Hospital Bill Data

A6212

HCPCS

Foam drg <=16 sq in w/border

Verified from hospital fileNot a bill estimate
iDirect answer

Based on the latest published hospital price files, code A6212 (Foam drg <=16 sq in w/border) appears at 22 hospitals with disclosed cash prices from $1.98 to $62.58. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

22
hospitals publish a price
0
list this service without a published price
94
Cash
94
List
95
Negotiated
8
Allowed

Compare A6212 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Published cash prices for code A6212 vary by about 32× across the 21 hospitals with disclosed prices here — from $1.98 to $62.58. Shopping around can matter.

21
Hospitals
95
Prices shown
$1.98
Lowest cash
$62.58
Highest cash
code A6212 cash price94 disclosed · 21 hospitals
$1.98median ~$37.19$62.58

Cash price by city

Reflects your current filters.

Cash price by city$1.98$52.19
  • Burlington · 1 hospital$1.98–$26.43
  • Elkhorn · 1 hospital$1.98–$26.43
  • Kenosha · 1 hospital$2.43–$52.19
  • Marinette · 1 hospital$3.26–$49.74
  • Grafton · 1 hospital$14.25–$34.35
  • Green Bay · 1 hospital$15.00–$45.73

95 prices shown.

ServiceHospitalCodeList priceCash priceNegotiated rangeAllowed (median)
Foam drg <=16 sq in w/border
Outpatient
Endeavor Health Edward HospitalA6212
HCPCS
$21.58 – $21.58
1094103 - DRESSING FOAM 10X4IN POSTOP AGRS ANTIMICROBIAL FLXB MPLX BR
Inpatient
Aurora BayCare Medical CenterA6212
HCPCS
$80.04$40.02$48.02 – $68.03
1094106 - DRESSING FOAM 12X4IN POSTOP AL-1 MPLX BR AG STRL DISP
Inpatient
Aurora BayCare Medical CenterA6212
HCPCS
$91.46$45.73$54.88 – $77.74
FOAM DRSG W/BORDER </=16 SQ IN
Inpatient
Aurora BayCare Medical CenterA6212
HCPCS
$30.00$15.00$18.00 – $25.50
1115560 - DRESSING SM QUADRILOBE L4 IN X W4 IN ALLEVYN LIFE FOAM SIL
Inpatient
Aurora Medical Center BurlingtonA6212
HCPCS
$6.37$3.19$3.82 – $5.41
1115550 - DRESSING L3 IN X W3 IN ALLEVYN LITE FOAM SIL PU
Inpatient
Aurora Medical Center BurlingtonA6212
HCPCS
$52.85$26.43$31.71 – $44.92
1115549 - DRESSING L2 IN X W2 IN ALLEVYN LITE FOAM SIL PU ADH GEL
Inpatient
Aurora Medical Center BurlingtonA6212
HCPCS
$3.95$1.98$2.37 – $3.36
1065849 - DRESSING FOAM 25X10CM SLFADH SOFT CNFRM AL-1 MPLX BR
Inpatient
Aurora Medical Center BurlingtonA6212
HCPCS
$16.00$8.00$9.60 – $13.60
1115561 - DRESSING FOAM 5 116INX5 116IN ADH GEL ALLEVYN LIFE SIL MED
Inpatient
Aurora Medical Center BurlingtonA6212
HCPCS
$8.14$4.07$4.88 – $6.92
FOAM DRSG W/BORDER </=16 SQ IN
Inpatient
Aurora Medical Center BurlingtonA6212
HCPCS
$30.00$15.00$18.00 – $25.50
1115565 - DRESSING QUADRILOBE L6 34 IN X W6 78 IN ALLEVYN LIFE FOAM
Inpatient
Aurora Medical Center BurlingtonA6212
HCPCS
$18.27$9.14$10.96 – $15.53
1094106 - DRESSING FOAM 12X4IN POSTOP AL-1 MPLX BR AG STRL DISP
Inpatient
Aurora Medical Center Bay AreaA6212
HCPCS
$99.48$49.74$59.69 – $84.16
1115561 - DRESSING FOAM 5 116INX5 116IN ADH GEL ALLEVYN LIFE SIL MED
Inpatient
Aurora Medical Center Bay AreaA6212
HCPCS
$8.33$4.17$5.00 – $7.05
1115560 - DRESSING SM QUADRILOBE L4 IN X W4 IN ALLEVYN LIFE FOAM SIL
Inpatient
Aurora Medical Center Bay AreaA6212
HCPCS
$6.52$3.26$3.91 – $5.52
1094103 - DRESSING FOAM 10X4IN POSTOP AGRS ANTIMICROBIAL FLXB MPLX BR
Inpatient
Aurora Medical Center Bay AreaA6212
HCPCS
$87.06$43.53$52.24 – $73.65
FOAM DRSG W/BORDER </=16 SQ IN
Inpatient
Aurora Medical Center Bay AreaA6212
HCPCS
$30.00$15.00$18.00 – $25.38
FOAM DRSG W/BORDER </=16 SQ IN
Inpatient
Aurora Medical Center Fond du LacA6212
HCPCS
$30.00$15.00$18.00 – $25.50
1115552 - DRESSING L4 34 IN X W2 18 IN ALLEVYN LITE FOAM SIL PU ADH
Inpatient
Aurora Medical Center GraftonA6212
HCPCS
$68.70$34.35$41.22 – $58.40
1103446 - DRESSING FOAM 10X10CM LOWPRFL SOFT CNFRM AL-1 MPLX BRLT SIL
Inpatient
Aurora Medical Center GraftonA6212
HCPCS
$28.50$14.25$17.10 – $24.23
FOAM DRSG W/BORDER </=16 SQ IN
Inpatient
Aurora Medical Center GraftonA6212
HCPCS
$30.00$15.00$18.00 – $25.50
1077792 - DRESSING FOAM 4X4IN ABS SLFADH SHWR PROOF ANTIMICROBIAL MPLX
Inpatient
Aurora Medical Center GraftonA6212
HCPCS
$42.76$21.38$25.66 – $36.35
1115552 - DRESSING L4 34 IN X W2 18 IN ALLEVYN LITE FOAM SIL PU ADH
Inpatient
Aurora Medical Center KenoshaA6212
HCPCS
$58.45$29.23$35.07 – $49.68
1115549 - DRESSING L2 IN X W2 IN ALLEVYN LITE FOAM SIL PU ADH GEL
Inpatient
Aurora Medical Center KenoshaA6212
HCPCS
$4.85$2.43$2.91 – $4.12
1115537 - DRESSING L3 IN X W3 IN ALLEVYN GENTLE BRDR FOAM SIL PU ADH
Inpatient
Aurora Medical Center KenoshaA6212
HCPCS
$7.41$3.71$4.45 – $6.30
1115561 - DRESSING FOAM 5 116INX5 116IN ADH GEL ALLEVYN LIFE SIL MED
Inpatient
Aurora Medical Center KenoshaA6212
HCPCS
$9.98$4.99$5.99 – $8.48

How to read these prices

Cash price
The discounted self-pay price for paying directly, without insurance.
List price
The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate
A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount
A historical reference for what was actually allowed, where disclosed.

Hospitals that publish A6212 prices

Open a hospital to see this code in the context of its full published prices.

Code A6212: frequently asked

What does code A6212 cost?
Across the published hospital price files, the disclosed cash price for A6212 ranges from $1.98 to $62.58. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?
Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code A6212?
A6212 is the billing code hospitals use to identify "Foam drg <=16 sq in w/border" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?
Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not
It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

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