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
DRESSING FLEXGRID 4X4-3\4
Low
$0
Average
$13
Median
$5
High
$73
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Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 20 hospitals; the 90th percentile is 3079.4× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Shannon Medical Center San Angelo, TX | $3 | $3 | — | — | 40 | $0 – $15 |
| 2 | Shannon River Crest Hospital San Angelo, TX | $3 | $3 | — | — | 40 | $0 – $15 |
| 3 | Shannon Medical Center Big Spring Big Spring, TX | $3 | $3 | — | — | 40 | $0 – $15 |
| 4 | Benefis Community Care, Inc Great Falls, MT | $0 | $0 | — | — | — | $0 – $0 |
| 5 | SwedishAmerican Hospital Rockford, IL | $7 | $7 | $0 | 4% | — | $1 – $165 |
| 6 | Childrens Hospital of Los Angeles Angeles, CA | $0 | $0 | $0 | 23% | — | $0 – $1 |
| 7 | Nationwide Children's Hospital Columbus, OH | $26 | $26 | — | — | — | $26 – $26 |
| 8 | Nationwide Children's Hospital Toledo, Llc Toledo, OH | $19 | $19 | $0 | 0% | — | $19 – $19 |
| 9 | St Johns Hospital Of The Hospital Sisters Of The Third Order Of St Francis Springfield, IL | $13 | $13 | $5 | 39% | — | $3 – $31 |
| 10 | St Marys Hospital Decatur Of Hospital Sisters Of The Third Order Of St Francis DECATUR, IL | $6 | $6 | — | — | — | $3 – $11 |
Ask Claude or any MCP client for HCPCS A6258 pricing at a specific hospital — see how to connect.