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 > 48 sq in water/salne
Low
$0
Average
$10
Median
$4
High
$80
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
25 payers; the 90th percentile is 13.0× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +5 other terms | 71 | $7 | $11 | $7 | 65% | — | $1 – $20 |
| 2 | Aetna fee schedule · outpatient · +6 other terms | 29 | $2 | $3 | $3 | 93% | — | $1 – $14 |
| 3 | UnitedHealthcare fee schedule · both · +7 other terms | 27 | $1 | $12 | $34 | 277% | — | $1 – $150 |
| 4 | Blue Cross Blue Shield facility · fee schedule · outpatient · +4 other terms | 21 | $5 | $6 | $9 | 138% | — | $0 – $29 |
| 5 | Cigna fee schedule · both · +2 other terms | 16 | $5 | $18 | $57 | 309% | — | $2 – $246 |
| 6 | Anthem facility · case rate · outpatient · +4 other terms | 15 | $15 | $17 | $4 | 23% | — | $10 – $26 |
| 7 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $16 | $17 | $4 | 23% | — | $10 – $27 |
| 8 | Molina facility · case rate · outpatient · +2 other terms | 15 | $15 | $17 | $4 | 23% | — | $11 – $26 |
| 9 | Wellmark fee schedule · both | 13 | $4 | $4 | — | — | — | $4 – $4 |
| 10 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $15 | $10 | $8 | 82% | — | $0 – $19 |
| 11 | Optum facility · case rate · outpatient · +1 other terms | 11 | $14 | $16 | $4 | 22% | — | $13 – $24 |
| 12 | Highmark fee schedule · outpatient · +2 other terms | 10 | $4 | $4 | — | — | — | $4 – $4 |
| 13 | Medica fee schedule · outpatient · +4 other terms | 10 | $4 | $4 | $1 | 26% | — | $2 – $5 |
| 14 | Aetna Better Health fee schedule · inpatient · +1 other terms | 7 | $1 | $1 | — | — | — | $1 – $1 |
| 15 | First Health professional · fee schedule · both | 3 | $1 | $1 | — | — | — | $1 – $1 |
| 16 | Bcbs Id facility · fee schedule · outpatient · +1 other terms | 2 | $2 | $1 | $1 | 48% | — | $1 – $3 |
| 17 | Kaiser fee schedule · both | 2 | $6 | $6 | — | — | — | $6 – $6 |
| 18 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | Bcbs Nc facility · fee schedule · outpatient | 1 | $2 | $2 | $0 | 19% | — | $1 – $2 |
| 20 | Bcbs Nv fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 21 | Bcbs Vt professional · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 22 | Healthpartners facility · fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 23 | Medicaid fee schedule · both | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 24 | MultiPlan fee schedule · both · +2 other terms | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 25 | Phcs professional · fee schedule · both | 1 | $3 | $3 | — | — | — | $3 – $3 |
← Hospitals reporting HCPCS A6230 · Snapshot 20261112T124536Z-e251e855