Large sterile foam wound dressing without adhesive border at Allina Health Systems

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-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HCHG FOAM DRSG > 48 SQ IN WO BORDER EA PR20

Rapids, MN

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Pricing by billing methodology

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How this price compares nationally

Allina Health Systems’s median price of $53 is 25% above the median hospital's median price ($43), higher than 74% of the 837 hospitals reporting HCPCS A6211. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A6211 at Allina Health Systems

Negotiated rates from the hospital’s own file: 7 payers, 22 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	UnitedHealthcare united healthcare (um) facility · case rate · outpatient	$0	$0	—	—	—	$0 – $0
2	Bcbs Mn bc pmap (amu) facility · other · outpatient	$16	$16	—	—	—	$16 – $16
3	Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges	$18	$18	—	—	—	$18 – $18
4	Medica medica pmap (um) facility · percent of total billed charges · outpatientfrom % of charges	$20	$20	—	—	—	$20 – $20
5	Aetna aetna elevate (amu) facility · percent of total billed charges · outpatientfrom % of charges	$32	$32	—	—	—	$32 – $32
6	Aetna aetna performance (amu) facility · percent of total billed charges · outpatientfrom % of charges	$34	$34	—	—	—	$34 – $34
7	Bcbs Mn bc state health plan (mu) facility · other · outpatient	$37	$37	—	—	—	$37 – $37
8	Bcbs Mn bc premier (m u) facility · other · outpatient	$39	$39	—	—	—	$39 – $39
9	Medica medica dual solutions (m) facility · percent of total billed charges · outpatientfrom % of charges	$40	$40	—	—	—	$40 – $40
10	Blue Cross Blue Shield bc aehp (mu) facility · other · outpatient	$46	$46	—	—	—	$46 – $46
11	Bcbs Mn bc high value/performance network (mu) facility · other · outpatient	$49	$49	—	—	—	$49 – $49
12	Aetna aetna direct network (amu) facility · percent of total billed charges · outpatientfrom % of charges	$50	$50	—	—	—	$50 – $50
13	Bcbs Mn bc aware/blue plus (a m u) facility · percent of total billed charges · outpatientfrom % of charges	$53	$53	—	—	—	$53 – $53
14	Medica medica ubh (m) facility · percent of total billed charges · inpatientfrom % of charges	$64	$64	—	—	—	$64 – $64
15	Medica medica elect (u m) facility · percent of total billed charges · outpatientfrom % of charges	$68	$68	—	—	—	$68 – $68
16	Medica medica essentials (u m) facility · percent of total billed charges · outpatientfrom % of charges	$71	$71	—	—	—	$71 – $71
17	Medica medica mhps (u m) facility · percent of total billed charges · outpatientfrom % of charges	$71	$71	—	—	—	$71 – $71
18	Medica medica ubh pmap (m) facility · percent of total billed charges · outpatientfrom % of charges	$73	$73	—	—	—	$73 – $73
19	Medica medica choice (u m) facility · percent of total billed charges · outpatientfrom % of charges	$74	$74	—	—	—	$74 – $74
20	First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges	$77	$77	—	—	—	$77 – $77
21	First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges	$77	$77	—	—	—	$77 – $77
22	Medica medica ubh (m) facility · percent of total billed charges · outpatientfrom % of charges	$77	$77	—	—	—	$77 – $77

Last updated: Jun 17, 2026

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