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
$33
Median
$5
High
$240
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
80 hospitals; the 90th percentile is 288.6× 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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87 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | ACADIAN MEDICAL CENTER EUNICE, LA fee schedule · both | 5 | $0 | $0 | — | — | — | $0 – $0 |
| 2 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 5 | $75 | $83 | $50 | 60% | — | $14 – $188 |
| 3 | Allina Health Systems Shakopee, MN facility · other · outpatient | 5 | $3 | $4 | $1 | 33% | — | $2 – $5 |
| 4 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · other · outpatient | 2 | $3 | $3 | $0 | 5% | — | $3 – $3 |
| 5 | Allina Health Systems Owatonna, MN facility · other · outpatient | 5 | $3 | $4 | $1 | 33% | — | $2 – $5 |
| 6 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · other · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 7 | Allina Health Systems Cambridge, MN facility · other · outpatient | 5 | $3 | $4 | $1 | 33% | — | $2 – $5 |
| 8 | Allina Health Systems Faribualt, MN facility · other · outpatient | 5 | $3 | $4 | $1 | 33% | — | $2 – $5 |
| 9 | Allina Health Systems River Falls, WI facility · fee schedule · outpatient | 2 | $31 | $31 | $25 | 80% | — | $6 – $56 |
| 10 | Allina Health Systems Minneapolis, MN facility · other · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 11 | Allina Health Systems Buffalo, MN facility · other · outpatient | 5 | $3 | $4 | $1 | 33% | — | $2 – $5 |
| 12 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · outpatient | 3 | $1 | $1 | $0 | 46% | — | $0 – $1 |
| 16 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · inpatient | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 17 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 18 | Benson Hospital Corporation Benson, AZ facility · fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 19 | Blessing Hospital Quincy, IL professional · fee schedule · both | 1 | $1 | $1 | $0 | 13% | — | $0 – $1 |
| 20 | Children's Hospital of Philadelphia, The Philadelphia, PA percent of total billed charges · bothfrom % of charges | 1 | $226 | $226 | — | — | — | $226 – $226 |
| 21 | Covenant Medical Center Inc Saginaw, MI facility · fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 22 | Covenant Medical Center Inc Saginaw, MI facility · fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 23 | East Valley Glendora Hospital, LLC Glendora, CA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $141 | $141 | $11 | 8% | — | $130 – $153 |
| 24 | Essentia Health Duluth Duluth, MN facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 25 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · fee schedule · outpatient | 2 | $1 | $1 | — | — | — | $1 – $1 |
← Payers reporting HCPCS A6262 · Snapshot 20261112T124536Z-e251e855