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
$8
Median
$6
High
$165
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
500 hospitals; the 90th percentile is 2.4× 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.
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584 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | SwedishAmerican Hospital IL 61104; 1625 S State St Belvidere, IL percent of total billed charges · bothfrom % of charges | 1 | $16 | $29 | $30 | 104% | 75 | $3 – $91 |
| 2 | Shannon Medical Center San Angelo, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | 61 | $2 – $2 |
| 3 | Shannon Medical Center Big Spring Big Spring, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | 61 | $2 – $2 |
| 4 | Shannon River Crest Hospital San Angelo, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | 61 | $2 – $2 |
| 5 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 3 | $4 | $4 | $1 | 16% | 21 | $3 – $5 |
| 6 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · outpatientfrom % of charges | 1 | $88 | $88 | — | — | 20 | $88 – $88 |
| 7 | Connecticut Children's Hartford, CT percent of total billed charges · bothfrom % of charges | 1 | $2 | $2 | $0 | 24% | 14 | $2 – $2 |
| 8 | Texas Health Arlington Memorial Hospital Arlington, TX percent of total billed charges · outpatientfrom % of charges | 3 | $1 | $3 | $5 | 157% | 12–120 | $0 – $16 |
| 9 | Texas Health Presbyterian Hospital Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges | 3 | $1 | $3 | $5 | 158% | 12–120 | $0 – $16 |
| 10 | GRMC, Inc. Oakland, MD percent of total billed charges · bothfrom % of charges | 2 | $13 | $13 | $3 | 25% | 4–40 | $10 – $17 |
| 11 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 2 | $55 | $80 | $41 | 52% | 3–30 | $47 – $139 |
| 12 | Tanner Medical Center - Carrollton Carrollton, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $8 | — | — | 2–20 | $8 – $8 |
| 13 | Arkansas Childrens Hospital Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | — | — | 1–10 | $4 – $4 |
| 14 | Arkansas Childrens Northwest Springdale, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | — | — | 1–10 | $4 – $4 |
| 15 | Aurora Medical Center Washington County Hartford, WI percent of total billed charges · outpatientfrom % of charges | 5 | $3 | $4 | $1 | 15% | 1–10 | $3 – $5 |
| 16 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 5 | $3 | $3 | $1 | 15% | 1–10 | $3 – $5 |
| 17 | Aurora West Allis Medical Center West Allis, WI percent of total billed charges · outpatientfrom % of charges | 5 | $4 | $4 | $1 | 15% | 1–10 | $4 – $6 |
| 18 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER CANTON, MS percent of total billed charges · outpatientfrom % of charges | 1 | $27 | $27 | — | — | 1–10 | $27 – $27 |
| 19 | Saint Marys Hospital Passaic, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | — | — | 1–10 | $3 – $3 |
| 20 | Saint Michaels Medical Center Newark, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | 1–10 | $1 – $1 |
| 21 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 22 | ALASKA REGIONAL HOSPITAL Anchorage, AK fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 23 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 3 | $3 | $3 | $0 | 2% | — | $3 – $3 |
| 24 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 8 | $6 | $5 | $1 | 28% | — | $3 – $7 |
| 25 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $7 | $7 | $0 | 1% | — | $7 – $7 |
← Payers reporting HCPCS A6258 · Snapshot 20261111T120946Z-9134e7f7