Post-operative foam wound dressing, 12x4 inch at Springfield Hospital

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

Dressing/optifoam Gent Ag Post-op 4x12

Springfield, VT

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How this price compares nationally

Springfield Hospital’s median price of $116 is 452% above the median hospital's median price ($21), higher than 92% of the 622 hospitals reporting HCPCS A6213. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A6213 at Springfield Hospital

Negotiated rates from the hospital’s own file: 7 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	Anthem anthem exchange fee schedule · outpatient	$55	$55	—	—	—	$55 – $55
2	Anthem medicare advantage fee schedule · outpatient	$55	$55	—	—	—	$55 – $55
3	UnitedHealthcare medicare advantage fee schedule · outpatient	$55	$55	—	—	—	$55 – $55
4	WellCare medicare advantage fee schedule · outpatient	$57	$57	—	—	—	$57 – $57
5	Anthem commercial percent of total billed charges · outpatientfrom % of charges	$97	$97	—	—	—	$97 – $97
6	Cigna commercial percent of total billed charges · outpatientfrom % of charges	$102	$102	—	—	—	$102 – $102
7	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$120	$120	—	—	—	$120 – $120
8	UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges	$131	$131	—	—	—	$131 – $131
9	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$138	$138	—	—	—	$138 – $138
10	Blue Cross Blue Shield medicare advantage percent of total billed charges · outpatientfrom % of charges	$145	$145	—	—	—	$145 – $145
11	Cigna medicare advantage percent of total billed charges · outpatientfrom % of charges	$151	$151	—	—	—	$151 – $151

Last updated: Aug 27, 2026

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