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 NON ADHESIVE 4X4 QUICK
Bloomington, IN
See all hospitals reporting HCPCS A6403 →Price type
Monroe Hospital’s median price of $110 is 18515% above the median hospital's median price ($1), higher than 99% of the 735 hospitals reporting HCPCS A6403. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 1 payer, 1 plan rate. 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 commercial ppo percent of total billed charges · outpatientfrom % of charges | $110 | $110 | — | — | 1–10 | $110 – $110 |
Last updated: Mar 17, 2026
See Sterile gauze pad, 16 to 48 sq. in. pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.