Foam dressing for wound, 4x4 inch 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 < 16 SQ IN W BORDER PR1

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 $6 is 55% below the median hospital's median price ($14), higher than 4% of the 924 hospitals reporting HCPCS A6212. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A6212 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	$2	$2	—	—	—	$2 – $2
2	Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges	$3	$3	—	—	—	$3 – $3
3	Medicaid medicaid ma (n) facility · other · outpatient	$4	$4	—	—	—	$4 – $4
4	Medica medica medicare (r) facility · fee schedule · outpatient	$4	$4	—	—	—	$4 – $4
5	Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges	$4	$4	—	—	—	$4 – $4
6	Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient	$4	$4	—	—	—	$4 – $4
7	Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges	$5	$5	—	—	—	$5 – $5
8	Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges	$5	$5	—	—	—	$5 – $5
9	Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges	$5	$5	—	—	—	$5 – $5
10	Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges	$5	$5	—	—	—	$5 – $5
11	Medica medica ubh (n) facility · percent of total billed charges · inpatientfrom % of charges	$6	$6	—	—	—	$6 – $6
12	Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges	$6	$6	—	—	—	$6 – $6
13	Cigna hpi cigna (n) facility · other · outpatient	$7	$7	—	—	—	$7 – $7
14	First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges	$7	$7	—	—	—	$7 – $7
15	First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges	$7	$7	—	—	—	$7 – $7
16	Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges	$7	$7	—	—	—	$7 – $7
17	Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges	$7	$7	—	—	—	$7 – $7
18	Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges	$7	$7	—	—	—	$7 – $7
19	Bcbs Mn bc pmap (n) facility · other · outpatient	$8	$8	—	—	—	$8 – $8
20	Bcbs Mn bc state health plan (n) facility · other · outpatient	$20	$20	—	—	—	$20 – $20
21	Bcbs Mn bc premier(n) facility · other · outpatient	$26	$26	—	—	—	$26 – $26
22	Blue Cross Blue Shield bc aehp (n) facility · other · outpatient	$30	$30	—	—	—	$30 – $30
23	Bcbs Mn bc high value/performance network (n) facility · other · outpatient	$32	$32	—	—	—	$32 – $32

Last updated: Jun 16, 2026

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