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

Ulm, 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 $61 is 43% above the median hospital's median price ($43), higher than 78% 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: 8 payers, 23 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	Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges	$16	$16	—	—	—	$16 – $16
2	Bcbs Mn bc pmap (n) facility · other · outpatient	$24	$24	—	—	—	$24 – $24
3	Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges	$25	$25	—	—	—	$25 – $25
4	Medicaid medicaid ma (n) facility · other · outpatient	$35	$35	—	—	—	$35 – $35
5	Medica medica medicare (r) facility · fee schedule · outpatient	$36	$36	—	—	—	$36 – $36
6	Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges	$36	$36	—	—	—	$36 – $36
7	Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient	$37	$37	—	—	—	$37 – $37
8	Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges	$49	$49	—	—	—	$49 – $49
9	Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges	$50	$50	—	—	—	$50 – $50
10	Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges	$53	$53	—	—	—	$53 – $53
11	Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges	$53	$53	—	—	—	$53 – $53
12	Medica medica ubh (n) facility · percent of total billed charges · inpatientfrom % of charges	$56	$56	—	—	—	$56 – $56
13	Bcbs Mn bc state health plan (n) facility · other · outpatient	$60	$60	—	—	—	$60 – $60
14	Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges	$64	$64	—	—	—	$64 – $64
15	Cigna hpi cigna (n) facility · other · outpatient	$65	$65	—	—	—	$65 – $65
16	First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges	$67	$67	—	—	—	$67 – $67
17	First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges	$67	$67	—	—	—	$67 – $67
18	Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges	$67	$67	—	—	—	$67 – $67
19	Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges	$68	$68	—	—	—	$68 – $68
20	Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges	$68	$68	—	—	—	$68 – $68
21	Bcbs Mn bc premier(n) facility · other · outpatient	$77	$77	—	—	—	$77 – $77
22	Blue Cross Blue Shield bc aehp (n) facility · other · outpatient	$91	$91	—	—	—	$91 – $91
23	Bcbs Mn bc high value/performance network (n) facility · other · outpatient	$98	$98	—	—	—	$98 – $98

Last updated: Jun 16, 2026

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