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
MATRIX WOUND RESTRATA L5 CM X W5 CM SOFT NONFRIABLE ABSORBABLE STERILE LATEX FREE WHITE
Pittsburg, TX
See all hospitals reporting HCPCS A2007 →Price type
Pittsburg Hospital, LLC’s median price of $1.8k is 863% above the median hospital's median price ($192), higher than 89% of the 1,074 hospitals reporting HCPCS A2007. 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, 26 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 | Humana humana medicare advantage/ppo/gold [152503] facility · percent of total billed charges · bothfrom % of charges | $792.00 | $748.51 | $100.56 – $1,476 |
| 2 | Aetna aetna coventry medicare replacement [102002] facility · percent of total billed charges · bothfrom % of charges | $807.84 | $763.48 | $102.57 – $1,506 |
| 3 | Ambetter ambetter [293000] facility · percent of total billed charges · bothfrom % of charges | $990.00 | $935.64 | $125.70 – $1,845 |
| 4 | Blue Cross Blue Shield blue cross medicare advantage oos [116005] facility · percent of total billed charges · bothfrom % of charges | $990.00 | $935.64 | $125.70 – $1,845 |
| 5 | Cigna cigna medicare replacement [126500] facility · percent of total billed charges · bothfrom % of charges | $990.00 | $935.64 | $125.70 – $1,845 |
| 6 | Medicare medicare part a and b [163500] facility · percent of total billed charges · bothfrom % of charges | $990.00 | $935.64 | $125.70 – $1,845 |
| 7 | Medicare medicare part a only [163502] facility · percent of total billed charges · bothfrom % of charges | $990.00 | $935.64 | $125.70 – $1,845 |
| 8 | Medicare medicare part b only [163501] facility · percent of total billed charges · bothfrom % of charges | $990.00 | $935.64 | $125.70 – $1,845 |
| 9 | WellCare wellcare medicare [377501] facility · percent of total billed charges · bothfrom % of charges | $990.00 | $935.64 | $125.70 – $1,845 |
| 10 | Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges | $1,650 | $1,559 | $209.50 – $3,075 |
| 11 | Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges | $1,650 | $1,559 | $209.50 – $3,075 |
| 12 | Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges | $1,650 | $1,559 | $209.50 – $3,075 |
| 13 | Blue Cross Blue Shield blue cross hmo of texas [115504] facility · percent of total billed charges · bothfrom % of charges | $2,538 | $2,653 | $1,934 – $3,604 |
| 14 | UnitedHealthcare united healthcare student svc [206012] facility · percent of total billed charges · bothfrom % of charges | $3,267 | $3,088 | $414.81 – $6,089 |
| 15 | UnitedHealthcare united healthcare texas exchange plan [206034] facility · percent of total billed charges · bothfrom % of charges | $3,300 | $3,119 | $419.00 – $6,150 |
| 16 | Cigna cigna ppo [126025] facility · percent of total billed charges · bothfrom % of charges | $3,755 | $3,549 | $476.82 – $6,999 |
| 17 | Blue Cross Blue Shield blue cross preferred ppo of texas [115526] facility · percent of total billed charges · bothfrom % of charges | $3,465 | $3,623 | $2,640 – $4,920 |
| 18 | Blue Cross Blue Shield blue cross traditional of texas [115503] facility · percent of total billed charges · bothfrom % of charges | $3,465 | $3,623 | $2,640 – $4,920 |
| 19 | Cigna cigna - great west [126009] facility · percent of total billed charges · bothfrom % of charges | $4,422 | $4,179 | $561.46 – $8,241 |
| 20 | Humana humana commercial [214001] facility · percent of total billed charges · bothfrom % of charges | $4,422 | $4,179 | $561.46 – $8,241 |
| 21 | Aetna aetna [101529] facility · percent of total billed charges · bothfrom % of charges | $5,808 | $5,489 | $737.44 – $10,824 |
| 22 | Aetna meritain aetna [368500] facility · percent of total billed charges · bothfrom % of charges | $5,808 | $5,489 | $737.44 – $10,824 |
| 23 | Blue Cross Blue Shield bcbs medicaid [116504] facility · percent of total billed charges · bothfrom % of charges | $9,035 | $8,539 | $1,147 – $16,839 |
| 24 | Cigna cigna healthspring medicaid replacement [394500] facility · percent of total billed charges · bothfrom % of charges | $9,035 | $8,539 | $1,147 – $16,839 |
| 25 | Molina molina medicaid new mexico [225500] facility · percent of total billed charges · bothfrom % of charges | $9,035 | $8,539 | $1,147 – $16,839 |
Last updated: Mar 31, 2026
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