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
$10
Median
$6
High
$722
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
461 hospitals; the 90th percentile is 2.8× 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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529 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 | $2 | $5 | $6 | 135% | 36–360 | $0 – $21 |
| 2 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 5 | $2 | $4 | $6 | 151% | 12–120 | $0 – $21 |
| 3 | Texas Health Arlington Memorial Hospital Arlington, TX percent of total billed charges · outpatientfrom % of charges | 5 | $2 | $4 | $6 | 150% | 12–120 | $0 – $21 |
| 4 | Texas Health Harris Methodist Hospital HurstEulessBedford Bedford, TX percent of total billed charges · outpatientfrom % of charges | 5 | $2 | $4 | $6 | 150% | 12–120 | $0 – $21 |
| 5 | Connecticut Children's Hartford, CT percent of total billed charges · bothfrom % of charges | 2 | $2 | $2 | $0 | 25% | 11 | $1 – $2 |
| 6 | SwedishAmerican Hospital IL 61104; 1625 S State St Belvidere, IL percent of total billed charges · bothfrom % of charges | 1 | $15 | $27 | $28 | 104% | 4–40 | $3 – $85 |
| 7 | GRMC, Inc. Oakland, MD percent of total billed charges · bothfrom % of charges | 1 | $13 | $13 | $3 | 25% | 2–20 | $10 – $17 |
| 8 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · outpatientfrom % of charges | 1 | $100 | $100 | — | — | 1–10 | $100 – $100 |
| 9 | Shannon Medical Center San Angelo, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | 1–10 | $2 – $2 |
| 10 | Shannon Medical Center Big Spring Big Spring, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | 1–10 | $2 – $2 |
| 11 | Shannon River Crest Hospital San Angelo, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | 1–10 | $2 – $2 |
| 12 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 2 | $11 | $11 | $4 | 42% | — | $6 – $15 |
| 13 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 14 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 15 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 16 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 2 | $7 | $7 | $0 | 1% | — | $7 – $7 |
| 17 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 4 | $5 | $6 | $1 | 25% | — | $4 – $8 |
| 18 | Alta Newport Hospital, LLC Tustin, CA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $8 | $8 | $2 | 24% | — | $6 – $10 |
| 19 | American Hospital Management Corporation Arcata, CA facility · case rate · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 20 | Atrium Health Hospitals Inc Kings Mountain, NC fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 21 | Atrium Health Hospitals Inc Lincolnton, NC fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 22 | Atrium Health Hospitals Inc Wadesboro, NC fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 23 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · inpatientfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 24 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · outpatientfrom % of charges | 2 | $3 | $3 | $1 | 21% | — | $2 – $3 |
| 25 | Aurora Medical Center Bay Area Marinette, WI percent of total billed charges · inpatientfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
← Payers reporting HCPCS A6258 · Snapshot 20261111T120946Z-9134e7f7