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
BANDAGE ADH 4X4IN ALLEVYN -
River, MA
See all hospitals reporting HCPCS A6212 →Price type
Southcoast Hospitals Group, Inc.’s median price of $14 is 3% below the median hospital's median price ($14), higher than 27% of the 924 hospitals reporting HCPCS A6212. 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, 11 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 aetna [100010801] other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Bcbs Ma bcbs massachusetts hmo [101040122] other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Bcbs Ri bcbs rhode island hmo [101050101] other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Cigna cigna [100011201] other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 5 | First Health first health [100013001] other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 6 | Aetna aetna medicare managed care [101030101] fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 7 | Blue Cross Blue Shield bcbs mass medicare managed care [101030201] fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 8 | UnitedHealthcare united medicare managed care [101031001] fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 9 | UnitedHealthcare united health one care [101031004] fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 10 | Phcs phcs [100012501] percent of total billed charges · outpatientfrom % of charges | $10 | $25 | $29 | 116% | — | $5 – $88 |
| 11 | UnitedHealthcare united healthcare [101080105] percent of total billed charges · outpatientfrom % of charges | $10 | $28 | $32 | 116% | — | $6 – $97 |
Last updated: Dec 15, 2025
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