85056 — Acticoat
Cite this view
HANK Price Transparency. (n.d.). ACTICOAT (CPT 85056) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/85056?code_type=CPT
“ACTICOAT (CPT 85056) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/85056?code_type=CPT. Accessed .
“ACTICOAT (CPT 85056) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/85056?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $20–$304 (25th–75th percentile) across 6 hospitals · 38 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT 85056 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
What this costs at this hospital
The hospital facility charge for this code — an actual negotiated rate from our data. A separate professional fee isn’t separately estimable for this code (see the note below).
The middle 50% of negotiated facility rates for this procedure, measured across 6 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $36 |
| Likely subtotal | $36 |
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $20–$304.
- Laboratory tests are priced under the Clinical Laboratory Fee Schedule (CLFS), not the PFS, so a separate professional fee is not estimable here — the figure above is the facility charge only.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| ACMH HOSPITAL Outpatient | United Medicaid | United Medicaid | $7.20 | $36.00 | $10.80 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | United Chip | United Chip | $7.20 | $36.00 | $10.80 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | United Medicaid | United Medicaid | $7.20 | $36.00 | $10.80 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | United Chip | United Chip | $7.20 | $36.00 | $10.80 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Upmc Chip | Upmc Chip | $7.33 | $36.00 | $10.80 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Upmc Chip | Upmc Chip | $7.33 | $36.00 | $10.80 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | The Health Plan Commercial | The Health Plan Commercial | $10.47 | $36.00 | $10.80 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | The Health Plan Commercial | The Health Plan Commercial | $10.47 | $36.00 | $10.80 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger Medicare | Geisinger Medicare | $10.51 | $36.00 | $10.80 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger Medicare | Geisinger Medicare | $10.51 | $36.00 | $10.80 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Pa Health And Wellness Commercial | Pa Health And Wellness Commercial | $13.09 | $36.00 | $10.80 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Pa Health And Wellness Commercial | Pa Health And Wellness Commercial | $13.09 | $36.00 | $10.80 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger | Geisinger | $14.66 | $36.00 | $10.80 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger | Geisinger | $14.66 | $36.00 | $10.80 | 2026-05-23 | MRF ↗ |
| PACIFICA HOSPITAL OF THE VALLEY Outpatient | Aetna | Commercial | $16.00 | $32.00 | $32.00 | 2025-11-19 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Carelon/Beacon Beahvioral Health | Carelon/Beacon Behavioral Health | $18.00 | $36.00 | $10.80 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Carelon/Beacon Beahvioral Health | Carelon/Beacon Behavioral Health | $18.00 | $36.00 | $10.80 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Cigna | Cigna | $19.44 | $36.00 | $10.80 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Cigna | Cigna | $19.44 | $36.00 | $10.80 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Unitedhealthcare Insurance Company | United | $20.88 | $36.00 | $10.80 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Unitedhealthcare Insurance Company | United | $20.88 | $36.00 | $10.80 | 2026-05-14 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Health Spring | Commercial | $26.00 | $73.00 | $18.00 | 2026-04-01 | MRF ↗ |
| PACIFICA HOSPITAL OF THE VALLEY Outpatient | Heritage Provider Network | Medi-Cal | $32.00 | $32.00 | $32.00 | 2025-11-19 | MRF ↗ |
| PACIFICA HOSPITAL OF THE VALLEY Outpatient | Molina | Medi-Cal | $32.00 | $32.00 | $32.00 | 2025-11-19 | MRF ↗ |
| PACIFICA HOSPITAL OF THE VALLEY Outpatient | Blue Cross Blue Shield - CA | Medi-Cal | $32.00 | $32.00 | $32.00 | 2025-11-19 | MRF ↗ |
| PACIFICA HOSPITAL OF THE VALLEY Outpatient | Altamed | Commercial | $32.00 | $32.00 | $32.00 | 2025-11-19 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Multiplan | Multiplan | $32.40 | $36.00 | $10.80 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Multiplan | Multiplan | $32.40 | $36.00 | $10.80 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Multiplan | Multiplan | $32.40 | $36.00 | $10.80 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Multiplan | Multiplan | $32.40 | $36.00 | $10.80 | 2026-05-23 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Aetna | Commercial | $34.00 | $73.00 | $18.00 | 2026-04-01 | MRF ↗ |
