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 PERCLOT STANDARD L9 CM 1 GM STERILE LATEX F
Macon, GA
See all hospitals reporting HCPCS A6250 →Price type
Piedmont Macon’s median price of $530 is 4716% above the median hospital's median price ($11), higher than 95% of the 587 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: 7 payers, 9 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 medicaid percent of total billed charges · bothfrom % of charges | $71 | $71 | $22 | 31% | — | $49 – $92 |
| 2 | UnitedHealthcare united healthcare exchange percent of total billed charges · bothfrom % of charges | $433 | $433 | $133 | 31% | — | $300 – $565 |
| 3 | Phcs phcs percent of total billed charges · bothfrom % of charges | $619 | $619 | $190 | 31% | — | $430 – $809 |
| 4 | UnitedHealthcare united healthcare percent of total billed charges · bothfrom % of charges | $666 | $666 | $204 | 31% | — | $462 – $870 |
| 5 | First Health first health percent of total billed charges · bothfrom % of charges | $723 | $723 | $222 | 31% | — | $501 – $944 |
| 6 | Aetna aetna hmo percent of total billed charges · bothfrom % of charges | $754 | $754 | $231 | 31% | — | $523 – $985 |
| 7 | Aetna aetna ppo percent of total billed charges · bothfrom % of charges | $754 | $754 | $231 | 31% | — | $523 – $985 |
| 8 | Beechstreet beechstreet percent of total billed charges · bothfrom % of charges | $826 | $826 | $253 | 31% | — | $573 – $1.1k |
| 9 | MultiPlan multiplan percent of total billed charges · bothfrom % of charges | $929 | $929 | $285 | 31% | — | $644 – $1.2k |
Last updated: Jul 1, 2026
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