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
DRESSING MATRIX SDRM 9X12CM
ABINGDON, VA
See all hospitals reporting HCPCS A2011 →Price type
Johnston Memorial Hospital’s median price of $126 is 34% below the median hospital's median price ($190), higher than 26% of the 536 hospitals reporting HCPCS A2011. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 27 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 aetna healthcare medicare fee schedule · both | $121 | $113 | $30 | 26% | — | $6 – $121 |
| 2 | Blue Cross Blue Shield blue cross medicare fee schedule · both | $121 | $113 | $30 | 26% | — | $6 – $121 |
| 3 | Humana humana medicare fee schedule · both | $121 | $113 | $30 | 26% | — | $6 – $121 |
| 4 | UnitedHealthcare united healthcare medicare fee schedule · both | $121 | $113 | $30 | 26% | — | $6 – $121 |
| 5 | Aetna aetna better health of virginia medicare fee schedule · both | $125 | $117 | $31 | 26% | — | $6 – $125 |
| 6 | Molina molina healthcare medicare fee schedule · both | $126 | $118 | $31 | 26% | — | $6 – $126 |
| 7 | Cigna cigna medicare fee schedule · both | $127 | $119 | $31 | 26% | — | $6 – $127 |
| 8 | Devoted devoted health plan medicare fee schedule · both | $127 | $119 | $31 | 26% | — | $6 – $127 |
| 9 | Blue Cross Blue Shield anthem medicare virginia fee schedule · both | $125 | $125 | — | — | — | $125 – $125 |
| 10 | WellCare wellcare medicare fee schedule · both | $129 | $129 | — | — | — | $129 – $129 |
| 11 | Ambetter ambetter fee schedule · both | $265 | $265 | — | — | — | $265 – $265 |
| 12 | Blue Cross Blue Shield anthem exchange fee schedule · both | $408 | $408 | — | — | — | $408 – $408 |
| 13 | Blue Cross Blue Shield anthem hmo fee schedule · both | $467 | $467 | — | — | — | $467 – $467 |
| 14 | Blue Cross Blue Shield anthem ppo, traditional indemnity fee schedule · both | $497 | $497 | — | — | — | $497 – $497 |
| 15 | Blue Cross Blue Shield blue cross p network fee schedule · both | $497 | $497 | — | — | — | $497 – $497 |
| 16 | Blue Cross Blue Shield blue cross s network fee schedule · both | $497 | $497 | — | — | — | $497 – $497 |
| 17 | Medcost medcost vhn percent of total billed charges · bothfrom % of charges | $670 | $1.8k | $2.5k | 145% | — | $2 – $9.5k |
| 18 | Cigna cigna hmo percent of total billed charges · bothfrom % of charges | $742 | $1.9k | $2.6k | 139% | — | $2 – $9.5k |
| 19 | Cigna cigna open access plus percent of total billed charges · bothfrom % of charges | $742 | $1.9k | $2.6k | 139% | — | $2 – $9.5k |
| 20 | UnitedHealthcare uhc heritage select percent of total billed charges · bothfrom % of charges | $2.2k | $2.2k | $2.1k | 96% | — | $86 – $4.3k |
| 21 | Cigna cigna ppo percent of total billed charges · bothfrom % of charges | $911 | $2.3k | $3.3k | 141% | — | $3 – $12.2k |
| 22 | UnitedHealthcare united healthcare percent of total billed charges · bothfrom % of charges | $2.4k | $2.4k | $2.3k | 96% | — | $94 – $4.7k |
| 23 | UnitedHealthcare uhc heritage river valley percent of total billed charges · bothfrom % of charges | $2.5k | $2.5k | $2.4k | 96% | — | $98 – $4.9k |
| 24 | Cigna cigna individual family plan percent of total billed charges · bothfrom % of charges | $1.4k | $3.0k | $3.6k | 119% | — | $4 – $10.8k |
| 25 | Blue Cross Blue Shield blue cross ballad health employee percent of total billed charges · bothfrom % of charges | $1.3k | $3.1k | $4.0k | 128% | — | $4 – $13.5k |
Last updated: Mar 23, 2026
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