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 FOAM DRSNG >48 SQ" W/ BRDR
Low
$0
Average
$20
Median
$15
High
$248
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
483 hospitals; the 90th percentile is 2.3× 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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568 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 | $31 | $34 | $22 | 65% | 11 | $11 – $68 |
| 2 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · outpatientfrom % of charges | 1 | $44 | $44 | $20 | 45% | 2–20 | $24 – $63 |
| 3 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER CANTON, MS percent of total billed charges · outpatientfrom % of charges | 1 | $13 | $13 | $6 | 45% | 2–20 | $7 – $19 |
| 4 | Southeast Health Medical Center Dothan, AL facility · other · outpatient | 1 | $119 | $119 | — | — | 2–20 | $119 – $119 |
| 5 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 6 | ALASKA REGIONAL HOSPITAL Anchorage, AK fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 7 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 3 | $8 | $8 | $0 | 2% | — | $7 – $8 |
| 8 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 8 | $15 | $13 | $3 | 28% | — | $7 – $16 |
| 9 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $16 | $16 | $0 | 1% | — | $16 – $17 |
| 10 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 3 | $13 | $12 | $7 | 60% | — | $2 – $22 |
| 11 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 4 | $16 | $15 | $4 | 29% | — | $8 – $20 |
| 12 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 13 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 14 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 15 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 2 | $7 | $7 | — | — | — | $7 – $7 |
| 16 | Atrium Health Hospitals Inc Kings Mountain, NC fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 17 | Atrium Health Hospitals Inc Lincolnton, NC fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 18 | Atrium Health Hospitals Inc Wadesboro, NC fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 19 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · inpatientfrom % of charges | 1 | $47 | $47 | $24 | 51% | — | $23 – $72 |
| 20 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · outpatientfrom % of charges | 5 | $37 | $36 | $20 | 54% | — | $16 – $72 |
| 21 | Aurora Lakeland Medical Center Elkhorn, WI percent of total billed charges · inpatientfrom % of charges | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 22 | Aurora Lakeland Medical Center Elkhorn, WI percent of total billed charges · outpatientfrom % of charges | 5 | $50 | $55 | $8 | 15% | — | $50 – $72 |
| 23 | Aurora Medical Center Burlington Burlington, WI percent of total billed charges · inpatientfrom % of charges | 1 | $99 | $99 | $27 | 27% | — | $72 – $126 |
| 24 | Aurora Medical Center Burlington Burlington, WI percent of total billed charges · outpatientfrom % of charges | 5 | $80 | $75 | $24 | 32% | — | $50 – $126 |
| 25 | Aurora Medical Center Fond du Lac Fond Du Lac, WI percent of total billed charges · inpatientfrom % of charges | 1 | $72 | $72 | — | — | — | $72 – $72 |
← Payers reporting HCPCS A6214 · Snapshot 20261111T120946Z-9134e7f7