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
Monroe, GA
See all hospitals reporting HCPCS A6250 →Price type
Piedmont Walton’s median price of $573 is 4915% above the median hospital's median price ($11), higher than 98% of the 579 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: 8 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 | $97 | $97 | $30 | 31% | — | $67 – $127 |
| 2 | UnitedHealthcare united healthcare exchange percent of total billed charges · bothfrom % of charges | $440 | $440 | $135 | 31% | — | $305 – $575 |
| 3 | UnitedHealthcare united healthcare percent of total billed charges · bothfrom % of charges | $676 | $676 | $207 | 31% | — | $469 – $883 |
| 4 | First Health first health percent of total billed charges · bothfrom % of charges | $723 | $723 | $222 | 31% | — | $501 – $944 |
| 5 | Aetna aetna hmo/ppo percent of total billed charges · bothfrom % of charges | $734 | $734 | $225 | 31% | — | $509 – $959 |
| 6 | MultiPlan multiplan percent of total billed charges · bothfrom % of charges | $826 | $826 | $253 | 31% | — | $573 – $1.1k |
| 7 | Phcs phcs percent of total billed charges · bothfrom % of charges | $826 | $826 | $253 | 31% | — | $573 – $1.1k |
| 8 | Kaiser kaiser percent of total billed charges · bothfrom % of charges | $877 | $877 | $269 | 31% | — | $608 – $1.1k |
| 9 | Beechstreet beechstreet percent of total billed charges · bothfrom % of charges | $929 | $929 | $285 | 31% | — | $644 – $1.2k |
Last updated: Jul 1, 2026
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