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
DRSG OASIS FEN MESH THICK 3X7CM 21SQCM -COST PER SQ CM
Low
$9
Average
$477
Median
$24
High
$4.4k
Each hospital's average Sanford Health Plan rate, under the methodology and billing class chosen below.
20 hospitals; the 90th percentile is 32.1× 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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34 hospital rates
iThe hospitals that file a Sanford Health Plan 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 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 2 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 1 | $148 | $120 | $78 | 65% | — | $13 – $199 |
| 3 | GARRISON MEMORIAL HOSPITAL Garrison, ND fee schedule · inpatient | 1 | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 4 | GARRISON MEMORIAL HOSPITAL Garrison, ND fee schedule · outpatient | 1 | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 5 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 6 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 7 | Marshfield Medical Center - Eau Claire Eau Claire, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $24 | $24 | $1 | 2% | — | $24 – $25 |
| 8 | Marshfield Medical Center - Eau Claire Eau Claire, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | $1 | 2% | — | $24 – $25 |
| 9 | Marshfield Medical Center - Ladysmith Ladysmith, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $24 | $24 | $1 | 2% | — | $24 – $25 |
| 10 | Marshfield Medical Center - Ladysmith Ladysmith, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | $1 | 2% | — | $24 – $25 |
| 11 | Marshfield Medical Center - Marshfield Marshfield, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $24 | $24 | $1 | 2% | — | $24 – $25 |
| 12 | Marshfield Medical Center - Marshfield Marshfield, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | $1 | 2% | — | $24 – $25 |
| 13 | Marshfield Medical Center - Minocqua Minocqua, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $24 | $24 | $1 | 2% | — | $24 – $25 |
| 14 | Marshfield Medical Center - Minocqua Minocqua, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | $1 | 2% | — | $24 – $25 |
| 15 | Marshfield Medical Center - Neillsville Neillsville, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $24 | $24 | $1 | 2% | — | $24 – $25 |
| 16 | Marshfield Medical Center - Neillsville Neillsville, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | $1 | 2% | — | $24 – $25 |
| 17 | Marshfield Medical Center - Park Falls Park Falls, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $24 | $24 | $1 | 2% | — | $24 – $25 |
| 18 | Marshfield Medical Center - Park Falls Park Falls, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | $1 | 2% | — | $24 – $25 |
| 19 | Marshfield Medical Center - Rice Lake Rice Lake, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $24 | $24 | $1 | 2% | — | $24 – $25 |
| 20 | Marshfield Medical Center - Rice Lake Rice Lake, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | $1 | 2% | — | $24 – $25 |
| 21 | Marshfield Medical Center - River Region at Stevens Point Stevens Point, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $24 | $24 | $1 | 2% | — | $24 – $25 |
| 22 | Marshfield Medical Center - River Region at Stevens Point Stevens Point, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | $1 | 2% | — | $24 – $25 |
| 23 | Marshfield Medical Center - Weston Weston, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $24 | $24 | $1 | 2% | — | $24 – $25 |
| 24 | Marshfield Medical Center - Weston Weston, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | $1 | 2% | — | $24 – $25 |
| 25 | Range Regional Health Services Hibbing, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $18 | $18 | — | — | — | $18 – $18 |
← Payers reporting HCPCS Q4102 · Snapshot 20261112T124536Z-e251e855