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
$3
Average
$12
Median
$11
High
$61
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
257 hospitals; the 90th percentile is 1.1× 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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261 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 | Pitt County Memorial Hospital, Inc. Greenville, NC percent of total billed charges · bothfrom % of charges | 1 | $8 | $8 | — | — | 3–30 | $8 – $8 |
| 2 | Pitt County Memorial Hospital, Inc. Washington, NC percent of total billed charges · bothfrom % of charges | 1 | $8 | $8 | — | — | 3–30 | $8 – $8 |
| 3 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 1 | $8 | $8 | — | — | 1–10 | $8 – $8 |
| 4 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $11 | $11 | $0 | 2% | — | $11 – $12 |
| 5 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $3 | $2 | 78% | — | $1 – $9 |
| 6 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 7 | BELTON REGIONAL MEDICAL CENTER Kansas City, MO fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 8 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 9 | CAREPARTNERS REHABILITATION HOSPITAL Asheville, NC fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 10 | CENTENNIAL HOSPITAL A CAMPUS OF TMCA ENGLEWOOD, CO fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 11 | CENTERPOINT MEDICAL CENTER Independence, MO fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 12 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 13 | CHRISTUS Hospital - Orange Orange, TX fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 14 | CHRISTUS West Beaumont Beaumont, TX fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 15 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · case rate · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 16 | Calais Community Hospital Calais, ME percent of total billed charges · outpatientfrom % of charges | 1 | $61 | $61 | $6 | 9% | — | $55 – $66 |
| 17 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 2 | $11 | $11 | — | — | — | $11 – $11 |
| 18 | Carle BroMenn Medical Center Normal, IL case rate · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 19 | Carle Eureka Hospital Eureka, IL case rate · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 20 | Central Maine Medical Center Lewiston, ME fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 21 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 22 | Children's Hospital of the King's Daughters Norfolk, VA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 23 | Christus Health Southeast Texas Beaumont, TX fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 24 | Christus Health Southeast Texas Port Arthur, TX fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 25 | Clara Maass Medical Center Belleville, NJ fee schedule · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
← Payers reporting HCPCS A6209 · Snapshot 20261111T120946Z-9134e7f7