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
Low
$1
Average
$8
Median
$3
High
$123
Filter by billing methodology
Prices here combine facility and professional fees. See them separately →Experimental
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. 48 hospitals; the 90th percentile is 15.5× 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 | $6 | $6 | $2 | 29% | 2–20 | $5 – $8 |
| 2 | Deaconess Hospital, Inc Newburgh, IN | $5 | $5 | $2 | 32% | — | $3 – $7 |
| 3 | SwedishAmerican Hospital Rockford, IL | $11 | $11 | $3 | 31% | — | $5 – $18 |
| 4 | Indiana University Health Ball Memorial Hospital Inc. Muncie, IN | $1 | $1 | $0 | 21% | — | $0 – $1 |
| 5 | GoldenPlainsCommunityHospital Borger, TX | $10 | $11 | $5 | 49% | — | $5 – $17 |
| 6 | Indiana University Health White Memorial Hospital Inc. Monticello, IN | $1 | $1 | $0 | 23% | — | $0 – $1 |
| 7 | St Luke's Magic Valley Regional Medical Center, LTD Twin Falls, ID | $2 | $2 | $0 | 8% | — | $1 – $2 |
| 8 | UPMC East Monroeville, PA | $2 | $2 | $1 | 29% | — | $1 – $4 |
| 9 | UPMC Passavant - McCandless Pittsburgh, PA | $4 | $3 | $1 | 36% | — | $1 – $5 |
| 10 | Pemiscot Memorial Health System Hayti, MO | $5 | $4 | $2 | 49% | — | $2 – $7 |
Ask Claude or any MCP client for HCPCS A6220 pricing at a specific hospital — see how to connect.