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
$10
Average
$33
Median
$23
High
$194
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
36 hospitals; the 90th percentile is 2.6× 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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36 hospital rates
iThe hospitals that file a Tricare 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 | Abington Memorial Hospital Abington, PA facility · fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 2 | Beaufort Memorial Hospital Beaufort, SC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $194 | $194 | — | — | — | $194 – $194 |
| 3 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 4 | Central Maine Medical Center Lewiston, ME fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 5 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $74 | $74 | $3 | 4% | — | $71 – $77 |
| 6 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 7 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 8 | Jefferson Health - Northeast Langhorne, PA facility · fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 9 | Jefferson Health - Northeast Philadelphia, PA facility · fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 10 | Jefferson Health - Northeast Philadelphia, PA facility · fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 11 | Kennedy University Hospital, Inc Turnersville, NJ facility · fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 12 | Kennedy University Hospital, Inc Cherry Hill, NJ facility · fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 13 | Kennedy University Hospital, Inc Stratford, NJ facility · fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 14 | Lansdale Hospital Corp Lansdale, PA facility · fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 15 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 16 | MCLAREN BAY REGION CITY, MI fee schedule | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 17 | MCLAREN CARO REGION CARO, MI fee schedule | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 18 | MCLAREN CENTRAL MICHIGAN PLEASANT, MI fee schedule | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 19 | MCLAREN FLINT FLINT, MI fee schedule | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 20 | MCLAREN GREATER LANSING LANSING, MI fee schedule | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 21 | MCLAREN LAPEER REGION LAPEER, MI fee schedule | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 22 | MCLAREN MACOMB CLEMENS, MI fee schedule | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 23 | MCLAREN NORTHERN MICHIGAN PETOSKEY, MI fee schedule | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 24 | MCLAREN OAKLAND PONTIAC, MI fee schedule | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 25 | MCLAREN PORT HURON HURON, MI fee schedule | 1 | $23 | $23 | — | — | — | $23 – $23 |
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