Gel fiber wound dressing, 4.25 inch

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.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

DRESSING ZETUVIT 413906 SACRUM SM 7X7

Ambetter pricing summary

Low

Average

$45

Median

$34

High

$460

Ambetter rate distribution

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79 hospital rates

#		Plans
1	Morrison Community Hospital District Morrison, IL facility · fee schedule · both	1	$14	$14	—	—	1–10	$14 – $14
2	ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH fee schedule · outpatient	1	$15	$15	—	—	—	$15 – $15
3	Abington Memorial Hospital Abington, PA facility · fee schedule · outpatient	1	$34	$34	—	—	—	$34 – $34
4	Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · case rate · outpatient	1	$33	$33	—	—	—	$33 – $33
5	Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · case rate · outpatient	1	$33	$33	—	—	—	$33 – $33
6	Advocate Christ Medical Center Oak Lawn, IL facility · case rate · outpatient	1	$33	$33	—	—	—	$33 – $33
7	Advocate Condell Medical Center Libertyville, IL case rate · outpatient	1	$33	$33	—	—	—	$33 – $33
8	Advocate Good Samaritan Hospital Downers Grove, IL case rate · outpatient	1	$33	$33	—	—	—	$33 – $33
9	Advocate Good Shepherd Hospital Barrington, IL case rate · outpatient	1	$33	$33	—	—	—	$33 – $33
10	Advocate Illinois Masonic Medical Center Chicago, IL case rate · outpatient	1	$33	$33	—	—	—	$33 – $33
11	Advocate Lutheran General Hospital Park Ridge, IL case rate · outpatient	1	$33	$33	—	—	—	$33 – $33
12	Advocate Sherman Hospital Elgin, IL case rate · outpatient	1	$33	$33	—	—	—	$33 – $33
13	Advocate South Suburban Hospital Hazel Crest, IL case rate · outpatient	1	$33	$33	—	—	—	$33 – $33
14	Advocate Trinity Hospital Chicago, IL case rate · outpatient	1	$33	$33	—	—	—	$33 – $33
15	Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · outpatientfrom % of charges	1	$460	$460	—	—	—	$460 – $460
16	BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient	1	$41	$147	$200	136%	—	$16 – $492
17	Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges	1	$2	$2	—	—	—	$2 – $2
18	Cheshire Medical Center Keene, NH professional · fee schedule · outpatient	1	$19	$19	—	—	—	$19 – $19
19	Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · inpatient	2	$52	$82	$56	68%	—	$33 – $165
20	Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · outpatient	2	$52	$82	$56	68%	—	$33 – $165
21	Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both	1	$23	$23	—	—	—	$23 – $23
22	Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both	1	$23	$23	—	—	—	$23 – $23
23	Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both	1	$26	$26	—	—	—	$26 – $26
24	Floyd Healthcare Management Inc Rome, GA case rate · outpatient	1	$34	$34	—	—	—	$34 – $34
25	Grady Memorial Hospital Atlanta, GA facility · percent of total billed charges · outpatientfrom % of charges	1	$6	$6	$2	29%	—	$4 – $8

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← Payers reporting HCPCS A6197 · Snapshot 20261111T120946Z-9134e7f7

HCPCS A6197