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
MATRIX WOUND RESTRATA L2.5 CM X W2.5 CM 6.25 CM2 SHEET SOFT NONFRIABLE ABSORBABLE STERILE LATEX FREE WHITE
Jacksonville, TX
See all hospitals reporting HCPCS A2007 →Price type
Jacksonville Hospital, LLC’s median price of $738 is 285% above the median hospital's median price ($192), higher than 84% of the 1,074 hospitals reporting HCPCS A2007. 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, 12 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 | Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges | $712.50 | $712.50 | $712.50 – $712.50 |
| 2 | Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges | $712.50 | $712.50 | $712.50 – $712.50 |
| 3 | Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges | $712.50 | $712.50 | $712.50 – $712.50 |
| 4 | Blue Cross Blue Shield bcbs medicaid [116504] facility · percent of total billed charges · bothfrom % of charges | $738.15 | $738.15 | $738.15 – $738.15 |
| 5 | Cigna cigna healthspring medicaid replacement [394500] facility · percent of total billed charges · bothfrom % of charges | $738.15 | $738.15 | $738.15 – $738.15 |
| 6 | UnitedHealthcare uhc medicaid community plan [375501] facility · percent of total billed charges · bothfrom % of charges | $738.15 | $738.15 | $738.15 – $738.15 |
| 7 | UnitedHealthcare uhc medica choice [206030] facility · percent of total billed charges · bothfrom % of charges | $1,411 | $1,411 | $1,411 – $1,411 |
| 8 | UnitedHealthcare united healthcare student svc [206012] facility · percent of total billed charges · bothfrom % of charges | $1,411 | $1,411 | $1,411 – $1,411 |
| 9 | Cigna cigna ppo [126025] facility · percent of total billed charges · bothfrom % of charges | $1,590 | $1,590 | $1,590 – $1,590 |
| 10 | Cigna cigna - great west [126009] facility · percent of total billed charges · bothfrom % of charges | $1,824 | $1,824 | $1,824 – $1,824 |
| 11 | Humana humana commercial [214001] facility · percent of total billed charges · bothfrom % of charges | $1,824 | $1,824 | $1,824 – $1,824 |
| 12 | Phcs phcs multiplan [178000] facility · percent of total billed charges · bothfrom % of charges | $1,824 | $1,824 | $1,824 – $1,824 |
Last updated: Feb 12, 2026
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