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 SPONGES 4X4 STERILE
Low
$0
Average
$89
Median
$1
High
$3.8k
Filter by billing methodology
Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 69 hospitals; the 90th percentile is 153.3× 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 | Hospital Service District No 1 Parish of Avoyelles State of Louisiana Bunkie, LA | $0 | $81 | $179 | 222% | 22–67 | $0 – $481 |
| 2 | Aurora Medical Center Grafton Grafton, WI | $0 | $0 | $0 | 17% | 13–31 | $0 – $0 |
| 3 | Aurora Medical Center Kenosha Kenosha, WI | $0 | $0 | $0 | 16% | 5–50 | $0 – $0 |
| 4 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI | $0 | $0 | $0 | 15% | 5–50 | $0 – $0 |
| 5 | Aurora Medical Center Sheboygan County Sheboygan, WI | $0 | $0 | $0 | 14% | 5–50 | $0 – $0 |
| 6 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI | $0 | $0 | $0 | 16% | 5–50 | $0 – $0 |
| 7 | Aurora BayCare Medical Center Green Bay, WI | $0 | $0 | $0 | 16% | 3–30 | $0 – $0 |
| 8 | Aurora Medical Center Summit Summit, WI | $0 | $0 | $0 | 14% | 2–20 | $0 – $0 |
| 9 | Aurora Medical Center Oshkosh Oshkosh, WI | $0 | $0 | $0 | 17% | 2–20 | $0 – $0 |
| 10 | Aurora Medical Center Burlington Burlington, WI | $0 | $0 | $0 | 14% | 2–20 | $0 – $0 |
Ask Claude or any MCP client for HCPCS A6403 pricing at a specific hospital — see how to connect.