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
$1
Average
$96
Median
$43
High
$451
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
25 hospitals; the 90th percentile is 33.9× 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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39 hospital rates
iThe hospitals that file a MultiPlan 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 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · inpatientfrom % of charges | 1 | $166 | $166 | $32 | 19% | — | $134 – $198 |
| 2 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $166 | $166 | $32 | 19% | — | $134 – $198 |
| 3 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · inpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 4 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 5 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 6 | Children's Hospital of Philadelphia, The Philadelphia, PA percent of total billed charges · bothfrom % of charges | 1 | $451 | $451 | — | — | — | $451 – $451 |
| 7 | East Valley Glendora Hospital, LLC Glendora, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $185 | $185 | — | — | — | $185 – $185 |
| 8 | GLENCOE REGIONAL HEALTH SERVICES Glencoe, MN facility · fee schedule · both | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 9 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 10 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 11 | MADISON ST JOSEPH HEALTH CENTER Madisonville, TX fee schedule · inpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 12 | MADISON ST JOSEPH HEALTH CENTER Madisonville, TX fee schedule · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 13 | North Oaks Medical Center Drive. Hammond, LA percent of total billed charges · bothfrom % of charges | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 14 | Rush Medical Foundation Meridian, MS percent of total billed charges · outpatientfrom % of charges | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 15 | 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 | $20 | $20 | — | — | — | $20 – $20 |
| 16 | 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 | $43 | $43 | — | — | — | $43 – $43 |
| 17 | ST JOSEPH REGIONAL HEALTH CENTER Navasota, TX fee schedule · inpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 18 | ST JOSEPH REGIONAL HEALTH CENTER Navasota, TX fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 19 | ST JOSEPH REGIONAL HEALTH CENTER Bryan, TX fee schedule · inpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 20 | ST JOSEPH REGIONAL HEALTH CENTER Bryan, TX fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 21 | ST JOSEPH REGIONAL HEALTH CENTER College Station, TX fee schedule · inpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 22 | ST JOSEPH REGIONAL HEALTH CENTER College Station, TX fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 23 | Sweetwater Hospital Association Sweetwater, TN fee schedule · both | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 24 | Texas Children's Hospital The Woodlands, TX facility · percent of total billed charges · inpatientfrom % of charges | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 25 | Texas Children's Hospital The Woodlands, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | — | — | — | $5 – $5 |
← Payers reporting HCPCS A6262 · Snapshot 20261112T124536Z-e251e855