Puraply skin substitute wound covering, per square centimeter

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.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Puraply 1 sq cm

WellCare pricing summary

Low

$67

Average

$155

Median

$121

High

$2.6k

WellCare rate distribution

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211 hospital rates

#		Plans
1	AMH Cath Labs LLC Arlington, TX case rate · outpatient	2	$135	$135	$3	2%	—	$131 – $138
2	AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges	1	$86	$86	—	—	—	$86 – $86
3	Acadia Hospital Bangor, ME professional · fee schedule · outpatient	1	$100	$100	—	—	—	$100 – $100
4	Adventhealth Port Charlotte Port Charlotte, FL fee schedule · outpatient	1	$146	$146	—	—	—	$146 – $146
5	Agnesian Healthcare Inc. Fond Du Lac, WI fee schedule · outpatient	1	$126	$126	—	—	—	$126 – $126
6	Aiken Regional Medical Centers North Augusta, SC fee schedule · both	1	$100	$100	—	—	—	$100 – $100
7	Benefis Hospitals Inc Helena, MT other · outpatient	1	$127	$127	—	—	—	$127 – $127
8	Benefis Senior Services Great Falls, MT other · outpatient	1	$127	$127	—	—	—	$127 – $127
9	Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient	1	$100	$100	—	—	—	$100 – $100
10	Bradley Medical Center Cleveland, TN facility · fee schedule · outpatient	1	$119	$119	—	—	—	$119 – $119
11	CHI MEMORIAL HOSPITAL - GEORGIA Ringgold, GA fee schedule · outpatient	1	$67	$67	—	—	—	$67 – $67
12	CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient	1	$127	$127	—	—	—	$127 – $127
13	CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · case rate · outpatient	1	$160	$160	—	—	—	$160 – $160
14	CORNING HOSPITAL Corning, NY facility · other · outpatient	2	$764	$764	—	—	—	$764 – $764
15	CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient	1	$127	$127	—	—	—	$127 – $127
16	Campbell County HMA, LLC LaFollette, TN facility · fee schedule · outpatient	1	$121	$121	—	—	—	$121 – $121
17	Campbell County HMA, LLC LaFollette, TN facility · percent of total billed charges · outpatientfrom % of charges	1	$96	$96	—	—	—	$96 – $96
18	Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient	2	$123	$123	—	—	—	$123 – $123
19	Carle BroMenn Medical Center Normal, IL case rate · outpatient	1	$133	$133	—	—	—	$133 – $133
20	Carle Eureka Hospital Eureka, IL case rate · outpatient	1	$133	$133	—	—	—	$133 – $133
21	Catawba Valley Medical Center Hickory, NC fee schedule · outpatient	1	$124	$124	—	—	—	$124 – $124
22	Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient	1	$110	$110	—	—	—	$110 – $110
23	Cheshire Medical Center Keene, NH professional · fee schedule · outpatient	1	$92	$92	—	—	—	$92 – $92
24	Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · outpatient	1	$171	$171	—	—	—	$171 – $171
25	Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · fee schedule · outpatient	1	$130	$130	—	—	—	$130 – $130