Large sterile hydrocolloid wound dressing pad

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HYDROCOLLD DRG >16<=48 W/O B

Payers reporting HCPCS A6235

Payer pricing summary

Low

Average

$66

Median

$25

High

$834

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +18 other terms	307	$24	$34	$31	91%	—	$10 – $122
2	Humana fee schedule · outpatient · +17 other terms	302	$24	$36	$38	105%	—	$11 – $184
3	Aetna fee schedule · outpatient · +17 other terms	272	$24	$26	$12	48%	—	$11 – $145
4	Blue Cross Blue Shield fee schedule · outpatient · +15 other terms	191	$24	$29	$13	46%	—	$0 – $100
5	WellCare fee schedule · outpatient · +6 other terms	185	$25	$25	$4	16%	—	$24 – $47
6	Devoted fee schedule · outpatient · +4 other terms	163	$24	$24	$0	2%	—	$23 – $25
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$25	$24	$1	3%	—	$24 – $26
8	Molina fee schedule · outpatient · +9 other terms	98	$31	$33	$13	39%	—	$12 – $63
9	Cigna fee schedule · outpatient · +15 other terms	78	$24	$27	$7	25%	—	$23 – $60
10	Anthem fee schedule · outpatient · +14 other terms	75	$24	$24	$2	10%	—	$12 – $39
11	Superior Healthplan fee schedule · outpatient · +1 other terms	41	$25	$25	$1	2%	—	$18 – $26
12	Kaiser fee schedule · outpatient · +9 other terms	39	$24	$24	$1	2%	—	$23 – $24
13	Clover fee schedule · outpatient · +1 other terms	37	$24	$24	$1	3%	—	$24 – $25
14	Caresource fee schedule · outpatient · +7 other terms	32	$24	$108	$35	32%	—	$12 – $122
15	Bcbs Tx fee schedule · outpatient · +2 other terms	31	$22	$23	$7	29%	—	$17 – $82
16	Optum fee schedule · outpatient · +7 other terms	25	$24	$28	$12	42%	—	$23 – $60
17	Oscar fee schedule · outpatient · +5 other terms	24	$23	$24	$1	3%	—	$23 – $25
18	Medicare fee schedule · outpatient · +3 other terms	18	$23	$23	$0	1%	—	$23 – $24
19	Amerihealth Caritas fee schedule · outpatient · +4 other terms	16	$29	$28	$1	2%	—	$27 – $29
20	Aetna Better Health fee schedule · outpatient · +3 other terms	14	$13	$17	$6	35%	—	$11 – $24
21	Wellmark fee schedule · both · +1 other terms	13	$21	$21	$1	3%	—	$17 – $21
22	Ambetter case rate · outpatient · +8 other terms	12	$34	$35	$2	4%	—	$34 – $38
23	Bcbs Mn fee schedule · outpatient · +4 other terms	12	$20	$13	$11	84%	—	$0 – $26
24	Bcbs Nj fee schedule · outpatient	12	$24	$51	$34	68%	—	$24 – $104
25	Highmark fee schedule · outpatient · +5 other terms	11	$24	$25	$9	36%	—	$11 – $56

Page 1 of 3 · 54 payers