Waterproof foam dressing, 2 by 3 inches at Aurora Medical Center Summit

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.

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Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

1046552 - KIT BIOPSY BARD MISSION TRGD 18GA 17GA 20CM 17.8CM 10MM 20MM

Summit, WI

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How this price compares nationally

Aurora Medical Center Summit’s median price of $127 is 49% below the median hospital's median price ($248), higher than 36% of the 755 hospitals reporting HCPCS A4649. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A4649 at Aurora Medical Center Summit

Negotiated rates from the hospital’s own file: 6 payers, 21 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	Aetna hmo percent of total billed charges · outpatientfrom % of charges	$90	$188	$160	85%	—	$8 – $385
2	UnitedHealthcare charter percent of total billed charges · outpatientfrom % of charges	$100	$209	$178	85%	—	$9 – $428
3	UnitedHealthcare exchange percent of total billed charges · outpatientfrom % of charges	$100	$209	$178	85%	—	$9 – $428
4	UnitedHealthcare hmo percent of total billed charges · outpatientfrom % of charges	$100	$209	$178	85%	—	$9 – $428
5	UnitedHealthcare nexus percent of total billed charges · outpatientfrom % of charges	$100	$209	$178	85%	—	$9 – $428
6	Anthem blue priority percent of total billed charges · outpatientfrom % of charges	$101	$211	$179	85%	—	$10 – $432
7	Healthpartners employee trust fund percent of total billed charges · outpatientfrom % of charges	$101	$211	$179	85%	—	$10 – $432
8	Molina commercial percent of total billed charges · outpatientfrom % of charges	$101	$211	$179	85%	—	$10 – $432
9	Anthem blue preferred percent of total billed charges · outpatientfrom % of charges	$109	$229	$194	85%	9–90	$10 – $469
10	Cigna ppo-gppo percent of total billed charges · outpatientfrom % of charges	$126	$264	$224	85%	—	$12 – $541
11	Healthpartners broad percent of total billed charges · inpatientfrom % of charges	$126	$264	$224	85%	—	$12 – $541
12	Healthpartners broad percent of total billed charges · outpatientfrom % of charges	$126	$264	$224	85%	—	$12 – $541
13	Healthpartners robin percent of total billed charges · outpatientfrom % of charges	$126	$264	$224	85%	—	$12 – $541
14	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$139	$291	$247	85%	—	$13 – $595
15	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$139	$291	$247	85%	—	$13 – $595
16	UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges	$142	$296	$252	85%	—	$13 – $607
17	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$142	$296	$252	85%	9–90	$13 – $607
18	Cigna ppo percent of total billed charges · inpatientfrom % of charges	$143	$298	$253	85%	—	$13 – $610
19	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$143	$298	$253	85%	—	$13 – $610
20	Anthem ppo percent of total billed charges · inpatientfrom % of charges	$143	$299	$254	85%	—	$13 – $613
21	Anthem ppo percent of total billed charges · outpatientfrom % of charges	$143	$299	$254	85%	—	$13 – $613

Last updated: Nov 21, 2025

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