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
$20
Median
$10
High
$205
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
97 hospitals; the 90th percentile is 78.0× 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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111 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | St Luke's Regional Medical Center, LTD Mountain Home, ID percent of total billed charges · bothfrom % of charges | 1 | $22 | $22 | — | — | 1–10 | $22 – $22 |
| 2 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 5 | $14 | $14 | $8 | 57% | — | $3 – $29 |
| 3 | Adventhealth Ottawa Ottawa, KS fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 4 | Allina Health Systems Shakopee, MN facility · other · outpatient | 5 | $10 | $11 | $4 | 33% | — | $5 – $15 |
| 5 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · other · outpatient | 2 | $10 | $10 | $0 | 4% | — | $10 – $10 |
| 6 | Allina Health Systems Owatonna, MN facility · other · outpatient | 5 | $10 | $11 | $4 | 33% | — | $5 – $15 |
| 7 | Allina Health Systems Ulm, MN facility · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 8 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 9 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · other · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 10 | Allina Health Systems Cambridge, MN facility · other · outpatient | 5 | $10 | $11 | $4 | 33% | — | $5 – $15 |
| 11 | Allina Health Systems Faribualt, MN facility · other · outpatient | 5 | $10 | $11 | $4 | 33% | — | $5 – $15 |
| 12 | Allina Health Systems River Falls, WI facility · fee schedule · outpatient | 2 | $16 | $16 | $4 | 22% | — | $12 – $19 |
| 13 | Allina Health Systems Minneapolis, MN facility · other · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 14 | Allina Health Systems Buffalo, MN facility · other · outpatient | 5 | $10 | $11 | $4 | 33% | — | $5 – $15 |
| 15 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · outpatient | 3 | $1 | $1 | $0 | 46% | — | $0 – $1 |
| 19 | Baylor Scott & White Continuing Care Hospital Temple, TX facility · percent of total billed charges · outpatientfrom % of charges | 4 | $17 | $17 | $1 | 9% | — | $15 – $19 |
| 20 | Baylor Scott & White McLane Children's Medical Center Temple, TX facility · fee schedule · outpatient | 4 | $78 | $78 | $5 | 7% | — | $71 – $85 |
| 21 | Baylor Scott & White Medical Center - Austin Austin, TX facility · fee schedule · outpatient | 4 | $78 | $78 | $5 | 7% | — | $71 – $85 |
| 22 | Baylor Scott & White Medical Center - Brenham Brenham, TX facility · fee schedule · outpatient | 4 | $78 | $78 | $5 | 7% | — | $71 – $85 |
| 23 | Baylor Scott & White Medical Center - Brenham Brenham, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 24 | Baylor Scott & White Medical Center - Buda Buda, TX facility · fee schedule · outpatient | 4 | $78 | $78 | $5 | 7% | — | $71 – $85 |
| 25 | Baylor Scott & White Medical Center - College Station College Station, TX facility · fee schedule · outpatient | 1 | $85 | $85 | — | — | — | $85 – $85 |
← Payers reporting HCPCS A6215 · Snapshot 20261111T120946Z-9134e7f7