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
$3
Average
$68
Median
$25
High
$433
Each hospital's average Regence rate, under the methodology and billing class chosen below.
10 hospitals; the 90th percentile is 10.3× 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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13 hospital rates
iThe hospitals that file a Regence 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 | St Luke's Wood River Medical Center, LTD Ketchum, ID percent of total billed charges · bothfrom % of charges | 1 | $45 | $37 | $23 | 61% | 12–120 | $5 – $65 |
| 2 | ALBANY GENERAL HOSPITAL Albany, OR facility · fee schedule · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 3 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 2 | $3 | $3 | $0 | 0% | — | $3 – $3 |
| 4 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · inpatient | 2 | $47 | $69 | $53 | 76% | — | $21 – $174 |
| 5 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · outpatient | 2 | $47 | $69 | $53 | 76% | — | $21 – $174 |
| 6 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 7 | GOOD SAMARITAN HOSPITAL CORVALLIS Corvallis, OR facility · fee schedule · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 8 | GRITMAN MEDICAL CENTER INC Moscow, ID professional · fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 9 | St Luke's McCall, LTD McCall, ID percent of total billed charges · bothfrom % of charges | 1 | $46 | $37 | $23 | 61% | — | $5 – $66 |
| 10 | Virginia Mason Medical Center Seattle, WA facility · percent of total billed charges · inpatientfrom % of charges | 2 | $433 | $433 | — | — | — | $433 – $433 |
| 11 | Virginia Mason Medical Center Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $433 | $433 | — | — | — | $433 – $433 |
| 12 | WEST SHOSHONE HOSPITAL DISTRICT Kellogg, ID facility · fee schedule · both | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 13 | WEST SHOSHONE HOSPITAL DISTRICT Kellogg, ID professional · case rate · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
← Payers reporting HCPCS A6197 · Snapshot 20261111T120946Z-9134e7f7