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
GAUZE; NON-IMPREGNATED; STERILE; PAD SIZE 16 SQ. IN. OR LESS; WITH ANY SIZE ADHESIVE BORDER; EACH DRESSING
Low
$0
Average
$3
Median
$1
High
$223
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
436 hospitals; the 90th percentile is 2.2× 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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479 hospital rates
iThe hospitals that file a Aetna 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 | AHS Hillcrest Medical Center, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $1 | $1 | — | — | — | $1 – $1 |
| 2 | AHS Southcrest Hospital, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $4 | $4 | — | — | — | $4 – $4 |
| 3 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 2 | $2 | $2 | $1 | 42% | — | $1 – $3 |
| 4 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 5 | $24 | $21 | $10 | 46% | — | $4 – $30 |
| 5 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 6 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 7 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 8 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 2 | $2 | $2 | $0 | 1% | — | $1 – $2 |
| 9 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 4 | $1 | $1 | $0 | 25% | — | $1 – $2 |
| 10 | Alta Newport Hospital, LLC Tustin, CA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $8 | $8 | $2 | 24% | — | $6 – $10 |
| 11 | American Hospital Management Corporation Arcata, CA facility · case rate · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 12 | Atrium Health Hospitals Inc Kings Mountain, NC fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 13 | Atrium Health Hospitals Inc Lincolnton, NC fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 14 | Atrium Health Hospitals Inc Wadesboro, NC fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 15 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI percent of total billed charges · inpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 16 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI percent of total billed charges · outpatientfrom % of charges | 2 | $1 | $1 | $0 | 22% | — | $1 – $1 |
| 17 | Aurora Medical Center Washington County Hartford, WI percent of total billed charges · inpatientfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 18 | Aurora Medical Center Washington County Hartford, WI percent of total billed charges · outpatientfrom % of charges | 2 | $3 | $3 | $1 | 22% | — | $2 – $4 |
| 19 | Berger Hospital Circleville, OH fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 20 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $2 | $2 | $0 | 1% | — | $2 – $2 |
| 21 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 22 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 23 | Boulder Community Health Lafayette, CO facility · case rate · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 24 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 2 | $1 | $1 | $0 | 32% | — | $1 – $1 |
| 25 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
← Payers reporting HCPCS A6219 · Snapshot 20261111T120946Z-9134e7f7