PuraPly wound covering, 1 square centimeter at Windom Area 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

DRSG WND PURAPLY AM 5X5CM=25SQ

Windom, MN

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Pricing by billing methodology

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How this price compares nationally

Windom Area Hospital’s median price of $145 is 31% below the median hospital's median price ($210), higher than 28% of the 1,826 hospitals reporting HCPCS Q4196. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4196 at Windom Area Hospital

Negotiated rates from the hospital’s own file: 9 payers, 20 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	Bcbs Mn pmap facility · percent of total billed charges · inpatientfrom % of charges	$125	$104	$30	29%	—	$61 – $125
2	Bcbs Mn pmap facility · percent of total billed charges · outpatientfrom % of charges	$125	$104	$30	29%	—	$61 – $125
3	Blue Cross Blue Shield managed medicaid facility · percent of total billed charges · inpatientfrom % of charges	$125	$104	$30	29%	—	$61 – $125
4	Blue Cross Blue Shield managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$125	$104	$30	29%	—	$61 – $125
5	Aetna medicare replacement facility · percent of total billed charges · outpatientfrom % of charges	$145	$120	$35	29%	—	$70 – $145
6	Blue Cross Blue Shield medicare replacement facility · percent of total billed charges · outpatientfrom % of charges	$145	$120	$35	29%	—	$70 – $145
7	Humana medicare replacement facility · percent of total billed charges · outpatientfrom % of charges	$145	$120	$35	29%	—	$70 – $145
8	Medica medicare replacement facility · percent of total billed charges · outpatientfrom % of charges	$145	$120	$35	29%	—	$70 – $145
9	Ucare medicare replacement facility · percent of total billed charges · outpatientfrom % of charges	$145	$120	$35	29%	—	$70 – $145
10	UnitedHealthcare medicare replacement facility · percent of total billed charges · outpatientfrom % of charges	$145	$120	$35	29%	—	$70 – $145
11	Medica pmap facility · percent of total billed charges · inpatientfrom % of charges	$164	$136	$40	29%	—	$80 – $164
12	Medica pmap facility · percent of total billed charges · outpatientfrom % of charges	$164	$136	$40	29%	—	$80 – $164
13	UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$269	$223	$65	29%	—	$131 – $269
14	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$269	$223	$65	29%	—	$131 – $269
15	Bcbs Mn commercial facility · percent of total billed charges · outpatientfrom % of charges	$276	$229	$67	29%	—	$134 – $276
16	Bcbs Nd commercial facility · percent of total billed charges · outpatientfrom % of charges	$276	$229	$67	29%	—	$134 – $276
17	Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges	$276	$229	$67	29%	—	$134 – $276
18	Wellmark commercial facility · percent of total billed charges · outpatientfrom % of charges	$276	$229	$67	29%	—	$134 – $276
19	Medica commercial facility · percent of total billed charges · inpatientfrom % of charges	$308	$255	$75	29%	—	$150 – $308
20	Medica commercial facility · percent of total billed charges · outpatientfrom % of charges	$308	$255	$75	29%	—	$150 – $308

Last updated: Feb 3, 2026

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