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 > 48 SQ IN W/BORDER
Low
$5
Average
$57
Median
$40
High
$317
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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. 79 hospitals; the 90th percentile is 7.7× 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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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | State Of Mississippi-university Of Mississippi Medical Center JACKSON, MS | $31 | $42 | $21 | 50% | 19–55 | $13 – $77 |
| 2 | University of Wisconsin Hospital and Clinics Authority Madison, WI | $26 | $34 | $22 | 66% | 15–51 | $8 – $81 |
| 3 | State Of Mississippi-university Of Mississippi Medical Center CANTON, MS | $22 | $29 | $18 | 62% | 2–20 | $7 – $64 |
| 4 | John Muir Health Walnut Creek, CA | $305 | $317 | $64 | 20% | 2–20 | $144 – $12k |
| 5 | John Muir Health Concord, CA | $305 | $315 | $64 | 20% | 2–20 | $16 – $12k |
| 6 | University of Iowa Health Care Medical Center Downtown Iowa City, IA | $73 | $74 | $21 | 29% | — | $19 – $103 |
| 7 | University of Iowa Health Care Medical Center Iowa City, IA | $73 | $74 | $21 | 28% | — | $28 – $103 |
| 8 | Saint Elizabeth’s Hospital of Wabasha Inc Wabasha, MN | $25 | $26 | $6 | 24% | — | $9 – $36 |
| 9 | Aurora Medical Center Summit Summit, WI | $55 | $58 | $9 | 16% | — | $43 – $72 |
| 10 | Aurora St Lukes Medical Center of Aurora Health Care Metro Inc Milwaukee, WI | $42 | $46 | $14 | 31% | — | $25 – $72 |
Ask Claude or any MCP client for HCPCS A6214 pricing at a specific hospital — see how to connect.