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
$1
Average
$12
Median
$6
High
$46
Each hospital's average First Health rate, under the methodology and billing class chosen below.
46 hospitals; the 90th percentile is 10.7× 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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72 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 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · inpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 2 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 3 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 4 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 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 | $4 | $4 | — | — | — | $4 – $4 |
| 8 | GLENCOE REGIONAL HEALTH SERVICES Glencoe, MN professional · fee schedule · outpatient | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 9 | GRMC, Inc. Oakland, MD percent of total billed charges · bothfrom % of charges | 1 | $14 | $14 | $3 | 25% | — | $10 – $17 |
| 10 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $17 | $20 | $5 | 27% | — | $16 – $29 |
| 11 | MADISON ST JOSEPH HEALTH CENTER Madisonville, TX fee schedule · inpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 12 | MADISON ST JOSEPH HEALTH CENTER Madisonville, TX fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 13 | MELROSEWAKEFIELD HEALTHCARE Medford, MA percent of total billed charges · bothfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 14 | Marshfield Medical Center - Dickinson Iron Mountain, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 15 | Marshfield Medical Center - Dickinson Iron Mountain, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 16 | Olivia Hospital Olivia, MN facility · percent of total billed charges · bothfrom % of charges | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 17 | Pemiscot Memorial Health System Hayti, MO percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | $2 | 33% | — | $3 – $6 |
| 18 | ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Effingham, IL percent of total billed charges · bothfrom % of charges | 1 | $11 | $11 | $4 | 33% | — | $7 – $15 |
| 19 | ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS O'Fallon, IL percent of total billed charges · bothfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 20 | ST JOHNS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Springfield, IL percent of total billed charges · bothfrom % of charges | 1 | $15 | $15 | $6 | 39% | — | $8 – $23 |
| 21 | ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS HIGHLAND, IL percent of total billed charges · bothfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 22 | ST LUKE'S LAKESIDE HOSPITAL, LLC The Woodlands, TX fee schedule · inpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 23 | ST LUKE'S LAKESIDE HOSPITAL, LLC The Woodlands, TX fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 24 | ST LUKES COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND Sugar Land, TX fee schedule · inpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 25 | ST LUKES COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND Sugar Land, TX fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
← Payers reporting HCPCS A6258 · Snapshot 20261111T120946Z-9134e7f7