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 ZETUVIT 413906 SACRUM SM 7X7
Low
$9
Average
$25
Median
$23
High
$115
Each hospital's average Optum rate, under the methodology and billing class chosen below.
54 hospitals; the 90th percentile is 3.0× 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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58 hospital rates
iThe hospitals that file a Optum 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 3 | Abington Memorial Hospital Abington, PA facility · fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 4 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 2 | $23 | $23 | $0 | 1% | — | $23 – $23 |
| 5 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 6 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 7 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 8 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 9 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 10 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 11 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 12 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 13 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 14 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 15 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 16 | Connecticut Children's Hartford, CT percent of total billed charges · bothfrom % of charges | 3 | $21 | $28 | $13 | 46% | — | $16 – $49 |
| 17 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 18 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 19 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 20 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 21 | HENRICO DOCTORS HOSPITAL - FOREST MECHANICSVILLE, VA fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 22 | Jefferson Health - Northeast Langhorne, PA facility · fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 23 | Jefferson Health - Northeast Philadelphia, PA facility · fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 24 | Jefferson Health - Northeast Philadelphia, PA facility · fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 25 | Kennedy University Hospital, Inc Turnersville, NJ facility · fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
← Payers reporting HCPCS A6197 · Snapshot 20261111T120946Z-9134e7f7