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 CONVAFOAM BORDER 7 X 8 ADHESIVE SILICONE HYDROFIBER FOAM SACRAL -- 423272
Utica, NY
See all hospitals reporting HCPCS A6212 →Price type
MVHS, Inc.’s median price of $20 is 39% above the median hospital's median price ($14), higher than 78% of the 924 hospitals reporting HCPCS A6212. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 7 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 uhc empire plan percent of total billed charges · bothfrom % of charges | $11 | $11 | — | — | — | $11 – $11 |
| 2 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $20 | $20 | — | — | — | $20 – $20 |
| 3 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $20 | $20 | — | — | — | $20 – $20 |
| 4 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $20 | $20 | — | — | — | $20 – $20 |
| 5 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $20 | $20 | — | — | — | $20 – $20 |
| 6 | UnitedHealthcare uhc commercial percent of total billed charges · bothfrom % of charges | $21 | $21 | — | — | — | $21 – $21 |
| 7 | Humana humana hmo/pos percent of total billed charges · bothfrom % of charges | $21 | $21 | — | — | — | $21 – $21 |
Last updated: Aug 7, 2026
See Foam dressing for wound, 4x4 inch pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.