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
Amnio bio and woundex sq cm
Low
$176
Average
$2.0k
Median
$432
High
$9.6k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
64 hospitals; the 90th percentile is 37.2× 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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78 hospital rates
iThe hospitals that file a First Health 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 | Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient | 1 | $447 | $447 | — | — | — | $447 – $447 |
| 2 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $447 | $447 | — | — | — | $447 – $447 |
| 3 | Bartow Regional Medical Center Bartow, FL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $9.6k | $9.6k | — | — | — | $9.6k – $9.6k |
| 4 | Bartow Regional Medical Center Bartow, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $9.6k | $9.6k | — | — | — | $9.6k – $9.6k |
| 5 | BayCare Alliant Hospital Dunedin, FL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $9.6k | $9.6k | — | — | — | $9.6k – $9.6k |
| 6 | BayCare Alliant Hospital Dunedin, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $9.6k | $9.6k | — | — | — | $9.6k – $9.6k |
| 7 | Baycare Hospital Wesley Chapel Chapel, FL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $9.6k | $9.6k | — | — | — | $9.6k – $9.6k |
| 8 | Baycare Hospital Wesley Chapel Chapel, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $9.6k | $9.6k | — | — | — | $9.6k – $9.6k |
| 9 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $202 | $202 | — | — | — | $202 – $202 |
| 10 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $166 | $176 | $79 | 45% | — | $85 – $324 |
| 11 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $166 | $176 | $79 | 45% | — | $85 – $324 |
| 12 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $353 | $373 | $167 | 45% | — | $181 – $688 |
| 13 | Covenant Medical Center Inc Waterloo, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $428 | $452 | $202 | 45% | — | $219 – $834 |
| 14 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $202 | $202 | — | — | — | $202 – $202 |
| 15 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $314 | $323 | $159 | 49% | — | $134 – $613 |
| 16 | GOOD SAMARITAN MEDICAL CENTER, LLC DBA LAFAYETTE, CO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $846 | $846 | — | — | — | $846 – $846 |
| 17 | Greenfield Area Medical Center Greenfield, OH facility · fee schedule · outpatient | 1 | $447 | $447 | — | — | — | $447 – $447 |
| 18 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · percent of total billed charges · bothfrom % of charges | 2 | $281 | $302 | $162 | 54% | — | $102 – $683 |
| 19 | IHC Health Services Inc., DBA Intermountain Health Cassia Regional Hospital Burley, ID facility · percent of total billed charges · inpatientfrom % of charges | 1 | $365 | $365 | — | — | — | $365 – $365 |
| 20 | IHC Health Services Inc., DBA Intermountain Health Cassia Regional Hospital Burley, ID facility · percent of total billed charges · outpatientfrom % of charges | 1 | $365 | $365 | — | — | — | $365 – $365 |
| 21 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital City, UT facility · percent of total billed charges · inpatientfrom % of charges | 1 | $317 | $317 | — | — | — | $317 – $317 |
| 22 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital City, UT facility · percent of total billed charges · outpatientfrom % of charges | 1 | $374 | $374 | — | — | — | $374 – $374 |
| 23 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital Lehi, UT facility · percent of total billed charges · inpatientfrom % of charges | 1 | $317 | $317 | — | — | — | $317 – $317 |
| 24 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital Lehi, UT facility · percent of total billed charges · outpatientfrom % of charges | 1 | $374 | $374 | — | — | — | $374 – $374 |
| 25 | INTERMOUNTAIN FRONT RANGE INC. DBA INTERMOUNTAIN HEALTH LUTHERAN HOSPITAL WHEAT RIDGE, CO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $846 | $846 | — | — | — | $846 – $846 |
← Payers reporting HCPCS Q4163 · Snapshot 20261112T181611Z-3fa9fb76