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
$93
Median
$30
High
$3.9k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
636 hospitals; the 90th percentile is 6.1× 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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806 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | GRMC, Inc. Oakland, MD percent of total billed charges · bothfrom % of charges | 2 | $29 | $36 | $23 | 64% | 61–106 | $13 – $83 |
| 2 | ACADIAN MEDICAL CENTER EUNICE, LA percent of total billed charges · bothfrom % of charges | 2 | $7 | $7 | $2 | 24% | 31 | $5 – $9 |
| 3 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · outpatientfrom % of charges | 1 | $48 | $48 | — | — | 21 | $48 – $48 |
| 4 | Aurora Medical Center Sheboygan County Sheboygan, WI percent of total billed charges · outpatientfrom % of charges | 5 | $22 | $28 | $16 | 59% | 20–200 | $14 – $72 |
| 5 | St Luke's Regional Medical Center, LTD Mountain Home, ID percent of total billed charges · bothfrom % of charges | 1 | $25 | $26 | $4 | 14% | 17 | $21 – $30 |
| 6 | Inspira Medical Center Elmer Elmer, NJ percent of total billed charges · outpatientfrom % of charges | 3 | $13 | $24 | $26 | 108% | 9–90 | $5 – $133 |
| 7 | Inspira Medical Center Mullica Hill Hill, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $30 | $32 | $29 | 91% | 9–90 | $8 – $133 |
| 8 | Texas Health Arlington Memorial Hospital Arlington, TX percent of total billed charges · outpatientfrom % of charges | 3 | $21 | $21 | $15 | 71% | 8–80 | $3 – $51 |
| 9 | St Luke's Wood River Medical Center, LTD Ketchum, ID percent of total billed charges · bothfrom % of charges | 2 | $23 | $24 | $6 | 25% | 6–60 | $16 – $33 |
| 10 | Aurora Medical Center Washington County Hartford, WI percent of total billed charges · outpatientfrom % of charges | 5 | $25 | $31 | $14 | 45% | 5–50 | $17 – $72 |
| 11 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 1 | $7 | $7 | — | — | 5–50 | $7 – $7 |
| 12 | Aurora Medical Center Summit Summit, WI percent of total billed charges · outpatientfrom % of charges | 5 | $23 | $29 | $16 | 55% | 4–40 | $15 – $72 |
| 13 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 5 | $35 | $35 | $16 | 45% | 4–40 | $18 – $72 |
| 14 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · outpatientfrom % of charges | 5 | $16 | $29 | $19 | 66% | 3–30 | $13 – $72 |
| 15 | Aurora Medical Center Oshkosh Oshkosh, WI percent of total billed charges · outpatientfrom % of charges | 5 | $20 | $31 | $18 | 57% | 3–30 | $15 – $72 |
| 16 | St Luke's Magic Valley Regional Medical Center, LTD Jerome, ID percent of total billed charges · bothfrom % of charges | 1 | $29 | $29 | $4 | 14% | 3–30 | $24 – $34 |
| 17 | Tanner Medical Center - Carrollton Carrollton, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $64 | $64 | — | — | 3–30 | $64 – $64 |
| 18 | Mon Health Medical Center Morgantown, WV percent of total billed charges · outpatientfrom % of charges | 1 | $78 | $78 | $7 | 9% | 2–20 | $69 – $88 |
| 19 | Aurora Medical Center Fond du Lac Fond Du Lac, WI percent of total billed charges · outpatientfrom % of charges | 5 | $50 | $55 | $8 | 15% | 1–10 | $50 – $72 |
| 20 | Columbus Regional Healthcare System, Inc Whiteville, NC percent of total billed charges · outpatientfrom % of charges | 2 | $353 | $353 | $178 | 51% | 1–10 | $175 – $531 |
| 21 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 3 | $12 | $18 | $8 | 44% | — | $12 – $29 |
| 22 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 3 | $12 | $18 | $8 | 45% | — | $12 – $30 |
| 23 | AHS Claremore Hospital, LLC Claremore, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $17 | $17 | — | — | — | $17 – $17 |
| 24 | AHS Cushing Hospital, LLC Cushing, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $34 | $45 | $27 | 61% | — | $22 – $92 |
| 25 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
← Payers reporting HCPCS A6021 · Snapshot 20261111T120946Z-9134e7f7