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
HCHG DRESS WND 6IN 9MM HYDROFERA BLU PVA TNL BCTRST HI ABS 1.2GM, 406668
Low
$0
Average
$18
Median
$11
High
$70
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
42 payers; the 90th percentile is 12.2× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield facility · fee schedule · outpatient · +13 other terms | 45 | $5 | $35 | $36 | 104% | — | $0 – $85 |
| 2 | Aetna fee schedule · outpatient · +13 other terms | 32 | $7 | $7 | $5 | 64% | — | $1 – $26 |
| 3 | UnitedHealthcare facility · case rate · outpatient · +11 other terms | 23 | $15 | $11 | $9 | 79% | — | $0 – $27 |
| 4 | Anthem facility · case rate · outpatient · +8 other terms | 15 | $15 | $17 | $4 | 23% | — | $10 – $26 |
| 5 | Caresource facility · case rate · outpatient · +4 other terms | 15 | $16 | $17 | $4 | 23% | — | $10 – $27 |
| 6 | Molina facility · case rate · outpatient · +8 other terms | 15 | $15 | $17 | $4 | 23% | — | $11 – $26 |
| 7 | Wellmark fee schedule · both | 13 | $4 | $4 | — | — | — | $4 – $4 |
| 8 | Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges | 12 | $9 | $9 | $2 | 27% | — | $3 – $12 |
| 9 | Bcbs Mn fee schedule · outpatient · +5 other terms | 12 | $9 | $6 | $5 | 79% | — | $0 – $11 |
| 10 | Optum facility · case rate · outpatient · +3 other terms | 11 | $14 | $16 | $4 | 22% | — | $13 – $24 |
| 11 | Cigna professional · fee schedule · outpatient · +10 other terms | 10 | $3 | $3 | — | — | — | $3 – $3 |
| 12 | Highmark fee schedule · outpatient · +3 other terms | 10 | $3 | $3 | — | — | — | $3 – $3 |
| 13 | Ucare facility · percent of total billed charges · outpatientfrom % of charges | 10 | $5 | $5 | $0 | 4% | — | $5 – $5 |
| 14 | Aetna Better Health fee schedule · inpatient · +3 other terms | 7 | $4 | $4 | — | — | — | $4 – $4 |
| 15 | Humana fee schedule · outpatient · +10 other terms | 7 | $4 | $14 | $25 | 180% | — | $4 – $85 |
| 16 | Healthcare Highways facility · percent of total billed charges · bothfrom % of charges | 4 | $10 | $10 | $6 | 60% | — | $5 – $19 |
| 17 | Healthpartners facility · other · outpatient · +3 other terms | 4 | $18 | $18 | — | — | — | $18 – $18 |
| 18 | Medical Mutual facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 4 | $26 | $25 | $3 | 13% | — | $16 – $27 |
| 19 | Phcs percent of total billed charges · inpatientfrom % of charges · +2 other terms | 4 | $24 | $24 | $2 | 8% | — | $22 – $26 |
| 20 | Bcbs Ks fee schedule · outpatient · +1 other terms | 3 | $2 | $2 | $0 | 6% | — | $2 – $2 |
| 21 | First Health professional · fee schedule · both · +4 other terms | 3 | $4 | $4 | — | — | — | $4 – $4 |
| 22 | Ambetter percent of total billed charges · outpatientfrom % of charges | 2 | $3 | $3 | $0 | 9% | — | $2 – $3 |
| 23 | Bcbs Tx percent of total billed charges · outpatientfrom % of charges | 2 | $15 | $18 | $8 | 47% | — | $6 – $24 |
| 24 | Devoted facility · percent of total billed charges · inpatientfrom % of charges | 2 | $46 | $46 | — | — | — | $46 – $46 |
| 25 | Kaiser percent of total billed charges · inpatientfrom % of charges · +2 other terms | 2 | $8 | $8 | $6 | 69% | — | $3 – $14 |
← Hospitals reporting HCPCS A6215 · Snapshot 20261111T120946Z-9134e7f7