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
HC Xeroform 1x8 84-433301
Based on 852–4,506 billing samples across every hospital reporting.
Low
$0
Average
$27
Median
$3
High
$2.8k
Filter by billing methodology
Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 796 hospitals; the 90th percentile is 4.0× 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 | St Luke's Wood River Medical Center, LTD Ketchum, ID | $5 | $9 | $8 | 88% | 91–253 | $1 – $21 |
| 2 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI | $2 | $9 | $11 | 126% | 89–332 | $0 – $42 |
| 3 | Aurora Medical Center Kenosha Kenosha, WI | $2 | $8 | $11 | 142% | 86–302 | $0 – $42 |
| 4 | Aurora Medical Center Manitowoc Two Rivers, WI | $1 | $6 | $8 | 142% | 67–571 | $0 – $30 |
| 5 | St Luke's Regional Medical Center, LTD Boise, ID | $5 | $10 | $8 | 84% | 66–192 | $1 – $20 |
| 6 | Aurora Medical Center Oshkosh Oshkosh, WI | $1 | $4 | $8 | 184% | 54–216 | $0 – $31 |
| 7 | Aurora Medical Center Sheboygan County Sheboygan, WI | $7 | $10 | $10 | 104% | 45–450 | $0 – $35 |
| 8 | Aurora Medical Center Fond du Lac Fond Du Lac, WI | $1 | $3 | $3 | 108% | 42–96 | $0 – $9 |
| 9 | St Luke's McCall, LTD McCall, ID | $7 | $10 | $8 | 87% | 39–111 | $1 – $21 |
| 10 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI | $3 | $11 | $13 | 120% | 36–360 | $0 – $44 |
Ask Claude or any MCP client for HCPCS A6222 pricing at a specific hospital — see how to connect.