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
DRESSING WOUND 2X2IN COLLASORB 90% COLLAGEN 10% CALCIUM ALGINATE EXTRACELLULAR MATRIX HEALING STERILE
Low
$1
Average
$121
Median
$50
High
$533
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
16 hospitals; the 90th percentile is 18.9× 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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16 hospital rates
iThe hospitals that file a Medicaid 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 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $115 | $435 | $940 | 216% | — | $21 – $3.1k |
| 2 | Bullhead City Hospital Corporation City, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 3 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $127 | $127 | — | — | — | $127 – $127 |
| 4 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CARMEL CARMEL, IN fee schedule · both | 2 | $56 | $56 | $5 | 9% | — | $51 – $61 |
| 5 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN fee schedule · both | 16 | $51 | $53 | $4 | 8% | — | $51 – $61 |
| 6 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE MOORESVILLE, IN fee schedule · both | 2 | $56 | $56 | $5 | 9% | — | $51 – $61 |
| 7 | Mercy Hospital South Louis, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $47 | $47 | $17 | 37% | — | $30 – $64 |
| 8 | Mercy Hospital Springfield Ozark, MO facility · fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 9 | Mercy Hospital Springfield Springfield, MO facility · fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 10 | Northwest Hospital LLC Tucson, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 11 | Ohio State University Hospitals Columbus, OH fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 12 | Oro Valley Hospital LLC Tucson, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 13 | SIERRA VISTA HOSPITAL INC Obispo, CA fee schedule · outpatient | 1 | $533 | $533 | — | — | — | $533 – $533 |
| 14 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $127 | $277 | $275 | 99% | — | $41 – $662 |
| 15 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $87 | $189 | $187 | 99% | — | $28 – $451 |
| 16 | UKIAH ADVENTIST HOSPITAL Ukiah, CA fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
← Payers reporting HCPCS Q4108 · Snapshot 20261111T120946Z-9134e7f7