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 (Sup Shell A6402) Sterile Gauze <= 16 Sq In - A6402 - RU272059
Low
$0
Average
$3
Median
$0
High
$65
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
493 hospitals; the 90th percentile is 55.7× 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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569 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 | Saint Michaels Medical Center Newark, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | 96 | $2 – $2 |
| 2 | Saint Clares Hospital Boonton Township, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | 13 | $2 – $2 |
| 3 | Saint Marys Hospital Passaic, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | — | — | 12 | $3 – $3 |
| 4 | Pemiscot Memorial Health System Hayti, MO other · outpatient | 1 | $0 | $0 | — | — | 7–70 | $0 – $0 |
| 5 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 3 | $3 | $2 | $1 | 77% | 5–50 | $0 – $4 |
| 6 | Tanner Medical Center - Carrollton Carrollton, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | 3–30 | $0 – $0 |
| 7 | Knapp Medical Center Weslaco, TX percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | 2–20 | $0 – $0 |
| 8 | Saint John Hospital Leavenworth, KS percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | — | — | 2–20 | $3 – $3 |
| 9 | USA Health Children's & Women's Hospital Mobile, AL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $37 | $37 | — | — | 1–10 | $37 – $37 |
| 10 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 11 | ALASKA REGIONAL HOSPITAL Anchorage, AK fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 8 | $0 | $0 | $0 | 29% | — | $0 – $0 |
| 14 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $7 | $7 | $0 | 0% | — | $7 – $7 |
| 17 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | $0 | 0% | — | $7 – $7 |
| 18 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | Adena Health System Chillicothe, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 20 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 22 | Atrium Health Hospitals Inc Kings Mountain, NC fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 23 | Atrium Health Hospitals Inc Lincolnton, NC fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 24 | Atrium Health Hospitals Inc Wadesboro, NC fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 25 | BELTON REGIONAL MEDICAL CENTER Kansas City, MO fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting HCPCS A6402 · Snapshot 20261111T120946Z-9134e7f7