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
HH Telfa Dressing 3 X 8
Low
$0
Average
$7
Median
$1
High
$26
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Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 8 hospitals; the 90th percentile is 2132.8× 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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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Benefis Community Care, Inc Great Falls, MT | $0 | $0 | — | — | — | $0 – $0 |
| 2 | SwedishAmerican Hospital Rockford, IL | $1 | $1 | $0 | 5% | — | $0 – $214 |
| 3 | Nationwide Children's Hospital Columbus, OH | $26 | $26 | — | — | — | $26 – $26 |
| 4 | Nationwide Children's Hospital Toledo, Llc Toledo, OH | $19 | $19 | $0 | 0% | — | $19 – $19 |
| 5 | St Marys Hospital Decatur Of Hospital Sisters Of The Third Order Of St Francis DECATUR, IL | $11 | $11 | — | — | — | $6 – $22 |
| 6 | Montefiore Mount Vernon Hospital Mount Vernon, NY | $1 | $1 | — | — | — | $1 – $1 |
| 7 | FHN Memorial Hospital Freeport, IL | $1 | $1 | — | — | — | $1 – $3 |
| 8 | The Methodist Hospitals, Inc. Gary, IN | $0 | $0 | — | — | — | $0 – $122 |
Ask Claude or any MCP client for HCPCS A6403 pricing at a specific hospital — see how to connect.