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

Highmark pricing summary

Low

$23

Average

$106

Median

$34

High

$403

Highmark rate distribution

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67 hospital rates

#		Plans
1	ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient	11	$26	$26	—	—	—	$26 – $26
2	ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient	19	$31	$34	$10	29%	—	$15 – $55
3	Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both	1	$23	$23	—	—	—	$23 – $23
4	CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · inpatient	11	$26	$26	—	—	—	$26 – $26
5	CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient	19	$31	$34	$10	28%	—	$15 – $52
6	Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · other · outpatient	1	$33	$33	—	—	—	$33 – $33
7	City Hospital, Inc. Martinsburg, WV facility · other · outpatient	2	$32	$32	$0	0%	—	$32 – $33
8	Davis Medical Center Elkins, WV facility · case rate · outpatient	1	$33	$33	—	—	—	$33 – $33
9	Davis Medical Center Elkins, WV professional · fee schedule · both	1	$23	$23	—	—	—	$23 – $23
10	GRMC, Inc. Oakland, MD percent of total billed charges · bothfrom % of charges	3	$130	$186	$108	58%	—	$90 – $340
11	GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · inpatient	11	$26	$26	—	—	—	$26 – $26
12	GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient	19	$33	$44	$20	47%	—	$25 – $79
13	Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · other · outpatient	1	$33	$33	—	—	—	$33 – $33
14	Holy Redeemer Health System Meadowbrook, PA facility · case rate · outpatient	1	$34	$34	—	—	—	$34 – $34
15	JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · inpatient	11	$26	$26	—	—	—	$26 – $26
16	JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · outpatient	19	$33	$35	$10	30%	—	$15 – $56
17	Penn State Health Hampden Medical Center Enola, PA fee schedule · both	4	$31	$30	$3	9%	—	$26 – $32
18	Penn State Health Holy Spirit Medical Center Camp Hill, PA fee schedule · both	4	$31	$30	$3	9%	—	$26 – $33
19	Penn State Health Lancaster Medical Center Lancaster, PA fee schedule · both	4	$31	$30	$3	9%	—	$26 – $33
20	Penn State Health Milton S. Hershey Medical Center Hershey, PA fee schedule · both	4	$31	$29	$4	13%	—	$22 – $32
21	Princeton Community Hospital Assn Inc. Princeton, WV facility · other · outpatient	1	$33	$33	—	—	—	$33 – $33
22	SAINT VINCENT HEALTH CENTER ERIE, PA fee schedule · inpatient	11	$26	$26	—	—	—	$26 – $26
23	SAINT VINCENT HEALTH CENTER ERIE, PA fee schedule · outpatient	20	$32	$34	$10	28%	—	$15 – $52
24	St Joseph Regional Health Network Reading, PA fee schedule · both	4	$31	$30	$3	9%	—	$26 – $33
25	UPMC Altoona Altoona, PA facility · fee schedule · outpatient	1	$41	$41	—	—	—	$41 – $41

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HCPCS A6550