Large sterile foam wound dressing without adhesive border at AMH Cath Labs LLC

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

DRSNG POLYMEM NON-ADHES 4X24" ROLL

Arlington, TX

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How this price compares nationally

AMH Cath Labs LLC’s median price of $44 is 2% above the median hospital's median price ($43), higher than 58% 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 AMH Cath Labs LLC

Negotiated rates from the hospital’s own file: 9 payers, 31 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	Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges	$7	$8	$5	65%	—	$3 – $21
2	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$7	$8	$5	65%	—	$3 – $21
3	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$7	$8	$6	65%	—	$3 – $23
4	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$7	$9	$6	65%	—	$3 – $23
5	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$8	$9	$6	65%	—	$3 – $24
6	Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges	$23	$26	$17	65%	—	$9 – $70
7	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$32	$37	$24	65%	—	$13 – $99
8	Blue Cross Blue Shield medicare advantage case rate · outpatient	$42	$42	—	—	—	$42 – $42
9	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$36	$42	$27	65%	—	$15 – $111
10	Humana medicare advantage case rate · outpatient	$44	$44	—	—	—	$44 – $44
11	Humana medicare advantage ppo case rate · outpatient	$44	$44	—	—	—	$44 – $44
12	Molina medicare advantage case rate · outpatient	$44	$44	—	—	—	$44 – $44
13	WellCare medicare advantage hmo case rate · outpatient	$44	$44	—	—	—	$44 – $44
14	WellCare medicare advantage mmp case rate · outpatient	$46	$46	—	—	—	$46 – $46
15	UnitedHealthcare medicare advantage ppo case rate · outpatient	$46	$46	—	—	—	$46 – $46
16	Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges	$40	$47	$30	65%	—	$17 – $124
17	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$40	$47	$30	65%	—	$17 – $125
18	UnitedHealthcare medicare advantage hmo case rate · outpatient	$47	$47	—	—	—	$47 – $47
19	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$43	$50	$32	65%	—	$18 – $132
20	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$43	$50	$32	65%	—	$18 – $132
21	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$43	$50	$33	65%	—	$18 – $133
22	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$54	$63	$41	65%	—	$22 – $168
23	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$54	$63	$41	65%	—	$23 – $168
24	Aetna asa percent of total billed charges · outpatientfrom % of charges	$55	$64	$41	65%	—	$23 – $169
25	Aetna coventry percent of total billed charges · outpatientfrom % of charges	$55	$64	$41	65%	—	$23 – $169

Page 1 of 2 · 31 rates

Last updated: Apr 21, 2026

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