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
DRESSING GERMICIDAL AQUACEL AG L2 IN X W2 IN
Quitman, TX
See all hospitals reporting HCPCS A6197 →Price type
Quitman Hospital, LLC’s median price of $6 is 76% below the median hospital's median price ($24), higher than 1% of the 1,031 hospitals reporting HCPCS A6197. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 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 | Blue Cross Blue Shield blue cross medicare advantage oos [116005] facility · percent of total billed charges · bothfrom % of charges | $3 | $8 | $11 | 142% | — | $1 – $30 |
| 2 | Cigna cigna medicare replacement [126500] facility · percent of total billed charges · bothfrom % of charges | $3 | $8 | $11 | 142% | — | $1 – $30 |
| 3 | Humana humana medicare advantage/ppo/gold [152503] facility · percent of total billed charges · bothfrom % of charges | $3 | $8 | $11 | 142% | 5–50 | $1 – $30 |
| 4 | Medicare medicare part a and b [163500] facility · percent of total billed charges · bothfrom % of charges | $3 | $8 | $11 | 142% | — | $1 – $30 |
| 5 | Medicare medicare part a only [163502] facility · percent of total billed charges · bothfrom % of charges | $3 | $8 | $11 | 142% | — | $1 – $30 |
| 6 | Medicare medicare part b only [163501] facility · percent of total billed charges · bothfrom % of charges | $3 | $8 | $11 | 142% | — | $1 – $30 |
| 7 | WellCare wellcare medicare [377501] facility · percent of total billed charges · bothfrom % of charges | $3 | $8 | $11 | 142% | — | $1 – $30 |
| 8 | Aetna aetna coventry medicare replacement [102002] facility · percent of total billed charges · bothfrom % of charges | $3 | $8 | $11 | 142% | — | $1 – $31 |
| 9 | UnitedHealthcare uhc medicare advantage [206511] facility · percent of total billed charges · bothfrom % of charges | $3 | $8 | $11 | 142% | — | $1 – $31 |
| 10 | Ambetter ambetter [293000] facility · percent of total billed charges · bothfrom % of charges | $3 | $9 | $13 | 142% | — | $2 – $35 |
| 11 | Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges | $5 | $14 | $20 | 142% | — | $3 – $54 |
| 12 | Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges | $5 | $14 | $20 | 142% | — | $3 – $54 |
| 13 | Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges | $5 | $14 | $20 | 142% | — | $3 – $54 |
| 14 | Blue Cross Blue Shield blue cross hmo of texas [115504] facility · percent of total billed charges · bothfrom % of charges | $6 | $16 | $23 | 142% | — | $3 – $62 |
| 15 | Blue Cross Blue Shield bcbs medicaid [116504] facility · percent of total billed charges · bothfrom % of charges | $7 | $19 | $27 | 142% | — | $3 – $72 |
| 16 | Cigna cigna healthspring medicaid replacement [394500] facility · percent of total billed charges · bothfrom % of charges | $7 | $19 | $27 | 142% | — | $3 – $72 |
| 17 | UnitedHealthcare uhc medicaid community plan [375501] facility · percent of total billed charges · bothfrom % of charges | $7 | $19 | $27 | 142% | — | $3 – $72 |
| 18 | Blue Cross Blue Shield blue cross advantage hmo of texas [115525] facility · percent of total billed charges · bothfrom % of charges | $7 | $19 | $27 | 142% | — | $3 – $73 |
| 19 | UnitedHealthcare uhc medica choice [206030] facility · percent of total billed charges · bothfrom % of charges | $10 | $28 | $40 | 142% | — | $5 – $108 |
| 20 | UnitedHealthcare united healthcare student svc [206012] facility · percent of total billed charges · bothfrom % of charges | $10 | $28 | $40 | 142% | — | $5 – $108 |
| 21 | UnitedHealthcare united healthcare texas exchange plan [206034] facility · percent of total billed charges · bothfrom % of charges | $10 | $28 | $40 | 142% | — | $5 – $108 |
| 22 | Blue Cross Blue Shield blue cross preferred ppo of texas [115526] facility · percent of total billed charges · bothfrom % of charges | $10 | $29 | $41 | 142% | — | $5 – $110 |
| 23 | Blue Cross Blue Shield blue cross traditional of texas [115503] facility · percent of total billed charges · bothfrom % of charges | $10 | $29 | $41 | 142% | — | $5 – $110 |
| 24 | Cigna cigna ppo [126025] facility · percent of total billed charges · bothfrom % of charges | $11 | $32 | $45 | 142% | — | $6 – $123 |
| 25 | Aetna aetna [101529] facility · percent of total billed charges · bothfrom % of charges | $15 | $43 | $61 | 142% | — | $8 – $166 |
Last updated: Feb 12, 2026
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