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
Wound filler dry form / gram
Low
$0
Average
$5
Median
$1
High
$371
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Prices here combine facility and professional fees. See them separately →Experimental
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 297 hospitals; the 90th percentile is 13.5× 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 | St. Anthony Shawnee Hospital, Inc Shawnee, OK | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Fairview Health Services Edina, MN | $1 | $1 | $1 | 48% | — | $1 – $4 |
| 3 | Mayo Regional Hospital Dover Foxcroft, ME | $1 | $2 | $2 | 95% | — | $1 – $4 |
| 4 | Hoopeston Community Memorial Hospital Hoopeston, IL | $0 | $0 | — | — | — | $0 – $0 |
| 5 | William Beaumont Hospital Grosse Pointe, MI | $1 | $1 | $0 | 52% | — | $0 – $1 |
| 6 | Westfield Memorial Hospital Inc WESTFIELD, NY | $0 | $0 | $0 | 2% | — | $0 – $0 |
| 7 | Sanford USD Medical Center Sioux Falls, SD | $1 | $1 | — | — | — | $1 – $1 |
| 8 | Munson Healthcare Charlevoix Hospital Charlevoix, MI | $2 | $2 | $1 | 75% | — | $0 – $3 |
| 9 | Gundersen Luthern Medical Center Inc La Crosse, WI | $1 | $1 | — | — | — | $1 – $1 |
| 10 | Fairview Health Services Minneapolis, MN | $1 | $1 | $1 | 53% | — | $1 – $4 |
Ask Claude or any MCP client for HCPCS A6262 pricing at a specific hospital — see how to connect.