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
AGENT HEMOSTATIC 2 POUCH PACK 1 POWDER STD APPLR TIP PVC
Augusta, GA
See all hospitals reporting HCPCS A6250 →Price type
Piedmont Augusta’s median price of $482 is 4122% above the median hospital's median price ($11), higher than 94% of the 581 hospitals reporting HCPCS A6250. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 12 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 | Bcbs Sc bcbs south carolina exchange percent of total billed charges · bothfrom % of charges | $167 | $167 | $51 | 31% | — | $116 – $218 |
| 2 | Caresource caresource medicaid percent of total billed charges · bothfrom % of charges | $243 | $243 | $74 | 31% | — | $168 – $317 |
| 3 | Blue Cross Blue Shield blue cross south carolina percent of total billed charges · bothfrom % of charges | $323 | $323 | $99 | 31% | — | $224 – $422 |
| 4 | UnitedHealthcare united healthcare exchange percent of total billed charges · bothfrom % of charges | $406 | $406 | $124 | 31% | — | $281 – $530 |
| 5 | Medcost medcost percent of total billed charges · bothfrom % of charges | $411 | $411 | $126 | 31% | — | $285 – $537 |
| 6 | MultiPlan multiplan percent of total billed charges · bothfrom % of charges | $454 | $454 | $139 | 31% | — | $315 – $593 |
| 7 | Phcs phcs percent of total billed charges · bothfrom % of charges | $454 | $454 | $139 | 31% | — | $315 – $593 |
| 8 | UnitedHealthcare united healthcare percent of total billed charges · bothfrom % of charges | $625 | $625 | $191 | 31% | — | $433 – $816 |
| 9 | Aetna aetna hmo percent of total billed charges · bothfrom % of charges | $754 | $754 | $231 | 31% | — | $523 – $985 |
| 10 | Aetna aetna ppo percent of total billed charges · bothfrom % of charges | $754 | $754 | $231 | 31% | — | $523 – $985 |
| 11 | Kaiser kaiser percent of total billed charges · bothfrom % of charges | $764 | $764 | $234 | 31% | — | $530 – $998 |
| 12 | First Health first health percent of total billed charges · bothfrom % of charges | $877 | $877 | $269 | 31% | — | $608 – $1.1k |
Last updated: Jul 1, 2026
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