Arthroscopy form dressing system, 33 x 30 cm at Holy Name

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

PREVENA PEEL AND PLACE KIT 1

Teaneck, NJ

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How this price compares nationally

Holy Name’s median price of $430 is 1164% above the median hospital's median price ($34), higher than 88% of the 1,059 hospitals reporting HCPCS A6550. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A6550 at Holy Name

Negotiated rates from the hospital’s own file: 7 payers, 18 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	UnitedHealthcare medicaid facility · percent of total billed charges · outpatientfrom % of charges	$168	$154	$71	46%	—	$21 – $242
2	Aetna better health mcd/chip facility · percent of total billed charges · outpatientfrom % of charges	$176	$162	$75	46%	—	$22 – $254
3	Aetna medicare prime facility · percent of total billed charges · outpatientfrom % of charges	$191	$176	$81	46%	—	$24 – $275
4	Aetna golden medicare facility · percent of total billed charges · outpatientfrom % of charges	$232	$214	$98	46%	—	$30 – $335
5	Aetna qualified health plans facility · percent of total billed charges · outpatientfrom % of charges	$253	$233	$107	46%	—	$32 – $365
6	Ambetter ambetter facility · percent of total billed charges · outpatientfrom % of charges	$263	$242	$111	46%	—	$33 – $379
7	Aetna whole health facility · percent of total billed charges · outpatientfrom % of charges	$338	$311	$143	46%	—	$43 – $488
8	Aetna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges	$462	$425	$196	46%	—	$59 – $667
9	Cigna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges	$525	$483	$222	46%	—	$67 – $758
10	MultiPlan multiplan facility · percent of total billed charges · inpatientfrom % of charges	$662	$609	$280	46%	—	$84 – $955
11	MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges	$683	$628	$289	46%	—	$87 – $985
12	MultiPlan worker's comp facility · percent of total billed charges · bothfrom % of charges	$893	$822	$378	46%	—	$114 – $1.3k
13	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$926	$853	$392	46%	—	$118 – $1.3k
14	MultiPlan auto accident medical facility · percent of total billed charges · bothfrom % of charges	$945	$870	$400	46%	—	$120 – $1.4k
15	Blue Cross Blue Shield indemnity facility · percent of total billed charges · outpatientfrom % of charges	$974	$896	$413	46%	—	$124 – $1.4k
16	Blue Cross Blue Shield managed facility · percent of total billed charges · outpatientfrom % of charges	$974	$896	$413	46%	—	$124 – $1.4k
17	Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges	$974	$896	$413	46%	—	$124 – $1.4k
18	Aetna worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$987	$909	$418	46%	—	$126 – $1.4k

Last updated: Nov 10, 2025

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