Arthroscopy form dressing system, 33 x 30 cm

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PREVENA PEEL & PLACE PRE1101US 13CM KIT

Ambetter pricing summary

Low

Average

$83

Median

$61

High

$242

Ambetter rate distribution

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91 hospital rates

#		Plans
1	STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · outpatientfrom % of charges	1	$226	$226	—	—	1–10	$226 – $226
2	STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER CANTON, MS percent of total billed charges · outpatientfrom % of charges	1	$226	$226	—	—	1–10	$226 – $226
3	Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · case rate · outpatient	1	$45	$45	—	—	—	$45 – $45
4	Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · case rate · outpatient	1	$45	$45	—	—	—	$45 – $45
5	Advocate Christ Medical Center Oak Lawn, IL facility · case rate · outpatient	1	$45	$45	—	—	—	$45 – $45
6	Advocate Condell Medical Center Libertyville, IL case rate · outpatient	1	$45	$45	—	—	—	$45 – $45
7	Advocate Good Samaritan Hospital Downers Grove, IL case rate · outpatient	1	$45	$45	—	—	—	$45 – $45
8	Advocate Good Shepherd Hospital Barrington, IL case rate · outpatient	1	$45	$45	—	—	—	$45 – $45
9	Advocate Illinois Masonic Medical Center Chicago, IL case rate · outpatient	1	$45	$45	—	—	—	$45 – $45
10	Advocate Lutheran General Hospital Park Ridge, IL case rate · outpatient	1	$45	$45	—	—	—	$45 – $45
11	Advocate Sherman Hospital Elgin, IL case rate · outpatient	1	$45	$45	—	—	—	$45 – $45
12	Advocate South Suburban Hospital Hazel Crest, IL case rate · outpatient	1	$45	$45	—	—	—	$45 – $45
13	Advocate Trinity Hospital Chicago, IL case rate · outpatient	1	$45	$45	—	—	—	$45 – $45
14	Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · outpatientfrom % of charges	1	$144	$144	$6	4%	—	$138 – $150
15	Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges	2	$144	$145	$11	8%	—	$130 – $161
16	Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · inpatientfrom % of charges	2	$150	$150	$10	7%	—	$136 – $165
17	Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges	2	$148	$148	$11	8%	—	$133 – $165
18	Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · inpatientfrom % of charges	2	$146	$147	$13	9%	—	$130 – $165
19	Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges	2	$143	$144	$15	11%	—	$124 – $165
20	BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient	1	$37	$37	—	—	—	$37 – $37
21	Brunswick Community Hospital, LLC Bolivia, NC fee schedule · outpatient	1	$81	$81	—	—	—	$81 – $81
22	Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges	2	$138	$139	$16	12%	—	$118 – $161
23	Carolinas Medical Center Charlotte, NC percent of total billed charges · inpatientfrom % of charges	2	$190	$190	$13	7%	—	$173 – $209
24	Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges	2	$184	$185	$17	9%	—	$163 – $209
25	Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges	2	$138	$139	$16	12%	—	$118 – $161

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HCPCS A6550