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
TEGADERM 4 X 4 3/4
Kane, PA
See all hospitals reporting HCPCS A6257 →Price type
UPMC Kane’s median price of $2 is 10% above the median hospital's median price ($2), higher than 74% of the 784 hospitals reporting HCPCS A6257. 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, 19 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 | Highmark community blue medicare advantage/complete blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $1 | $1 | $0 | 32% | — | $1 – $2 |
| 2 | Highmark freedom blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $1 | $1 | $0 | 32% | — | $1 – $2 |
| 3 | Highmark security blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $1 | $1 | $0 | 32% | — | $1 – $2 |
| 4 | Highmark together blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $1 | $1 | $0 | 32% | — | $1 – $2 |
| 5 | Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges | $1 | $2 | $0 | 32% | — | $1 – $2 |
| 6 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $1 | $2 | $0 | 32% | — | $1 – $2 |
| 7 | UnitedHealthcare unison advantage non special needs facility · percent of total billed charges · outpatientfrom % of charges | $1 | $2 | $0 | 31% | — | $1 – $2 |
| 8 | Amerihealth Caritas medicare facility · percent of total billed charges · outpatientfrom % of charges | $1 | $2 | $1 | 32% | — | $1 – $2 |
| 9 | UnitedHealthcare unison advantage special needs facility · percent of total billed charges · outpatientfrom % of charges | $1 | $2 | $1 | 32% | — | $1 – $2 |
| 10 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $1 | $2 | $1 | 32% | — | $1 – $3 |
| 11 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $2 | $3 | $1 | 32% | — | $2 – $4 |
| 12 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $2 | $3 | $1 | 32% | — | $2 – $4 |
| 13 | MultiPlan auto/ppo/worker's compensation facility · percent of total billed charges · inpatientfrom % of charges | $2 | $3 | $1 | 32% | — | $2 – $5 |
| 14 | MultiPlan auto/ppo/worker's compensation facility · percent of total billed charges · outpatientfrom % of charges | $2 | $3 | $1 | 32% | — | $2 – $5 |
| 15 | Highmark commercial - social mission indemnity facility · fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 16 | Highmark managed care - social mission facility · fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 17 | Highmark commercial - indemnity facility · fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 18 | Highmark managed care facility · fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 19 | Cigna medicare facility · percent of total billed charges · outpatientfrom % of charges | $68 | $90 | $28 | 32% | — | $68 – $135 |
Last updated: Mar 6, 2026
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