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
Foam drg > 48 sq in w/border
Chicago, IL
See all hospitals reporting HCPCS A6214 →Price type
Advocate Trinity Hospital’s median price of $28 is 85% above the median hospital's median price ($15), higher than 86% of the 742 hospitals reporting HCPCS A6214. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 5 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Ambetter medicare advantage case rate · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 2 | Molina medicare advantage case rate · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 3 | Oscar medicare advantage case rate · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 4 | Blue Cross Blue Shield commercial fee schedule · outpatient | $47 | $47 | $2 | 4% | — | $45 – $49 |
| 5 | Blue Cross Blue Shield ppo fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
Last updated: Nov 4, 2025
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