| CIMARRON MEMORIAL HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $34.00 | $98.00 | $49.00 | 2025-06-11 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Upmc Health Plan | Upmc | $36.00 | $36.00 | $10.80 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Pa Workers' Compensation | Pa Workers Compensation | $36.00 | $36.00 | $10.80 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Upmc Health Plan | Upmc | $36.00 | $36.00 | $10.80 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Mcr Snf Episodic Bundle | $36.00 | $36.00 | $10.80 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Pa Workers' Compensation | Pa Workers Compensation | $36.00 | $36.00 | $10.80 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Tricare | Tricare | $36.00 | $36.00 | $10.80 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Mcr Snf Episodic Bundle | $36.00 | $36.00 | $10.80 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Tricare | Tricare | $36.00 | $36.00 | $10.80 | 2026-05-23 | MRF ↗ |
| CIMARRON MEMORIAL HOSPITAL Outpatient | United Healthcare | Commercial | $39.00 | $98.00 | $49.00 | 2025-06-11 | MRF ↗ |
| CIMARRON MEMORIAL HOSPITAL Outpatient | Humana | Medicare Advantage | $42.00 | $98.00 | $49.00 | 2025-06-11 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Humana | HMO | $73.00 | $73.00 | $18.00 | 2026-04-01 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Humana | Medicare Advantage | $73.00 | $73.00 | $18.00 | 2026-04-01 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Humana | PPO | $73.00 | $73.00 | $18.00 | 2026-04-01 | MRF ↗ |
| COOSA VALLEY MEDICAL CENTER Outpatient | Blue Cross Blue Shield of Alabama | Medicare Advantage | $73.00 | $73.00 | $18.00 | 2026-04-01 | MRF ↗ |
| CIMARRON MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | $88.00 | $98.00 | $49.00 | 2025-06-11 | MRF ↗ |
| CIMARRON MEMORIAL HOSPITAL Outpatient | Health Choice Network | Commercial | $98.00 | $98.00 | $49.00 | 2025-06-11 | MRF ↗ |
| CIMARRON MEMORIAL HOSPITAL Outpatient | Provider Network of America | Commercial | $98.00 | $98.00 | $49.00 | 2025-06-11 | MRF ↗ |
| Rehabilitation Hospital Of Rhode Island Inpatient | Blue Cross Blue Shield of RI Managed Medicare | Blue Cross Blue Shield of RI Managed Medicare | — | $303.96 | $303.96 | 2025-08-08 | MRF ↗ |
| Rehabilitation Hospital Of Rhode Island Inpatient | Neighborhood Health Plan - Managed Medicare | Neighborhood Health Plan - Managed Medicare | — | $303.96 | $303.96 | 2025-08-08 | MRF ↗ |
| Rehabilitation Hospital Of Rhode Island Inpatient | United Healthcare Dual | United Healthcare Dual | — | $303.96 | $303.96 | 2025-08-08 | MRF ↗ |
| Rehabilitation Hospital Of Rhode Island Inpatient | United Healthcare - Managed Medicare | United Healthcare - Managed Medicare | — | $303.96 | $303.96 | 2025-08-08 | MRF ↗ |
| Rehabilitation Hospital Of Rhode Island Inpatient | Wellcare - Managed Medicare | Wellcare - Managed Medicare | — | $303.96 | $303.96 | 2025-08-08 | MRF ↗ |
| Rehabilitation Hospital Of Rhode Island Inpatient | Aetna Managed Medicare | Aetna Managed Medicare | — | $303.96 | $303.96 | 2025-08-08 | MRF ↗ |
| Rehabilitation Hospital Of Rhode Island Inpatient | Commonwealth Care Alliance | Commonwealth Care Alliance | — | $303.96 | $303.96 | 2025-08-08 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Blue Cross Blue Shield - Tx | Blue Advantage HMO | $1,176.00 | $1,960.00 | $1,960.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Wellpoint | Medicare Advantage | $1,294.00 | $1,960.00 | $1,960.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Superior Health Plan | Medicare Advantage | $1,384.00 | $1,960.00 | $1,960.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | ChoiceCare | Commercial | $1,568.00 | $1,960.00 | $1,960.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Cigna | Commercial | $1,568.00 | $1,960.00 | $1,960.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Aetna | Commercial | $1,666.00 | $1,960.00 | $1,960.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Aetna | Medicare Advantage | $1,666.00 | $1,960.00 | $1,960.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Three Rivers Provider Network | Commercial | $1,666.00 | $1,960.00 | $1,960.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Blue Cross Blue Shield - Tx | Blue Essentials | $1,686.00 | $1,960.00 | $1,960.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Blue Cross Blue Shield - Tx | Commercial | $1,764.00 | $1,960.00 | $1,960.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Scott and White Health Plan | Commercial | $1,764.00 | $1,960.00 | $1,960.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Galaxy Health Network | Commercial | $1,764.00 | $1,960.00 | $1,960.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | HealthSmart Preferred Network | Commercial | $1,764.00 | $1,960.00 | $1,960.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Private Health Care Systems (PHCS) | Commercial | $1,764.00 | $1,960.00 | $1,960.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | FirstCare | Commercial | $1,764.00 | $1,960.00 | $1,960.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | CapStar | PPO | $1,940.00 | $1,960.00 | $1,960.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | Superior Health Plan | Commercial - Exchange | $1,940.00 | $1,960.00 | $1,960.00 | 2026-03-24 | MRF ↗ |
| MC CAMEY HOSPITAL Outpatient | MultiPlan | Commercial | $1,960.00 | $1,960.00 | $1,960.00 | 2026-03-24 | MRF ↗ |