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
HH 4 X 4 Bulk Sponge Gauze
Based on 2–20 billing samples across every hospital reporting.
Low
$0
Average
$6
Median
$4
High
$182
Filter by billing methodology
Prices here combine facility and professional fees. See them separately →Experimental
Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 711 hospitals; the 90th percentile is 3.0× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Benefis Community Care, Inc Great Falls, MT | $0 | $2 | $3 | 149% | 2–20 | $0 – $8 |
| 2 | Bridgton Hospital Bridgton, ME | $4 | $4 | — | — | — | $4 – $4 |
| 3 | St. Anthony Shawnee Hospital, Inc Shawnee, OK | $6 | $6 | $0 | 4% | — | $6 – $6 |
| 4 | Lewisgale Hospital Montgomery CHRISTIANSBURG, VA | $4 | $4 | $0 | 5% | — | $3 – $4 |
| 5 | Fairview Health Services Edina, MN | $5 | $6 | $2 | 36% | — | $2 – $9 |
| 6 | Hca Florida West Hospital PENSACOLA, FL | $4 | $4 | $2 | 35% | — | $4 – $9 |
| 7 | Mayo Regional Hospital Dover Foxcroft, ME | $2 | $2 | $1 | 59% | — | $0 – $4 |
| 8 | Hoopeston Community Memorial Hospital Hoopeston, IL | $2 | $2 | $1 | 38% | — | $2 – $4 |
| 9 | Deaconess Hospital, Inc Newburgh, IN | $4 | $3 | $2 | 73% | — | $0 – $7 |
| 10 | Newark-Wayne Community Hospital Newark, NY | $2 | $3 | $3 | 82% | — | $2 – $8 |
Ask Claude or any MCP client for HCPCS A6220 pricing at a specific hospital — see how to connect.