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; IMPREGNATED WITH OTHER THAN WATER; NORMAL SALINE; OR HYDROGEL; STERILE; PAD SIZE MORE THAN 48 SQ IN; WITHOUT ADHESIVE BORDER; EACH DRESSING
Low
$3
Average
$16
Median
$5
High
$68
Each hospital's average First Health rate, under the methodology and billing class chosen below.
14 hospitals; the 90th percentile is 17.8× 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.
Filter by billing methodology
Filter by billing class
20 hospital rates
iThe hospitals that file a First Health 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 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 2 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 3 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 4 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 5 | Southcoast Hospitals Group, Inc. Bedford, MA percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | $0 | 12% | — | $3 – $5 |
| 6 | Southcoast Hospitals Group, Inc. Wareham, MA percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | $0 | 12% | — | $3 – $5 |
| 7 | Southcoast Hospitals Group, Inc. River, MA percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | $0 | 12% | — | $3 – $5 |
| 8 | Texas Children's Hospital The Woodlands, TX facility · percent of total billed charges · inpatientfrom % of charges | 2 | $29 | $77 | $91 | 118% | — | $1 – $262 |
| 9 | Texas Children's Hospital The Woodlands, TX facility · percent of total billed charges · outpatientfrom % of charges | 3 | $13 | $62 | $79 | 129% | — | $0 – $262 |
| 10 | Texas Children's Hospital - Austin Austin, TX facility · percent of total billed charges · inpatientfrom % of charges | 2 | $29 | $77 | $91 | 118% | — | $1 – $262 |
| 11 | Texas Children's Hospital - Austin Austin, TX facility · percent of total billed charges · outpatientfrom % of charges | 3 | $13 | $62 | $79 | 129% | — | $0 – $262 |
| 12 | UNIVERSITY OF MICHIGAN HEALTH Ann Arbor, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 13 | UNIVERSITY OF MICHIGAN HEALTH Ann Arbor, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 14 | UPMC Magee-Womens Hospital Pittsburgh, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 15 | UPMC Magee-Womens Hospital Pittsburgh, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 16 | UPMC Passavant - McCandless Cranberry Township, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 17 | UPMC Passavant - McCandless Cranberry Township, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 18 | UPMC Presbyterian Pittsburgh, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 19 | UPMC Presbyterian Pittsburgh, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 20 | Webster Memorial Hospital Inc Cowen, WV professional · fee schedule · both | 1 | $3 | $3 | — | — | — | $3 – $3 |
← Payers reporting HCPCS A6224 · Snapshot 20261111T120946Z-9134e7f7