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
DRSG WOUND/BURN 18X23CM SUPRATHEL RESORB COST PER SQ CM
Troy, NY
See all hospitals reporting HCPCS A2012 →Price type
Samaritan Hospital’s median price of $10 is 92% below the median hospital's median price ($126), higher than 30% of the 589 hospitals reporting HCPCS A2012. 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, 12 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 | UnitedHealthcare uhc essential plan medicaid facility · percent of total billed charges · bothfrom % of charges | $5 | $5 | $1 | 14% | — | $4 – $5 |
| 2 | UnitedHealthcare united healthcare medicaid harp chip facility · percent of total billed charges · bothfrom % of charges | $5 | $5 | $1 | 14% | — | $4 – $5 |
| 3 | Anthem empire bcbs hmo epo ppo indemnity facility · percent of total billed charges · bothfrom % of charges | $9 | $9 | $1 | 14% | — | $7 – $10 |
| 4 | Blue Cross Blue Shield empire bcbs hmo epo ppo indemnity facility · percent of total billed charges · bothfrom % of charges | $9 | $9 | $1 | 14% | — | $7 – $10 |
| 5 | UnitedHealthcare empire bcbs hmo epo ppo indemnity facility · percent of total billed charges · bothfrom % of charges | $9 | $9 | $1 | 14% | — | $7 – $10 |
| 6 | Wellmark empire bcbs hmo epo ppo indemnity facility · percent of total billed charges · bothfrom % of charges | $9 | $9 | $1 | 14% | — | $7 – $10 |
| 7 | First Health first health facility · percent of total billed charges · bothfrom % of charges | $9 | $9 | $1 | 14% | — | $8 – $10 |
| 8 | Cigna cigna facility · percent of total billed charges · bothfrom % of charges | $10 | $10 | $1 | 14% | — | $8 – $11 |
| 9 | MultiPlan beech street facility · percent of total billed charges · bothfrom % of charges | $10 | $10 | $1 | 14% | — | $9 – $12 |
| 10 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $10 | $10 | $1 | 14% | — | $9 – $12 |
| 11 | Phcs multiplan facility · percent of total billed charges · bothfrom % of charges | $10 | $10 | $1 | 14% | — | $9 – $12 |
| 12 | UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges | $11 | $11 | $2 | 14% | — | $10 – $13 |
Last updated: Mar 31, 2026
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