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
HC Drsg Hydrofera 2.5x2.5in
Low
$9
Average
$13
Median
$11
High
$35
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
20 hospitals; the 90th percentile is 1.9× 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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20 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 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 2 | Central Maine Medical Center Lewiston, ME fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 3 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 4 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 5 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $22 | $32 | $20 | 61% | — | $12 – $58 |
| 6 | Jefferson Health - Northeast Langhorne, PA facility · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 7 | Jefferson Health - Northeast Philadelphia, PA facility · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 8 | Jefferson Health - Northeast Philadelphia, PA facility · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 9 | Kennedy University Hospital, Inc Turnersville, NJ facility · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 10 | Kennedy University Hospital, Inc Cherry Hill, NJ facility · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 11 | Lansdale Hospital Corp Lansdale, PA facility · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 12 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 13 | METHODIST MEDICAL CENTER OF OAK RIDGE Oak Ridge, TN fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 14 | MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION Morristown, TN fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 15 | PARKWEST MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 16 | PARKWEST MEDICAL CENTER Louisville, TN fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 17 | ROANE COUNTY MEDICAL CENTER Harriman, TN fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 18 | Thomas Jefferson University Hospital, Inc. Philadelphia, PA facility · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 19 | University of Texas MD Anderson Cancer Center The University of Texas M D Anderson Cancer Center Houston, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 20 | VALLEY REGIONAL HOSPITAL CLAREMONT, NH percent of total billed charges · bothfrom % of charges | 1 | $19 | $19 | $5 | 28% | — | $14 – $24 |
← Payers reporting HCPCS A6209 · Snapshot 20261111T120946Z-9134e7f7