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-Dressing Soft Silicone Mepilex Border Flex 3inx3in
Low
$0
Average
$20
Median
$20
High
$47
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
57 hospitals; the 90th percentile is 2.9× 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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57 hospital rates
iThe hospitals that file a Ambetter 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 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · outpatientfrom % of charges | 1 | $17 | $17 | — | — | 67 | $17 – $17 |
| 2 | Quitman Hospital, LLC Quitman, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $2 | $3 | $2 | 70% | 3–30 | $2 – $6 |
| 3 | Arkansas Childrens Hospital Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $47 | $47 | — | — | 1–10 | $47 – $47 |
| 4 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER CANTON, MS percent of total billed charges · outpatientfrom % of charges | 1 | $17 | $17 | — | — | 1–10 | $17 – $17 |
| 5 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · case rate · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 6 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · case rate · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 7 | Advocate Christ Medical Center Oak Lawn, IL facility · case rate · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 8 | Advocate Condell Medical Center Libertyville, IL case rate · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 9 | Advocate Good Samaritan Hospital Downers Grove, IL case rate · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 10 | Advocate Good Shepherd Hospital Barrington, IL case rate · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 11 | Advocate Illinois Masonic Medical Center Chicago, IL case rate · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 12 | Advocate Lutheran General Hospital Park Ridge, IL case rate · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 13 | Advocate Sherman Hospital Elgin, IL case rate · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 14 | Advocate South Suburban Hospital Hazel Crest, IL case rate · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 15 | Advocate Trinity Hospital Chicago, IL case rate · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 16 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient | 1 | $10 | $10 | $5 | 55% | — | $4 – $15 |
| 17 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 18 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 19 | Floyd Healthcare Management Inc Rome, GA case rate · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 20 | Grady Memorial Hospital Atlanta, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 21 | Hendrick Medical Center Brownwood, TX facility · case rate · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 22 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $15 | $15 | $1 | 5% | — | $14 – $16 |
| 23 | Inspira Health Center Bridgeton Bridgeton, NJ fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 24 | Inspira Health Center Woodbury Woodbury, NJ fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 25 | Inspira Medical Center Elmer Elmer, NJ fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
← Payers reporting HCPCS A6212 · Snapshot 20261111T120946Z-9134e7f7