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
HB-Mepilex Ag Dressing, No Border 4"X8" per Each
Low
$5
Average
$86
Median
$51
High
$1.1k
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
104 hospitals; the 90th percentile is 9.0× 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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154 hospital rates
iThe hospitals that file a MultiPlan 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 | AHS Cushing Hospital, LLC Cushing, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $39 | $39 | $7 | 18% | — | $30 – $52 |
| 2 | AHS Henryetta Hospital, LLC Henryetta, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $33 | $33 | $4 | 12% | — | $29 – $37 |
| 3 | AHS Hillcrest Medical Center, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $53 | $57 | $21 | 37% | — | $24 – $94 |
| 4 | AHS Pryor Hospital, LLC Pryor, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $32 | $34 | $19 | 56% | — | $10 – $58 |
| 5 | AHS Southcrest Hospital, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $33 | $64 | $62 | 97% | — | $23 – $195 |
| 6 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · inpatientfrom % of charges | 1 | $27 | $45 | $39 | 87% | — | $17 – $172 |
| 7 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $27 | $45 | $39 | 87% | — | $17 – $172 |
| 8 | Armstrong County Memorial Hospital Kittanning, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 9 | Armstrong County Memorial Hospital Kittanning, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 10 | Armstrong County Memorial Hospital Kittanning, PA professional · fee schedule · outpatient | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 11 | BSA Hospital Amarillo, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $64 | $64 | $32 | 50% | — | $32 – $96 |
| 12 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 13 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 14 | Catawba Valley Medical Center Hickory, NC percent of total billed charges · outpatientfrom % of charges | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 15 | Centennial Hills Las Vegas, NV percent of total billed charges · bothfrom % of charges | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 16 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 1 | $24 | $24 | $3 | 14% | — | $20 – $27 |
| 17 | Children's Hospital of the King's Daughters Norfolk, VA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 18 | Children's Hospital of the King's Daughters Norfolk, VA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 19 | Children's Mercy Hospital Kansas City, MO facility · percent of total billed charges · inpatientfrom % of charges | 1 | $18 | $14 | $6 | 45% | — | $5 – $18 |
| 20 | Children's Mercy Hospital Kansas City, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $18 | $14 | $6 | 45% | — | $5 – $18 |
| 21 | Children's Mercy Hospital Kansas Overland Park, KS facility · percent of total billed charges · inpatientfrom % of charges | 1 | $18 | $14 | $6 | 45% | — | $5 – $18 |
| 22 | Children's Mercy Hospital Kansas Overland Park, KS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $18 | $14 | $6 | 45% | — | $5 – $18 |
| 23 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · percent of total billed charges · outpatientfrom % of charges | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 24 | Connecticut Children's Hartford, CT percent of total billed charges · bothfrom % of charges | 2 | $38 | $36 | $3 | 7% | — | $32 – $38 |
| 25 | Cottage Health SANTA BARBARA, CA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $53 | $51 | $23 | 46% | — | $19 – $86 |
← Payers reporting HCPCS A6210 · Snapshot 20261111T120946Z-9134e7f7