Hydrogel wound dressing pad, 16 sq. in. or less

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

Hydrogel drg <= 16 in w/bdr

Payers reporting HCPCS A6245

Payer pricing summary

Low

Average

$17

Median

$11

High

$99

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +12 other terms	300	$10	$13	$17	136%	—	$4 – $122
2	Humana fee schedule · outpatient · +10 other terms	299	$10	$16	$17	105%	—	$5 – $80
3	Aetna fee schedule · outpatient · +10 other terms	265	$10	$11	$5	48%	—	$5 – $63
4	Blue Cross Blue Shield fee schedule · outpatient · +10 other terms	185	$11	$13	$6	46%	—	$0 – $43
5	WellCare fee schedule · outpatient · +5 other terms	184	$11	$11	$2	16%	—	$10 – $20
6	Devoted fee schedule · outpatient · +2 other terms	163	$10	$10	$0	2%	—	$10 – $11
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$11	$11	$0	3%	—	$10 – $11
8	Molina fee schedule · outpatient · +7 other terms	96	$14	$14	$6	39%	—	$9 – $27
9	Cigna fee schedule · outpatient · +9 other terms	77	$11	$11	$3	24%	—	$10 – $26
10	Anthem fee schedule · outpatient · +7 other terms	73	$10	$10	$1	8%	—	$10 – $17
11	Superior Healthplan fee schedule · outpatient · +1 other terms	40	$11	$11	$0	0%	—	$10 – $11
12	Kaiser fee schedule · outpatient · +5 other terms	39	$10	$10	$0	2%	—	$10 – $11
13	Clover fee schedule · outpatient · +1 other terms	37	$10	$11	$0	3%	—	$10 – $11
14	Bcbs Tx fee schedule · outpatient	31	$10	$10	$3	29%	—	$7 – $35
15	Caresource fee schedule · outpatient · +4 other terms	30	$10	$74	$55	74%	—	$10 – $122
16	Optum fee schedule · outpatient · +2 other terms	25	$10	$12	$5	42%	—	$10 – $26
17	Oscar fee schedule · outpatient · +3 other terms	24	$10	$10	$0	3%	—	$10 – $11
18	Medicare fee schedule · outpatient	18	$10	$10	$0	1%	—	$10 – $10
19	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$12	$12	$0	2%	—	$12 – $12
20	Wellmark fee schedule · both · +1 other terms	13	$9	$9	$0	3%	—	$7 – $9
21	Aetna Better Health fee schedule · outpatient · +2 other terms	12	$5	$7	$3	37%	—	$5 – $10
22	Ambetter case rate · outpatient · +6 other terms	12	$15	$15	$1	4%	—	$15 – $16
23	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	12	$39	$34	$9	26%	—	$12 – $42
24	Bcbs Mn fee schedule · outpatient · +4 other terms	12	$9	$6	$5	79%	—	$0 – $11
25	Bcbs Nj fee schedule · outpatient	12	$10	$22	$15	68%	—	$10 – $45

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