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
TEGADERM 2" X 3"/ 1624W
Low
$0
Average
$12
Median
$8
High
$37
Each hospital's average First Health rate, under the methodology and billing class chosen below.
35 hospitals; the 90th percentile is 54.2× 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.
Filter by billing methodology
Filter by billing class
54 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 | AHS Cushing Hospital, LLC Cushing, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $33 | $33 | $4 | 12% | — | $29 – $37 |
| 2 | AHS Pryor Hospital, LLC Pryor, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 3 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 4 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 5 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX fee schedule · inpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 6 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 7 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 8 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $12 | $12 | $1 | 4% | — | $11 – $12 |
| 9 | Lake Charles Memorial Hospital Charles., LA percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 10 | MELROSEWAKEFIELD HEALTHCARE Medford, MA percent of total billed charges · bothfrom % of charges | 1 | $4 | $4 | $0 | 1% | — | $4 – $4 |
| 11 | Marshall Medical Center Placerville, CA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 12 | Marshall Medical Center Placerville, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 13 | Marshfield Medical Center - Dickinson Iron Mountain, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 14 | Marshfield Medical Center - Dickinson Iron Mountain, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 15 | Pemiscot Memorial Health System Hayti, MO percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $16 | $31 | 197% | — | $2 – $98 |
| 16 | ST LUKE'S LAKESIDE HOSPITAL, LLC The Woodlands, TX fee schedule · inpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 17 | ST LUKE'S LAKESIDE HOSPITAL, LLC The Woodlands, TX fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 18 | ST LUKES COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND Sugar Land, TX fee schedule · inpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 19 | ST LUKES COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND Sugar Land, TX fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 20 | ST MARYS HOSPITAL DECATUR OF HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Chatham, IL percent of total billed charges · bothfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 21 | ST. LUKE'S COMMUNITY HEALTH SERVICES The Woodlands, TX fee schedule · inpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 22 | ST. LUKE'S COMMUNITY HEALTH SERVICES The Woodlands, TX fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 23 | ST. LUKE'S COMMUNITY HEALTH SERVICES Spring, TX fee schedule · inpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 24 | ST. LUKE'S COMMUNITY HEALTH SERVICES Spring, TX fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 25 | ST. LUKES HOSPITAL AT THE VINTAGE Houston, TX fee schedule · inpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
← Payers reporting HCPCS A6257 · Snapshot 20261111T120946Z-9134e7f7