Restrata wound matrix dressing, per square centimeter at Saint Alphonsus Medical Center - Ontario

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

DRSG WOUND MATRIX SHEET 7.5X7.5CM-57SQ CM-COST PER SQ CM

Ontario, OR

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Pricing by billing methodology

Price type

How this price compares nationally

Saint Alphonsus Medical Center - Ontario’s median price of $97 is 49% below the median hospital's median price ($192), higher than 12% of the 1,074 hospitals reporting HCPCS A2007. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A2007 at Saint Alphonsus Medical Center - Ontario

Negotiated rates from the hospital’s own file: 19 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	Aetna medicaid facility · percent of total billed charges · bothfrom % of charges	$97.06	$90.44	$59.86 – $114.41
2	Amerihealth Caritas medicaid facility · percent of total billed charges · bothfrom % of charges	$97.06	$90.44	$59.86 – $114.41
3	Anthem medicaid facility · percent of total billed charges · bothfrom % of charges	$97.06	$90.44	$59.86 – $114.41
4	Blue Cross Blue Shield medicaid facility · percent of total billed charges · bothfrom % of charges	$97.06	$90.44	$59.86 – $114.41
5	Carefirst medicaid facility · percent of total billed charges · bothfrom % of charges	$97.06	$90.44	$59.86 – $114.41
6	Caresource medicaid facility · percent of total billed charges · bothfrom % of charges	$97.06	$90.44	$59.86 – $114.41
7	Cigna medicaid facility · percent of total billed charges · bothfrom % of charges	$97.06	$90.44	$59.86 – $114.41
8	Excellus medicaid facility · percent of total billed charges · bothfrom % of charges	$97.06	$90.44	$59.86 – $114.41
9	First Health medicaid facility · percent of total billed charges · bothfrom % of charges	$97.06	$90.44	$59.86 – $114.41
10	Highmark medicaid facility · percent of total billed charges · bothfrom % of charges	$97.06	$90.44	$59.86 – $114.41
11	Humana medicaid facility · percent of total billed charges · bothfrom % of charges	$97.06	$90.44	$59.86 – $114.41
12	Kaiser medicaid facility · percent of total billed charges · bothfrom % of charges	$97.06	$90.44	$59.86 – $114.41
13	Magellan medicaid facility · percent of total billed charges · bothfrom % of charges	$97.06	$90.44	$59.86 – $114.41
14	Medicaid medicaid facility · percent of total billed charges · bothfrom % of charges	$97.06	$90.44	$59.86 – $114.41
15	Molina medicaid facility · percent of total billed charges · bothfrom % of charges	$97.06	$90.44	$59.86 – $114.41
16	Ucare medicaid facility · percent of total billed charges · bothfrom % of charges	$97.06	$90.44	$59.86 – $114.41
17	UnitedHealthcare medicaid facility · percent of total billed charges · bothfrom % of charges	$97.06	$90.44	$59.86 – $114.41
18	WellCare medicaid facility · percent of total billed charges · bothfrom % of charges	$97.06	$90.44	$59.86 – $114.41
19	Blue Cross Blue Shield blue cross of idaho connected care facility · percent of total billed charges · bothfrom % of charges	$249.11	$232.13	$153.65 – $293.64
20	Blue Cross Blue Shield bci hmo facility · percent of total billed charges · bothfrom % of charges	$274.99	$256.25	$169.61 – $324.15
21	Humana humana facility · percent of total billed charges · bothfrom % of charges	$284.70	$265.30	$175.60 – $335.59
22	Phcs multiplan facility · percent of total billed charges · bothfrom % of charges	$291.17	$271.33	$179.59 – $343.22
23	Cigna cigna facility · percent of total billed charges · bothfrom % of charges	$304.11	$283.38	$187.57 – $358.47
24	Aetna aetna facility · percent of total billed charges · bothfrom % of charges	$306.37	$285.49	$188.96 – $361.14
25	First Health first health facility · percent of total billed charges · bothfrom % of charges	$307.34	$286.39	$189.56 – $362.28

Page 1 of 2 · 26 rates

Last updated: Mar 31, 2026

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