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
$0
Average
$34
Median
$29
High
$407
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
583 hospitals; the 90th percentile is 2.7× 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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710 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 3 | $26 | $28 | $10 | 36% | 34–106 | $12 – $53 |
| 2 | Aurora Medical Center Sheboygan County Sheboygan, WI percent of total billed charges · outpatientfrom % of charges | 5 | $23 | $24 | $11 | 47% | 30–300 | $11 – $53 |
| 3 | St Luke's Magic Valley Regional Medical Center, LTD Jerome, ID percent of total billed charges · bothfrom % of charges | 1 | $25 | $31 | $14 | 44% | 30 | $21 – $60 |
| 4 | Aurora Medical Center Kenosha Kenosha, WI percent of total billed charges · outpatientfrom % of charges | 5 | $20 | $26 | $13 | 52% | 25–250 | $14 – $65 |
| 5 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI percent of total billed charges · outpatientfrom % of charges | 5 | $27 | $36 | $19 | 54% | 25–250 | $16 – $83 |
| 6 | St Luke's Regional Medical Center, LTD Mountain Home, ID percent of total billed charges · bothfrom % of charges | 1 | $38 | $41 | $23 | 57% | 19 | $19 – $105 |
| 7 | St Luke's Wood River Medical Center, LTD Ketchum, ID percent of total billed charges · bothfrom % of charges | 2 | $21 | $25 | $12 | 49% | 19 | $14 – $58 |
| 8 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · outpatientfrom % of charges | 5 | $22 | $20 | $10 | 49% | 8–80 | $8 – $39 |
| 9 | Aurora West Allis Medical Center West Allis, WI percent of total billed charges · outpatientfrom % of charges | 5 | $27 | $38 | $20 | 54% | 8–80 | $23 – $92 |
| 10 | GRMC, Inc. Oakland, MD percent of total billed charges · bothfrom % of charges | 2 | $21 | $38 | $40 | 104% | 8–80 | $7 – $133 |
| 11 | The University of Texas Medical Branch Webster, TX percent of total billed charges · bothfrom % of charges | 3 | $8 | $13 | $11 | 85% | 7–70 | $4 – $51 |
| 12 | Aurora Medical Center Oshkosh Oshkosh, WI percent of total billed charges · outpatientfrom % of charges | 5 | $16 | $20 | $10 | 49% | 6–60 | $10 – $48 |
| 13 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 5 | $37 | $40 | $11 | 27% | 6–60 | $27 – $66 |
| 14 | Aurora Lakeland Medical Center Elkhorn, WI percent of total billed charges · outpatientfrom % of charges | 5 | $27 | $26 | $11 | 42% | 5–50 | $13 – $53 |
| 15 | Aurora Medical Center Summit Summit, WI percent of total billed charges · outpatientfrom % of charges | 5 | $19 | $19 | $7 | 38% | 4–40 | $11 – $38 |
| 16 | Aurora Medical Center Manitowoc Two Rivers, WI percent of total billed charges · outpatientfrom % of charges | 5 | $26 | $23 | $8 | 36% | 3–30 | $12 – $38 |
| 17 | Tufts Medical Center BOSTON, MA other · both | 1 | $14 | $12 | $2 | 20% | 3–30 | $9 – $14 |
| 18 | Aurora Medical Center Grafton Grafton, WI percent of total billed charges · outpatientfrom % of charges | 5 | $26 | $24 | $6 | 24% | 2–20 | $18 – $38 |
| 19 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges | 2 | $14 | $18 | $14 | 75% | 2–20 | $4 – $45 |
| 20 | Aurora Medical Center Fond du Lac Fond Du Lac, WI percent of total billed charges · outpatientfrom % of charges | 5 | $27 | $29 | $4 | 15% | 1–10 | $27 – $38 |
| 21 | Pampa Regional Medical Center Pampa, TX percent of total billed charges · outpatientfrom % of charges | 1 | $13 | $13 | — | — | 1–10 | $13 – $13 |
| 22 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 1 | $8 | $8 | — | — | 1–10 | $8 – $8 |
| 23 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · outpatientfrom % of charges | 1 | $46 | $46 | — | — | 1–10 | $46 – $46 |
| 24 | University Medical Center of Southern Nevada Las Vegas, NV percent of total billed charges · outpatientfrom % of charges | 1 | $19 | $19 | — | — | 1–10 | $19 – $19 |
| 25 | AHS Cushing Hospital, LLC Cushing, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $23 | $25 | $3 | 14% | — | $21 – $29 |
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