Arthroscopy form dressing system, 33 x 30 cm 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

KIT DRSNG FOAM RENASYS-F LG W/SOFT PORT

Arlington, TX

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Pricing by billing methodology

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How this price compares nationally

AMH Cath Labs LLC’s median price of $33 is 3% below the median hospital's median price ($34), higher than 40% of the 1,061 hospitals reporting HCPCS A6550. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A6550 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	$10	$11	$7	67%	—	$3 – $19
2	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$10	$11	$7	67%	—	$3 – $19
3	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$10	$11	$7	67%	—	$4 – $20
4	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$11	$11	$8	67%	—	$4 – $21
5	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$11	$12	$8	67%	—	$4 – $21
6	Blue Cross Blue Shield medicare advantage case rate · outpatient	$31	$31	—	—	—	$31 – $31
7	Humana medicare advantage case rate · outpatient	$33	$33	—	—	—	$33 – $33
8	Humana medicare advantage ppo case rate · outpatient	$33	$33	—	—	—	$33 – $33
9	Molina medicare advantage case rate · outpatient	$33	$33	—	—	—	$33 – $33
10	WellCare medicare advantage hmo case rate · outpatient	$33	$33	—	—	—	$33 – $33
11	Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges	$32	$34	$23	67%	—	$11 – $63
12	WellCare medicare advantage mmp case rate · outpatient	$34	$34	—	—	—	$34 – $34
13	UnitedHealthcare medicare advantage ppo case rate · outpatient	$35	$35	—	—	—	$35 – $35
14	UnitedHealthcare medicare advantage hmo case rate · outpatient	$35	$35	—	—	—	$35 – $35
15	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$45	$49	$33	67%	—	$16 – $89
16	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$51	$55	$37	67%	—	$18 – $100
17	Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges	$56	$61	$41	67%	—	$20 – $112
18	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$57	$61	$41	67%	—	$20 – $112
19	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$60	$65	$43	67%	—	$21 – $119
20	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$60	$65	$43	67%	—	$21 – $119
21	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$61	$66	$44	67%	—	$22 – $120
22	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$76	$83	$55	67%	—	$27 – $151
23	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$76	$83	$55	67%	—	$27 – $151
24	Aetna asa percent of total billed charges · outpatientfrom % of charges	$77	$83	$56	67%	—	$27 – $152
25	Aetna coventry percent of total billed charges · outpatientfrom % of charges	$77	$83	$56	67%	—	$27 – $152

Page 1 of 2 · 31 rates

Last updated: Apr 21, 2026

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