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
DRESS WND 3 1/8X4IN HYPO SMI
Erie, PA
See all hospitals reporting HCPCS A6254 →Price type
UPMC Hamot’s median price of $0 is 72% below the median hospital's median price ($2), higher than 0% of the 735 hospitals reporting HCPCS A6254. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 23 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 commercial facility · percent of total billed charges · outpatientfrom % of charges | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Cigna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Cigna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Cigna new business aso facility · percent of total billed charges · inpatientfrom % of charges | $0 | $0 | — | — | — | $0 – $0 |
| 6 | Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $0 | $0 | — | — | — | $0 – $0 |
| 10 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Cigna ebr facility · percent of total billed charges · inpatientfrom % of charges | $0 | $0 | — | — | — | $0 – $0 |
| 12 | Cigna ebr facility · percent of total billed charges · outpatientfrom % of charges | $0 | $0 | — | — | — | $0 – $0 |
| 13 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $0 | $0 | — | — | — | $0 – $0 |
| 14 | Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges | $1 | $1 | — | — | — | $1 – $1 |
| 15 | Aetna axa/mmo facility · percent of total billed charges · inpatientfrom % of charges | $1 | $1 | — | — | — | $1 – $1 |
| 16 | Aetna axa/mmo facility · percent of total billed charges · outpatientfrom % of charges | $1 | $1 | — | — | — | $1 – $1 |
| 17 | MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · inpatientfrom % of charges | $1 | $1 | — | — | — | $1 – $1 |
| 18 | MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · outpatientfrom % of charges | $1 | $1 | — | — | — | $1 – $1 |
| 19 | MultiPlan complimentary network rate (includes multiplan as payer) facility · percent of total billed charges · inpatientfrom % of charges | $1 | $1 | — | — | — | $1 – $1 |
| 20 | MultiPlan complimentary network rate (includes multiplan as payer) facility · percent of total billed charges · outpatientfrom % of charges | $1 | $1 | — | — | — | $1 – $1 |
| 21 | Highmark complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage facility · fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 22 | Highmark commercial - indemnity/commercial - social mission indemnity/managed care/managed care - social mission facility · fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 23 | Highmark upmc emergent facility · fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
Last updated: Mar 6, 2026
See Sterile absorbent wound dressing, 16 sq. in. or less pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.