Foam dressing, non-adhesive, 6 by 6 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.

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

1096563 - DRESSING FOAM 7.5X6.5IN PAD NADH POLYMEM PU STRL

Summit, WI

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How this price compares nationally

Aurora Medical Center Summit’s median price of $20 is 32% below the median hospital's median price ($29), higher than 11% of the 881 hospitals reporting HCPCS A6210. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A6210 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	$15	$16	$5	34%	—	$9 – $24
2	UnitedHealthcare charter percent of total billed charges · outpatientfrom % of charges	$17	$18	$6	34%	—	$11 – $27
3	UnitedHealthcare exchange percent of total billed charges · outpatientfrom % of charges	$17	$18	$6	34%	—	$11 – $27
4	UnitedHealthcare hmo percent of total billed charges · outpatientfrom % of charges	$17	$18	$6	34%	—	$11 – $27
5	UnitedHealthcare nexus percent of total billed charges · outpatientfrom % of charges	$17	$18	$6	34%	—	$11 – $27
6	Anthem blue priority percent of total billed charges · outpatientfrom % of charges	$17	$18	$6	34%	—	$11 – $27
7	Healthpartners employee trust fund percent of total billed charges · outpatientfrom % of charges	$17	$18	$6	34%	—	$11 – $27
8	Molina commercial percent of total billed charges · outpatientfrom % of charges	$17	$18	$6	34%	—	$11 – $27
9	Anthem blue preferred percent of total billed charges · outpatientfrom % of charges	$19	$19	$7	34%	—	$12 – $29
10	Cigna ppo-gppo percent of total billed charges · outpatientfrom % of charges	$21	$22	$8	34%	—	$13 – $34
11	Healthpartners broad percent of total billed charges · inpatientfrom % of charges	$21	$22	$8	34%	—	$13 – $34
12	Healthpartners broad percent of total billed charges · outpatientfrom % of charges	$21	$22	$8	34%	—	$13 – $34
13	Healthpartners robin percent of total billed charges · outpatientfrom % of charges	$21	$22	$8	34%	—	$13 – $34
14	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$24	$25	$8	34%	—	$15 – $37
15	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$24	$25	$8	34%	—	$15 – $37
16	UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges	$24	$25	$9	34%	—	$15 – $38
17	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$24	$25	$9	34%	4–40	$15 – $38
18	Cigna ppo percent of total billed charges · inpatientfrom % of charges	$24	$25	$9	34%	—	$15 – $38
19	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$24	$25	$9	34%	—	$15 – $38
20	Anthem ppo percent of total billed charges · inpatientfrom % of charges	$24	$25	$9	34%	—	$15 – $38
21	Anthem ppo percent of total billed charges · outpatientfrom % of charges	$24	$25	$9	34%	—	$15 – $38

Last updated: Nov 21, 2025

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