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 1 | $377 | $377 | — | — | — | $377 – $377 |
| 15 | BSA Hospital Amarillo, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $62 | $61 | $3 | 6% | — | $56 – $65 |
| 16 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 17 | Black River Health Inc Black River Falls, WI facility · percent of total billed charges · bothfrom % of charges | 3 | $20 | $20 | $0 | 1% | — | $20 – $20 |
| 18 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 19 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 20 | CAPE CORAL HOSPITAL CAPE CORAL, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 21 | CENTENNIAL HOSPITAL A CAMPUS OF TMCA ENGLEWOOD, CO percent of total billed charges · outpatientfrom % of charges | 3 | $25 | $24 | $2 | 10% | — | $20 – $26 |
| 22 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX fee schedule · inpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 23 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 24 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · fee schedule · inpatient | 1 | $503 | $503 | — | — | — | $503 – $503 |
| 25 | Carolinas Medical Center Charlotte, NC percent of total billed charges · inpatientfrom % of charges | 1 | $357 | $357 | — | — | — | $357 – $357 |
← Payers reporting HCPCS A6021 · Snapshot 20261111T120946Z-9134e7f7