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
FOAM DRG >16<=48 SQ IN W/BDR
Low
$0
Average
$75
Median
$34
High
$717
Filter by billing methodology
Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 266 hospitals; the 90th percentile is 14.4× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Kaiser Foundation Hospital - Riverside RIVERSIDE, CA | $8 | $11 | $6 | 50% | 733 | $7 – $19 |
| 2 | Kaiser Foundation Hospital - San Diego - Zion SAN DIEGO, CA | $8 | $11 | $6 | 50% | 732 | $7 – $19 |
| 3 | Kaiser Foundation Hospital - Downey Downey, CA | $8 | $11 | $6 | 50% | 460 | $7 – $19 |
| 4 | Kaiser Foundation Hospital - Orange County - Irvine Irvine, CA | $8 | $11 | $6 | 50% | 454 | $7 – $19 |
| 5 | Kaiser Foundation Hospital - Woodland Hills WOODLAND HILLS, CA | $8 | $11 | $6 | 50% | 407 | $7 – $19 |
| 6 | Kaiser Foundation Hospital - West La LOS ANGELES, CA | $8 | $11 | $6 | 50% | 268 | $7 – $19 |
| 7 | Kaiser Foundation Hospital - South Bay HARBOR CITY, CA | $8 | $11 | $6 | 50% | 197 | $7 – $19 |
| 8 | Kaiser Foundation Hospital - Ontario ONTARIO, CA | $8 | $11 | $6 | 50% | 184 | $7 – $19 |
| 9 | Kaiser Foundation Hospital - Baldwin Park BALDWIN PARK, CA | $8 | $11 | $6 | 50% | 164 | $7 – $19 |
| 10 | Kaiser Foundation Hospital - Moreno Valley MORENO VALLEY, CA | $8 | $11 | $6 | 50% | 150–159 | $7 – $19 |
Ask Claude or any MCP client for HCPCS A6213 pricing at a specific hospital — see how to connect.