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
WOUND CLOSURE UTILIZING TISSUE ADHESIVE(S) ONLY
Low
$7
Average
$56
Median
$24
High
$188
Each hospital's average Premera rate, under the methodology and billing class chosen below.
11 hospitals; the 90th percentile is 14.5× 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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18 hospital rates
iThe hospitals that file a Premera 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 | Central Community Hospital Elkader, IA professional · fee schedule · inpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 2 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 3 | Central Washington Health Services Association Wenatchee, WA fee schedule · both | 5 | $37 | $34 | $5 | 15% | — | $22 – $37 |
| 4 | Central Washington Health Services Association Wenatchee, WA fee schedule · inpatient | 5 | $37 | $34 | $5 | 15% | — | $22 – $37 |
| 5 | Central Washington Health Services Association Wenatchee, WA fee schedule · outpatient | 5 | $307 | $281 | $44 | 16% | — | $176 – $307 |
| 6 | Coulee Medical Center Grand Coulee, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $188 | $188 | $150 | 79% | — | $39 – $338 |
| 7 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 8 | Mercy Fitzgerald Hospital Darby, PA professional · fee schedule · inpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 9 | Mercy Fitzgerald Hospital Darby, PA professional · fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 10 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · both | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 11 | Mercy Medical Center - Dyersville Dyersville, IA professional · fee schedule · inpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 12 | Mercy Medical Center - Dyersville Dyersville, IA professional · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 13 | Mercy Medical Center - New Hampton New Hampton, IA professional · fee schedule · inpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 14 | Mercy Medical Center - New Hampton New Hampton, IA professional · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 15 | Public Hospital District NO 2 Skagit County Washington Anacortes, WA facility · fee schedule · both | 1 | $146 | $146 | — | — | — | $146 – $146 |
| 16 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · inpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 17 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · outpatient | 1 | $94 | $94 | — | — | — | $94 – $94 |
| 18 | Virginia Mason Medical Center Seattle, WA professional · fee schedule · outpatient | 2 | $24 | $24 | $9 | 36% | — | $15 – $33 |
← Payers reporting HCPCS G0168 · Snapshot 20261111T120946Z-9134e7f7