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
HB - Sponge,Drain,Nonwvn,4"X4",6ply,Strl,Lf (Pk)
Low
$95
Average
$95
Median
$95
High
$95
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Reflects a negotiated per diem rate paid per day of care.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | SwedishAmerican Hospital Rockford, IL | $91 | $95 | $54 | 57% | — | $0 – $383 |
Ask Claude or any MCP client for HCPCS A6402 pricing at a specific hospital — see how to connect.