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
$7
Average
$27
Median
$24
High
$579
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
279 hospitals; the 90th percentile is 1.4× 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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286 hospital rates
iThe hospitals that file a WellCare 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 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 1 | $11 | $11 | — | — | 7–70 | $11 – $11 |
| 2 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC percent of total billed charges · bothfrom % of charges | 1 | $13 | $13 | $6 | 46% | 2–20 | $7 – $20 |
| 3 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 1 | $13 | $13 | $6 | 46% | 2–20 | $7 – $20 |
| 4 | Brunswick Community Hospital, LLC Bolivia, NC percent of total billed charges · outpatientfrom % of charges | 1 | $73 | $73 | — | — | 1–10 | $73 – $73 |
| 5 | Forsyth Memorial Hospital, Inc. Winston-Salem, NC percent of total billed charges · outpatientfrom % of charges | 1 | $40 | $40 | — | — | 1–10 | $40 – $40 |
| 6 | Medical Park Hospital LLC Winston-Salem, NC percent of total billed charges · outpatientfrom % of charges | 1 | $66 | $66 | — | — | 1–10 | $66 – $66 |
| 7 | Novant Health Matthews Medical Center LLC Matthews, NC percent of total billed charges · outpatientfrom % of charges | 1 | $41 | $41 | — | — | 1–10 | $41 – $41 |
| 8 | Novant Health Mint Hill Medical Center, LLC Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $121 | $121 | — | — | 1–10 | $121 – $121 |
| 9 | Novant Health New Hanover Regional Medical Center LLC Wilmington, NC percent of total billed charges · outpatientfrom % of charges | 1 | $73 | $73 | — | — | 1–10 | $73 – $73 |
| 10 | The Presbyterian Hospital Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $63 | $63 | — | — | 1–10 | $63 – $63 |
| 11 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $25 | $25 | $1 | 2% | — | $25 – $26 |
| 12 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $4 | $3 | 93% | — | $1 – $15 |
| 13 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $579 | $579 | — | — | — | $579 – $579 |
| 14 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 15 | BELTON REGIONAL MEDICAL CENTER Kansas City, MO fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 16 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 17 | CAREPARTNERS REHABILITATION HOSPITAL Asheville, NC fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 18 | CENTENNIAL HOSPITAL A CAMPUS OF TMCA ENGLEWOOD, CO fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 19 | CENTERPOINT MEDICAL CENTER Independence, MO fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 20 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 21 | CHRISTUS Hospital - Orange Orange, TX fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 22 | CHRISTUS West Beaumont Beaumont, TX fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 23 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · case rate · inpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 24 | Calais Community Hospital Calais, ME percent of total billed charges · outpatientfrom % of charges | 1 | $60 | $58 | $3 | 5% | — | $54 – $60 |
| 25 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 2 | $24 | $24 | — | — | — | $24 – $24 |
← Payers reporting HCPCS A6197 · Snapshot 20261111T120946Z-9134e7f7