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
$400
Median
$53
High
$4.7k
Each hospital's average Phcs rate, under the methodology and billing class chosen below.
71 hospitals; the 90th percentile is 14.4× 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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80 hospital rates
iThe hospitals that file a Phcs 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 | AHS Cushing Hospital, LLC Cushing, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $58 | $78 | $48 | 61% | — | $37 – $164 |
| 2 | AHS Henryetta Hospital, LLC Henryetta, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $45 | $45 | $2 | 5% | — | $42 – $49 |
| 3 | AHS Hillcrest Medical Center, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $46 | $81 | $67 | 83% | — | $11 – $195 |
| 4 | AHS Southcrest Hospital, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $45 | $43 | $5 | 12% | — | $33 – $49 |
| 5 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · inpatientfrom % of charges | 1 | $34 | $40 | $17 | 42% | — | $23 – $70 |
| 6 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $32 | $38 | $16 | 42% | — | $22 – $65 |
| 7 | Athens Hospital, LLC Athens, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $25 | $36 | $24 | 68% | — | $13 – $69 |
| 8 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL percent of total billed charges · bothfrom % of charges | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 9 | BETHESDA HOSPITAL BOYNTON BEACH, FL percent of total billed charges · bothfrom % of charges | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 10 | BSA Hospital Amarillo, TX facility · percent of total billed charges · bothfrom % of charges | 2 | $51 | $50 | $3 | 6% | — | $47 – $53 |
| 11 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 12 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · fee schedule · inpatient | 1 | $503 | $503 | — | — | — | $503 – $503 |
| 13 | Carthage Hospital, LLC Carthage, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 14 | DOCTORS HOSPITAL CORAL GABLES, FL percent of total billed charges · bothfrom % of charges | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 15 | Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | East Cooper Medical Center LLC Mt Pleasant, SC percent of total billed charges · bothfrom % of charges | 1 | $311 | $311 | — | — | — | $311 – $311 |
| 18 | FISHERMENS HEALTH, INC MARATHON, FL percent of total billed charges · bothfrom % of charges | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 19 | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER Fresno, CA facility · fee schedule · inpatient | 1 | $503 | $503 | — | — | — | $503 – $503 |
| 20 | HOMESTEAD HOSPITAL Homestead, FL percent of total billed charges · bothfrom % of charges | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 21 | Hackensack Meridian Mountainside Medical Center Montclair, NJ facility · percent of total billed charges · bothfrom % of charges | 1 | $55 | $57 | $4 | 7% | — | $54 – $63 |
| 22 | Harrington Cancer Center Amarillo, TX facility · percent of total billed charges · bothfrom % of charges | 2 | $51 | $51 | — | — | — | $51 – $51 |
| 23 | Henderson Hospital, LLC Henderson, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 24 | Jacksonville Hospital, LLC Jacksonville, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $19 | $19 | $6 | 31% | — | $13 – $25 |
| 25 | Lovelace Health System, LLC Albuquerque, NM facility · percent of total billed charges · bothfrom % of charges | 1 | $26 | $20 | $8 | 40% | — | $9 – $27 |
← Payers reporting HCPCS A6021 · Snapshot 20261111T120946Z-9134e7f7