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
GAUZE NON-IMPREG STER MORE THAN 16-<=48 SQ IN WO
Based on 166–643 billing samples across every hospital reporting.
Low
$0
Average
$13
Median
$1
High
$3.8k
Filter by billing methodology
Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 719 hospitals; the 90th percentile is 3.1× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Indiana University Health Bloomington Inc. Bloomington, IN | $1 | $766 | $3.0k | 396% | 57–84 | $0 – $15.7k |
| 2 | Hospital Service District No 1 Parish of Avoyelles State of Louisiana Bunkie, LA | $0 | $81 | $179 | 222% | 22–67 | $0 – $481 |
| 3 | Indiana University Health West Hospital Inc. Avon, IN | $1 | $578 | $3.7k | 648% | 20–29 | $0 – $27.8k |
| 4 | Indiana University Health North Hospital Inc. Carmel, IN | $1 | $1.4k | $6.9k | 505% | 13–22 | $0 – $42.5k |
| 5 | Aurora Medical Center Grafton Grafton, WI | $0 | $0 | $0 | 17% | 13–31 | $0 – $0 |
| 6 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI | $0 | $0 | $0 | 16% | 5–50 | $0 – $0 |
| 7 | Aurora Medical Center Sheboygan County Sheboygan, WI | $0 | $0 | $0 | 14% | 5–50 | $0 – $0 |
| 8 | Aurora Medical Center Kenosha Kenosha, WI | $0 | $0 | $0 | 16% | 5–50 | $0 – $0 |
| 9 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI | $0 | $0 | $0 | 15% | 5–50 | $0 – $0 |
| 10 | Aurora BayCare Medical Center Green Bay, WI | $0 | $0 | $0 | 16% | 3–30 | $0 – $0 |
Ask Claude or any MCP client for HCPCS A6403 pricing at a specific hospital — see how to connect.