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
DRSNGM NOVOSORB BTM 20X40CM BTM-2040
Garrison, ND
See all hospitals reporting HCPCS A4100 →Price type
Garrison Memorial Hospital’s median price of $3.3k is 1464% above the median hospital's median price ($210), higher than 90% of the 501 hospitals reporting HCPCS A4100. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 13 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 | Humana medicare|all plans fee schedule · outpatient | $1.9k | $3.3k | $2.5k | 75% | — | $1.2k – $6.8k |
| 2 | Medica medicare|all plans fee schedule · outpatient | $1.9k | $3.3k | $2.5k | 75% | — | $1.2k – $6.8k |
| 3 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $1.9k | $3.3k | $2.5k | 75% | — | $1.2k – $6.8k |
| 4 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $2.0k | $3.4k | $2.5k | 75% | — | $1.2k – $6.9k |
| 5 | UnitedHealthcare commercial|all plans fee schedule · inpatient | $2.9k | $4.9k | $3.7k | 75% | — | $1.8k – $10.1k |
| 6 | UnitedHealthcare commercial|all plans fee schedule · outpatient | $2.9k | $4.9k | $3.7k | 75% | — | $1.8k – $10.1k |
| 7 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $3.4k | $5.8k | $4.3k | 75% | — | $2.1k – $11.8k |
| 8 | Medica commercial|all plans fee schedule · inpatient | $3.4k | $5.8k | $4.3k | 75% | — | $2.1k – $11.8k |
| 9 | Medica commercial|all plans fee schedule · outpatient | $3.4k | $5.8k | $4.3k | 75% | — | $2.1k – $11.8k |
| 10 | MultiPlan commercial|all plans fee schedule · inpatient | $3.5k | $6.0k | $4.5k | 75% | — | $2.2k – $12.2k |
| 11 | MultiPlan commercial|all plans fee schedule · outpatient | $3.5k | $6.0k | $4.5k | 75% | — | $2.2k – $12.2k |
| 12 | Sanford Health Plan commercial|all plans fee schedule · inpatient | $3.7k | $6.3k | $4.7k | 75% | — | $2.3k – $12.9k |
| 13 | Sanford Health Plan commercial|all plans fee schedule · outpatient | $3.7k | $6.3k | $4.7k | 75% | — | $2.3k – $12.9k |
Last updated: Feb 28, 2026
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