Waterproof foam dressing, 2 by 3 inches at Boulder Community Health

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

CLOSURE D-STAT FLOWABLE

Boulder, CO

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Pricing by billing methodology

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How this price compares nationally

Boulder Community Health’s median price of $186 is 24% below the median hospital's median price ($245), higher than 44% of the 773 hospitals reporting HCPCS A4649. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A4649 at Boulder Community Health

Negotiated rates from the hospital’s own file: 7 payers, 20 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 medicare advantage professional · fee schedule · both	$0	$0	—	—	—	$0 – $0
2	Aetna commercial professional · fee schedule · both	$0	$0	$0	30%	—	$0 – $0
3	Anthem commercial professional · fee schedule · both	$4	$4	—	—	—	$4 – $4
4	Anthem managed care professional · fee schedule · both	$4	$4	—	—	—	$4 – $4
5	Kaiser commercial facility · percent of total billed charges · outpatientfrom % of charges	$116	$116	$8	7%	—	$108 – $124
6	Kaiser managed care facility · percent of total billed charges · outpatientfrom % of charges	$123	$123	—	—	—	$123 – $123
7	Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges	$152	$176	$53	30%	—	$122 – $294
8	Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges	$186	$186	—	—	—	$186 – $186
9	Anthem managed care facility · percent of total billed charges · outpatientfrom % of charges	$190	$190	—	—	—	$190 – $190
10	Devoted medicare advantage facility · percent of total billed charges · inpatientfrom % of charges	$197	$197	—	—	—	$197 – $197
11	Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$197	$197	—	—	—	$197 – $197
12	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$141	$215	$128	60%	1–10	$109 – $395
13	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$257	$257	$62	24%	—	$194 – $319
14	Anthem commercial facility · percent of total billed charges · inpatientfrom % of charges	$284	$284	—	—	—	$284 – $284
15	MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges	$341	$341	—	—	—	$341 – $341
16	Phcs commercial facility · percent of total billed charges · inpatientfrom % of charges	$341	$341	—	—	—	$341 – $341
17	MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges	$345	$345	—	—	—	$345 – $345
18	Phcs commercial facility · percent of total billed charges · outpatientfrom % of charges	$345	$345	—	—	—	$345 – $345
19	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$395	$395	—	—	—	$395 – $395
20	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$430	$430	—	—	—	$430 – $430

Last updated: Sep 16, 2026

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