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
HC Drsg 4x4in Mplx Brdr Lf
Low
$0
Average
$19
Median
$3
High
$3.4k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
434 hospitals; the 90th percentile is 3.2× 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.
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499 hospital rates
iThe hospitals that file a Aetna 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 | Texas Health Presbyterian Hospital Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges | 4 | $36 | $45 | $46 | 102% | 10–100 | $4 – $200 |
| 2 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 2 | $5 | $5 | $2 | 42% | — | $3 – $7 |
| 3 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 5 | $24 | $38 | $44 | 117% | — | $1 – $200 |
| 4 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 6 | $3 | $4 | $1 | 32% | — | $2 – $6 |
| 5 | Abington Memorial Hospital Abington, PA facility · fee schedule · outpatient | 3 | $3 | $3 | $0 | 4% | — | $3 – $3 |
| 6 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 7 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 8 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $46 | $46 | $15 | 32% | — | $32 – $61 |
| 9 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 10 | Adena Health System Chillicothe, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 11 | Adena Health System Chillicothe, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 12 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 13 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 2 | $3 | $3 | $0 | 1% | — | $3 – $3 |
| 14 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 4 | $2 | $3 | $1 | 25% | — | $2 – $4 |
| 15 | American Hospital Management Corporation Arcata, CA facility · case rate · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 16 | Atrium Health Hospitals Inc Kings Mountain, NC fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 17 | Atrium Health Hospitals Inc Lincolnton, NC fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 18 | Atrium Health Hospitals Inc Wadesboro, NC fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 19 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · inpatientfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 20 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · outpatientfrom % of charges | 2 | $7 | $7 | $1 | 21% | — | $5 – $8 |
| 21 | Aurora Lakeland Medical Center Elkhorn, WI percent of total billed charges · inpatientfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 22 | Aurora Lakeland Medical Center Elkhorn, WI percent of total billed charges · outpatientfrom % of charges | 2 | $7 | $7 | $1 | 21% | — | $5 – $8 |
| 23 | Aurora Medical Center Bay Area Marinette, WI percent of total billed charges · inpatientfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 24 | Aurora Medical Center Bay Area Marinette, WI percent of total billed charges · outpatientfrom % of charges | 2 | $7 | $7 | $1 | 21% | — | $5 – $8 |
| 25 | Aurora Medical Center Burlington Burlington, WI percent of total billed charges · inpatientfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
← Payers reporting HCPCS A6251 · Snapshot 20261111T120946Z-9134e7f7