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
G com bandge hgh dn foam pad
Low
$2
Average
$4
Median
$3
High
$22
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
515 hospitals; the 90th percentile is 1.3× 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.
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535 hospital rates
iThe hospitals that file a Aetna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 2 | $6 | $6 | $3 | 42% | — | $3 – $8 |
| 2 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 3 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 4 | AdventHealth Orlando Winter Park, FL fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 5 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 6 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · outpatient | 2 | $6 | $6 | — | — | — | $6 – $6 |
| 7 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 8 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 4 | $4 | $4 | $0 | 9% | — | $3 – $4 |
| 9 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 2 | $4 | $4 | $1 | 28% | — | $3 – $6 |
| 10 | Aspirus Divine Savior Hospital Portage, WI fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 11 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 12 | Aspirus Stevens Point Hospital Stevens Point, WI fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 13 | Aspirus Wausau Hospital Wausau, WI fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 14 | Atrium Health Hospitals Inc Lincolnton, NC fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 15 | Atrium Health Hospitals Inc Wadesboro, NC fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 16 | Bartow Regional Medical Center Bartow, FL facility · fee schedule · outpatient | 2 | $4 | $4 | $0 | 7% | — | $3 – $4 |
| 17 | Baycare Hospital Wesley Chapel Chapel, FL facility · fee schedule · outpatient | 2 | $4 | $4 | $0 | 7% | — | $3 – $4 |
| 18 | Bayhealth Hospital, Sussex Campus Milton, DE fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 19 | Bayhealth Medical Center, Kent Campus Dover, DE fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 20 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 21 | Beavercreek Medical Center Springfield, OH fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 22 | Berger Hospital Circleville, OH fee schedule · outpatient | 2 | $4 | $4 | $1 | 15% | — | $3 – $5 |
| 23 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 2 | $6 | $5 | $1 | 23% | — | $3 – $6 |
| 24 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 25 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
← Payers reporting HCPCS A6601 · Snapshot 20261112T124536Z-e251e855