Foam dressing, non-adhesive, 6 by 6 inches at BSA Hospital

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

HC Dressing Aqua Foam Non-Adh 6x6

Amarillo, TX

See all hospitals reporting HCPCS A6210 →

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How this price compares nationally

BSA Hospital’s median price of $32 is 12% above the median hospital's median price ($29), higher than 74% of the 889 hospitals reporting HCPCS A6210. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A6210 at BSA Hospital

Negotiated rates from the hospital’s own file: 10 payers, 28 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 bcbs medicaid [116504] facility · percent of total billed charges · bothfrom % of charges	$7	$7	$4	50%	—	$4 – $11
2	Blue Cross Blue Shield bcbs tx medicaid chip [116506] facility · percent of total billed charges · bothfrom % of charges	$7	$7	$4	50%	—	$4 – $11
3	Aetna aetna better health [351001] facility · percent of total billed charges · bothfrom % of charges	$29	$29	$15	50%	—	$15 – $44
4	Cigna cigna healthspring medicaid replacement [394500] facility · percent of total billed charges · bothfrom % of charges	$29	$29	$15	50%	—	$15 – $44
5	Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges	$29	$29	$15	50%	—	$15 – $44
6	Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges	$29	$29	$15	50%	—	$15 – $44
7	Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges	$29	$29	$15	50%	—	$15 – $44
8	UnitedHealthcare uhc comm mcaid health pla [225001] facility · percent of total billed charges · bothfrom % of charges	$29	$29	$15	50%	—	$15 – $44
9	UnitedHealthcare uhc medicaid community plan [375501] facility · percent of total billed charges · bothfrom % of charges	$29	$29	$15	50%	—	$15 – $44
10	UnitedHealthcare united healthcare core exclusive [206022] facility · percent of total billed charges · bothfrom % of charges	$32	$32	$16	50%	—	$16 – $48
11	Cigna cigna pantex [126003] facility · percent of total billed charges · bothfrom % of charges	$35	$35	$18	50%	—	$18 – $53
12	Blue Cross Blue Shield blue cross healthselect of texas [115530] facility · percent of total billed charges · bothfrom % of charges	$36	$36	$18	50%	—	$18 – $54
13	Blue Cross Blue Shield blue cross advantage hmo of texas [115525] facility · percent of total billed charges · bothfrom % of charges	$38	$38	$19	50%	—	$19 – $58
14	Blue Cross Blue Shield blue cross preferred ppo of texas [115526] facility · percent of total billed charges · bothfrom % of charges	$43	$43	$21	50%	—	$22 – $64
15	Blue Cross Blue Shield blue cross traditional of texas [115503] facility · percent of total billed charges · bothfrom % of charges	$43	$43	$21	50%	—	$22 – $64
16	UnitedHealthcare uhc surest bind [206032] facility · percent of total billed charges · bothfrom % of charges	$46	$46	$23	50%	—	$23 – $69
17	UnitedHealthcare united healthcare student svc [206012] facility · percent of total billed charges · bothfrom % of charges	$46	$46	$23	50%	—	$23 – $69
18	Aetna aetna client specific [101506] facility · percent of total billed charges · bothfrom % of charges	$49	$49	$24	50%	—	$25 – $73
19	Medica medica harmony [291000] facility · percent of total billed charges · bothfrom % of charges	$53	$53	$26	50%	—	$27 – $79
20	Phcs freedom life [178009] facility · percent of total billed charges · bothfrom % of charges	$53	$53	$26	50%	—	$27 – $79
21	Phcs phcs multiplan [178000] facility · percent of total billed charges · bothfrom % of charges	$53	$53	$26	50%	—	$27 – $79
22	Cigna cigna [126008] facility · percent of total billed charges · bothfrom % of charges	$55	$55	$27	50%	—	$28 – $82
23	Healthpartners healthpartners [150000] facility · percent of total billed charges · bothfrom % of charges	$55	$55	$27	50%	—	$28 – $82
24	UnitedHealthcare united healthcare shared svcs [206010] facility · percent of total billed charges · bothfrom % of charges	$55	$55	$27	50%	—	$28 – $82
25	Aetna american continental [101507] facility · percent of total billed charges · bothfrom % of charges	$57	$57	$28	50%	—	$29 – $85

Page 1 of 2 · 28 rates

Last updated: Feb 12, 2026

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