Foam drg >16<=48 sq in without b cost at US hospitals

Foam drg >16<=48 sq in w/o b · HCPCS A6210

$4.95

lowest cash price

$39.19

national median

$171.60

highest cash price

102

hospitals with a published cash price

Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $4.95–$171.60 — the variation is the story.

Most expensive published cash price

$171.60

UPMC Mercy — Pittsburgh, PA

Median cash price over time

Sep 1, 2025 ($29.00) → Sep 1, 2026 ($14.40)

By state

State Hospitals Lowest cash Median Highest
Alaska 4 $51.86 $54.10 $88.62
Arkansas 1 $34.01 $34.01 $34.01
California 15 $21.14 $39.04 $61.00
Colorado 8 not published by hospital not published by hospital not published by hospital
Florida 48 $26.65 $39.00 $154.45
Illinois 14 $21.68 $21.68 $21.68
Iowa 11 not published by hospital not published by hospital not published by hospital
Maine 7 $29.00 $29.00 $29.00
Michigan 14 $16.24 $39.19 $39.19
Minnesota 2 not published by hospital not published by hospital not published by hospital
Missouri 2 not published by hospital not published by hospital not published by hospital
Montana 1 $41.14 $41.14 $41.14
New Hampshire 1 $83.00 $83.00 $83.00
New Jersey 21 not published by hospital not published by hospital not published by hospital
New Mexico 1 $65.30 $65.30 $65.30
New York 11 not published by hospital not published by hospital not published by hospital
North Carolina 11 not published by hospital not published by hospital not published by hospital
North Dakota 2 not published by hospital not published by hospital not published by hospital
Ohio 26 $22.75 $66.25 $66.25
Oklahoma 9 $4.95 $166.15 $166.15
Oregon 8 $28.25 $28.25 $28.25
Pennsylvania 6 $14.40 $21.60 $171.60
South Carolina 2 not published by hospital not published by hospital not published by hospital
South Dakota 2 not published by hospital not published by hospital not published by hospital
Texas 18 $20.97 $65.30 $65.30
Virginia 8 not published by hospital not published by hospital not published by hospital
Washington 14 $32.72 $49.75 $84.51
Wisconsin 1 not published by hospital not published by hospital not published by hospital

All hospitals

Hospital Location Cash price Negotiated range
Henry Ford Wyandotte Hospital: Wyandotte, MI $39.19 $20.50 – $56.53
Henry Ford Macomb Hospital Clinton Twp, MI $39.19 $20.50 – $48.92
Kadlec Regional Medical Center Richland, WA $39.35 not published
St Patrick Hospital - Broadway Campus Missoula, MT $41.14 not published
St Jude Medical Center Fullerton, CA $42.48 not published
Providence St Joseph Hospital Orange Orange, CA $45.93 not published
Providence Centralia Hospital Centralia, WA $49.75 not published
Providence St Peter Hospital Olympia, WA $49.75 not published
Providence St Mary Medical Center Walla Walla, WA $50.23 not published
Providence St Joseph Hospital Eureka Eureka, CA $51.85 not published
Redwood Memorial Hospital Fortuna, CA $51.85 not published
Providence Valdez Medical Center Valdez, AK $51.86 not published
Providence Regional Medical Center Everett - Colby Campus Everett, WA $52.86 not published
Providence Kodiak Island Medical Center Kodiak, AK $54.10 not published
cleveland clinic florida weston hospital Weston, FL $55.90 $10.88 – $86.00
Petaluma Valley Hospital Petaluma, CA $61.00 not published
Queen of The Valley Medical Center Napa, CA $61.00 not published
Santa Rosa Memorial Hospital Santa Rosa, CA $61.00 not published
Covenant Medical Center Lubbock, TX $65.30 $26.62 – $111.00
Covenant Children's Hospital Lubbock, TX $65.30 $26.62 – $26.62
Covenant Hospital Plainview Plainview, TX $65.30 $25.47 – $25.47
Covenant Hospital Levelland Levelland, TX $65.30 $25.47 – $25.47
Covenant Health Hobbs Hospital Hobbs, NM $65.30 not published
Covenant Specialty Hospital Lubbock, TX $65.30 not published
University Hospitals Beachwood Medical Center Beachwood, OH $66.25 $12.66 – $51.12
University Hospitals Conneaut Medical Center Conneaut, OH $66.25 not published
University Hospitals Elyria Medical Center Elyria, OH $66.25 $28.40 – $51.12
University Hospitals Geneva Medical Center Geneva, OH $66.25 not published
University Hospitals St. John Medical Center Westlake OH, OH $66.25 $28.40 – $51.12
University Hospitals Samaritan Medical Center Ashland, OH $66.25 $28.40 – $51.12
University Hospitals Lake West Medical Center Willoughby OH 44094|7590 Auburn Road, OH $66.25 $16.19 – $51.12
University Hospitals Parma Medical Center Parma OH 44129|7007 Powers Boulevard, OH $66.25 $28.40 – $51.12
University Hospitals Portage Medical Center Ravenna OH 44266, OH $66.25 $28.40 – $51.12
University Hospitals Cleveland Medical Center Cleveland OH 44106|3999 Richmond Road, OH $66.25 $28.40 – $56.80
University Hospitals Regional Hospitals - Geauga Medical Center Chardon, OH $66.25 $28.40 – $51.12
University Hospitals Ahuja Medical Center Beachwood, OH $66.25 $8.16 – $51.12
Providence St Joseph Hospital Chewelah, WA $79.53 not published
Providence Mount Carmel Hospital Colville, WA $79.53 not published
MaineHealth - Memorial Hospital North Conway, NH $83.00 $22.15 – $78.02
Providence Holy Family Hospital Spokane, WA $84.51 not published
Providence Sacred Heart Medical Center and Children's Hospital Spokane, WA $84.51 not published
Providence Alaska Medical Center Anchorage, AK $88.62 $105.93 – $105.93
St Elias Specialty Hospital Anchorage, AK $88.62 $26.62 – $111.00
UPMC Presbyterian Pittsburgh, PA $102.00 $21.53 – $180.18
Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) Nowata, OK $134.87 $38.71 – $38.71
HCA FLORIDA CITRUS HOSPITAL Inverness, FL $154.45 $27.55 – $31.24
Ascension St. John Medical Center (St. John Medical Center, Inc.) Tulsa, OK $166.15 $38.71 – $38.71
Ascension St. John Owasso (Owasso Medical Facility, Inc.) Owasso, OK $166.15 $38.71 – $38.71
Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) Bartlesville, OK $166.15 $38.71 – $38.71
Ascension St. John Sapulpa (St. John Sapulpa, Inc.) Sapulpa, OK $166.15 $38.71 – $38.71

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