Restrata wound matrix dressing, per square centimeter at Northside Hospital, Inc.

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

RESTRATA PER SQ CM LVL 1

Canton, GA

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Pricing by billing methodology

Price type

How this price compares nationally

Northside Hospital, Inc.’s median price of $154 is 20% below the median hospital's median price ($192), higher than 38% of the 1,074 hospitals reporting HCPCS A2007. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A2007 at Northside Hospital, Inc.

Negotiated rates from the hospital’s own file: 10 payers, 62 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	Caresource caresource other · outpatient	$32.29	$32.29	$18.19 – $46.39
2	Cigna cigna healthsprings medicare advantage other · outpatient	$42.03	$42.03	$23.67 – $60.38
3	Blue Cross Blue Shield bcbs_pathway other · outpatient	$51.14	$51.14	$28.80 – $73.47
4	Blue Cross Blue Shield bcbs_pathway-l other · outpatient	$51.14	$51.14	$28.80 – $73.47
5	Blue Cross Blue Shield blue hpn other · outpatient	$79.08	$79.08	$44.54 – $113.61
6	Blue Cross Blue Shield blue hpn-l other · outpatient	$79.08	$79.08	$44.54 – $113.61
7	Blue Cross Blue Shield bcbs_hmo other · outpatient	$102.75	$102.75	$57.88 – $147.62
8	Blue Cross Blue Shield bcbs_hmo-l other · outpatient	$102.75	$102.75	$57.88 – $147.62
9	Caresource caresource marketplace percent of total billed charges · inpatientfrom % of charges	$104.35	$104.35	$58.78 – $149.92
10	Caresource caresource marketplace percent of total billed charges · outpatientfrom % of charges	$104.35	$104.35	$58.78 – $149.92
11	Blue Cross Blue Shield bcbs_ppo other · outpatient	$121.68	$121.68	$68.54 – $174.82
12	Blue Cross Blue Shield bcbs_ppo-l other · outpatient	$121.68	$121.68	$68.54 – $174.82
13	Tricare tricare fee schedule · outpatient	$127.14	$127.14	$127.14 – $127.14
14	Aetna aetna whole health percent of total billed charges · outpatientfrom % of charges	$140.25	$140.25	$79.00 – $201.50
15	Aetna aetna whole health-g percent of total billed charges · outpatientfrom % of charges	$140.25	$140.25	$79.00 – $201.50
16	Oscar oscar percent of total billed charges · inpatientfrom % of charges	$140.25	$140.25	$79.00 – $201.50
17	Oscar oscar percent of total billed charges · outpatientfrom % of charges	$140.25	$140.25	$79.00 – $201.50
18	Cigna cigna other · outpatient	$176.72	$176.72	$99.54 – $253.89
19	Cigna cigna-g other · outpatient	$176.72	$176.72	$99.54 – $253.89
20	Cigna cigna-h other · outpatient	$176.72	$176.72	$99.54 – $253.89
21	Cigna cigna-l other · outpatient	$176.72	$176.72	$99.54 – $253.89
22	Kaiser kaiser_hmo percent of total billed charges · outpatientfrom % of charges	$182.33	$182.33	$102.70 – $261.95
23	Kaiser kaiser_hmo-aga percent of total billed charges · outpatientfrom % of charges	$182.33	$182.33	$102.70 – $261.95
24	Kaiser kaiser_hmo-bariatric percent of total billed charges · outpatientfrom % of charges	$182.33	$182.33	$102.70 – $261.95
25	Kaiser kaiser_hmo-gcs percent of total billed charges · outpatientfrom % of charges	$182.33	$182.33	$102.70 – $261.95

Page 1 of 3 · 62 rates

Last updated: Feb 14, 2026

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