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 MATRIX SHEET 5X5CM-25 SQ CM-COST PER SQ CM
Livonia, MI
See all hospitals reporting HCPCS A2007 →Price type
St Mary Mercy Livonia’s median price of $134 is 30% below the median hospital's median price ($192), higher than 32% of the 1,074 hospitals reporting HCPCS A2007. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 20 payers, 24 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 bcbs mi local hmo facility · percent of total billed charges · bothfrom % of charges | $66.39 | $67.07 | $40.95 – $93.86 |
| 2 | Anthem bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $103.32 | $104.37 | $63.73 – $146.06 |
| 3 | Blue Cross Blue Shield bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $103.32 | $104.37 | $63.73 – $146.06 |
| 4 | Carefirst bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $103.32 | $104.37 | $63.73 – $146.06 |
| 5 | Excellus bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $103.32 | $104.37 | $63.73 – $146.06 |
| 6 | Highmark bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $103.32 | $104.37 | $63.73 – $146.06 |
| 7 | Kaiser bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $103.32 | $104.37 | $63.73 – $146.06 |
| 8 | Premera bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $103.32 | $104.37 | $63.73 – $146.06 |
| 9 | Regence bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $103.32 | $104.37 | $63.73 – $146.06 |
| 10 | Wellmark bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $103.32 | $104.37 | $63.73 – $146.06 |
| 11 | Aetna aetna preferred facility · percent of total billed charges · bothfrom % of charges | $108.53 | $109.63 | $66.94 – $153.42 |
| 12 | Aetna aetna dominos ppo facility · percent of total billed charges · bothfrom % of charges | $147.50 | $149.00 | $90.98 – $208.52 |
| 13 | Caresource hap hmo facility · percent of total billed charges · bothfrom % of charges | $184.80 | $186.67 | $113.98 – $261.24 |
| 14 | Aetna aetna ppo facility · percent of total billed charges · bothfrom % of charges | $194.88 | $196.86 | $120.20 – $275.49 |
| 15 | Cigna priority health cigna ppo facility · percent of total billed charges · bothfrom % of charges | $210.37 | $212.50 | $129.75 – $297.39 |
| 16 | Humana cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $213.36 | $215.53 | $131.60 – $301.62 |
| 17 | Medcost cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $213.36 | $215.53 | $131.60 – $301.62 |
| 18 | Medical Mutual cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $213.36 | $215.53 | $131.60 – $301.62 |
| 19 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $215.04 | $217.22 | $132.63 – $303.99 |
| 20 | Phcs multiplan facility · percent of total billed charges · bothfrom % of charges | $215.04 | $217.22 | $132.63 – $303.99 |
| 21 | UnitedHealthcare united healthcare ppo facility · percent of total billed charges · bothfrom % of charges | $215.38 | $217.56 | $132.84 – $304.47 |
| 22 | First Health first health facility · percent of total billed charges · bothfrom % of charges | $219.44 | $221.67 | $135.35 – $310.22 |
| 23 | Cigna cigna facility · percent of total billed charges · bothfrom % of charges | $268.80 | $271.53 | $165.79 – $379.99 |
| 24 | Magellan magellan facility · percent of total billed charges · bothfrom % of charges | $336.00 | $339.41 | $207.24 – $474.99 |
Last updated: Mar 31, 2026
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