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
HC Gauze Pack Strp Iodoform .25x5
Low
$1
Average
$13
Median
$3
High
$1.2k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
199 hospitals; the 90th percentile is 8.1× 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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220 hospital rates
iThe hospitals that file a Cigna 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 | Connecticut Children's Hartford, CT percent of total billed charges · bothfrom % of charges | 1 | $6 | $6 | — | — | 1–10 | $6 – $6 |
| 2 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 2 | $4 | $4 | $1 | 26% | — | $3 – $5 |
| 3 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · inpatientfrom % of charges | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 4 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 3 | $26 | $27 | $6 | 22% | — | $21 – $35 |
| 5 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 6 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 7 | Aurora Medical Center Burlington Burlington, WI percent of total billed charges · inpatientfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 8 | Aurora Medical Center Burlington Burlington, WI percent of total billed charges · outpatientfrom % of charges | 2 | $4 | $4 | $0 | 6% | — | $4 – $4 |
| 9 | Aurora Medical Center Fond du Lac Fond Du Lac, WI percent of total billed charges · inpatientfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 10 | Aurora Medical Center Fond du Lac Fond Du Lac, WI percent of total billed charges · outpatientfrom % of charges | 2 | $3 | $3 | $0 | 6% | — | $3 – $4 |
| 11 | Aurora Medical Center Manitowoc Two Rivers, WI percent of total billed charges · inpatientfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 12 | Aurora Medical Center Manitowoc Two Rivers, WI percent of total billed charges · outpatientfrom % of charges | 2 | $3 | $3 | $0 | 6% | — | $3 – $4 |
| 13 | Aurora Medical Center Oshkosh Oshkosh, WI percent of total billed charges · inpatientfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 14 | Aurora Medical Center Oshkosh Oshkosh, WI percent of total billed charges · outpatientfrom % of charges | 2 | $3 | $3 | $0 | 6% | — | $3 – $4 |
| 15 | Aurora Medical Center Summit Summit, WI percent of total billed charges · inpatientfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 16 | Aurora Medical Center Summit Summit, WI percent of total billed charges · outpatientfrom % of charges | 2 | $4 | $4 | $0 | 6% | — | $4 – $4 |
| 17 | Aurora Medical Center Washington County Hartford, WI percent of total billed charges · inpatientfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 18 | Aurora Medical Center Washington County Hartford, WI percent of total billed charges · outpatientfrom % of charges | 2 | $6 | $6 | $0 | 6% | — | $5 – $6 |
| 19 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL percent of total billed charges · bothfrom % of charges | 3 | $15 | $16 | $5 | 31% | — | $11 – $22 |
| 20 | BELTON REGIONAL MEDICAL CENTER Kansas City, MO fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 21 | BETHESDA HOSPITAL BOYNTON BEACH, FL percent of total billed charges · bothfrom % of charges | 3 | $6 | $6 | — | — | — | $6 – $6 |
| 22 | Baylor Scott & White Continuing Care Hospital Temple, TX facility · percent of total billed charges · outpatientfrom % of charges | 2 | $40 | $40 | $3 | 8% | — | $36 – $43 |
| 23 | Baylor Scott & White McLane Children's Medical Center Temple, TX facility · percent of total billed charges · outpatientfrom % of charges | 2 | $31 | $31 | $3 | 8% | — | $29 – $34 |
| 24 | Baylor Scott & White Medical Center - Austin Austin, TX facility · percent of total billed charges · outpatientfrom % of charges | 2 | $29 | $29 | $2 | 8% | — | $26 – $31 |
| 25 | Baylor Scott & White Medical Center - Brenham Brenham, TX facility · percent of total billed charges · outpatientfrom % of charges | 2 | $31 | $31 | $3 | 8% | — | $29 – $34 |
← Payers reporting HCPCS A6266 · Snapshot 20261111T120946Z-9134e7f7