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
SURGICAL SUPPLY; MISCELLANEOUS
Spearfish, SD
See all hospitals reporting HCPCS A4649 →Price type
Monument Health Network Inc’s median price of $487 is 98% above the median hospital's median price ($245), higher than 63% of the 773 hospitals reporting HCPCS A4649. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 6 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Medica medica mcaid percent of total billed charges · outpatientfrom % of charges | $172 | $172 | $9 | 5% | — | $163 – $181 |
| 2 | Medica medica mcr adv percent of total billed charges · outpatientfrom % of charges | $216 | $216 | $11 | 5% | — | $204 – $227 |
| 3 | UnitedHealthcare uhc - all other plans percent of total billed charges · outpatientfrom % of charges | $403 | $403 | $21 | 5% | — | $382 – $424 |
| 4 | Medica medica commercial - all other plans percent of total billed charges · outpatientfrom % of charges | $480 | $480 | $25 | 5% | — | $455 – $505 |
| 5 | MultiPlan multiplan/phcs - all plans percent of total billed charges · outpatientfrom % of charges | $555 | $555 | $29 | 5% | — | $526 – $583 |
| 6 | Wellmark bcbs wellmark mcr adv other · outpatient | $599 | $599 | $31 | 5% | — | $568 – $629 |
Last updated: Sep 1, 2026
See Waterproof foam dressing, 2 by 3 inches pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.