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
HB-Gauze,Ribbon,Cutimed Sorbact,2x78.7" (Bx)
Low
$0
Average
$96
Median
$5
High
$1.1k
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 16 hospitals; the 90th percentile is 17053.0× 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 | SwedishAmerican Hospital Rockford, IL | $2 | $2 | $1 | 43% | — | $1 – $5.9k |
| 2 | Nationwide Children's Hospital Columbus, OH | $26 | $26 | — | — | — | $26 – $26 |
| 3 | Nationwide Children's Hospital Toledo, Llc Toledo, OH | $19 | $19 | $0 | 0% | — | $19 – $19 |
| 4 | Phoenix Children's Hospital Phoenix, AZ | $1.1k | $1.1k | $44 | 4% | — | $2 – $1.2k |
| 5 | Baptist Hospital Of Miami MIAMI, FL | $173 | $173 | — | — | — | $1 – $173 |
| 6 | Homestead Hospital HOMESTEAD, FL | $168 | $168 | — | — | — | $1 – $168 |
| 7 | St Josephs Hospital Hospital Sisters Third Order Of St Francis Breese, IL | $8 | $8 | — | — | — | $3 – $10 |
| 8 | Holland Community Hospital Holland, MI | $3 | $4 | $2 | 42% | — | $2 – $12 |
| 9 | Southcoast Hospitals Group, Inc. Bedford, MA | $0 | $0 | — | — | — | $0 – $412 |
| 10 | Southcoast Hospitals Group, Inc. River, MA | $0 | $0 | — | — | — | $0 – $412 |
Ask Claude or any MCP client for HCPCS A6222 pricing at a specific hospital — see how to connect.