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.
Original text from hospital filings
Foam drg <=16 sq in w/border
Boulder, CO
See all hospitals reporting HCPCS A6212 →Price type
Boulder Community Health’s median price of $14 is 1% below the median hospital's median price ($14), higher than 39% of the 924 hospitals reporting HCPCS A6212. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 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 medicare advantage professional · fee schedule · both | $6 | $6 | — | — | — | $6 – $6 |
| 2 | UnitedHealthcare commercial professional · fee schedule · both | $8 | $8 | — | — | — | $8 – $8 |
| 3 | Aetna commercial professional · fee schedule · both | $8 | $8 | $3 | 31% | — | $6 – $11 |
| 4 | Anthem commercial professional · fee schedule · both | $10 | $10 | — | — | — | $10 – $10 |
| 5 | Anthem managed care professional · fee schedule · both | $10 | $10 | — | — | — | $10 – $10 |
| 6 | UnitedHealthcare medicare advantage professional · fee schedule · both | $12 | $12 | $1 | 11% | — | $11 – $14 |
| 7 | Aetna medicare advantage facility · case rate · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 8 | Anthem medicare advantage facility · case rate · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 9 | Humana medicare advantage professional · fee schedule · both | $14 | $14 | — | — | — | $14 – $14 |
| 10 | Humana medicare advantage facility · case rate · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 11 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 12 | Kaiser medicare advantage facility · case rate · outpatient | $14 | $14 | $0 | 0% | — | $14 – $14 |
| 13 | Devoted medicare advantage facility · case rate · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 14 | Kaiser medicare advantage professional · fee schedule · both | $15 | $15 | — | — | — | $15 – $15 |
| 15 | Anthem managed care facility · fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 16 | Kaiser commercial professional · fee schedule · both | $18 | $18 | — | — | — | $18 – $18 |
| 17 | Anthem commercial facility · fee schedule · outpatient | $15 | $19 | $9 | 49% | — | $13 – $40 |
| 18 | MultiPlan commercial professional · fee schedule · both | $21 | $21 | — | — | — | $21 – $21 |
| 19 | Phcs commercial professional · fee schedule · both | $21 | $21 | — | — | — | $21 – $21 |
| 20 | Kaiser commercial facility · case rate · outpatient | $30 | $30 | $4 | 12% | — | $27 – $34 |
| 21 | Kaiser managed care facility · case rate · outpatient | $34 | $34 | — | — | — | $34 – $34 |
Last updated: Sep 16, 2026
See Foam dressing for wound, 4x4 inch pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.