Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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L3810 — Dressing Alginate 1.2x18IN

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $45

Usually $45–$113 (25th–75th percentile) across 44 hospitals · 24 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS L3810 — 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).

Pick your insurer to anchor on your plan’s negotiated rate.
Measured
$45 $45 typical $113

The middle 50% of negotiated facility rates for this procedure, measured across 44 hospitals.

What you’ll likely be billed

Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. $45
Likely subtotal $45
Facility charge (no separate professional fee) $45
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
LEHIGH VALLEY HOSPITAL - POCONO Outpatient AMERIHEALTH CARITAS MANAGED MEDICAID $21.00 2025-08-01 MRF ↗
LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient AMERIHEALTH CARITAS MANAGED MEDICAID $21.00 2025-08-01 MRF ↗
MONTEFIORE MEDICAL CENTER Outpatient SEIU1199 Local 1199 $33.47 2026-04-01 MRF ↗
St. David's Georgetown Hospital Outpatient Amerigroup MCD $37.27 2026-03-01 MRF ↗
HEART HOSPITAL OF AUSTIN Outpatient Amerigroup MCD $37.27 2026-03-01 MRF ↗
HEART HOSPITAL OF AUSTIN Outpatient Amerigroup CHIP $37.27 2026-03-01 MRF ↗
NORTH AUSTIN MEDICAL CENTER Outpatient Amerigroup CHIP $37.27 2026-03-01 MRF ↗
St. David's Georgetown Hospital Outpatient Amerigroup CHIP $37.27 2026-03-01 MRF ↗
NORTH AUSTIN MEDICAL CENTER Outpatient Amerigroup MCD $37.27 2026-03-01 MRF ↗
ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient Amerigroup MCD $37.27 2026-03-01 MRF ↗
ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient Amerigroup CHIP $37.27 2026-03-01 MRF ↗
ROUND ROCK MEDICAL CENTER Outpatient Amerigroup MCD $37.27 2026-03-01 MRF ↗
ST DAVID'S MEDICAL CENTER Outpatient Amerigroup CHIP $37.27 2026-03-01 MRF ↗
ST DAVID'S MEDICAL CENTER Outpatient Amerigroup MCD $37.27 2026-03-01 MRF ↗
ROUND ROCK MEDICAL CENTER Outpatient Amerigroup CHIP $37.27 2026-03-01 MRF ↗
Roswell Park Cancer Institute OutpatientFacility Univera Access All Commercial Plans $37.94 2026-04-01 MRF ↗
Tyler Memorial Hospital OutpatientFacility None 2026-01-01 MRF ↗
North Central Bronx Hospital OutpatientFacility Local 1199 ALL PRODUCTS $44.63 2025-09-05 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Medicare $44.63 2026-04-14 MRF ↗
METROPOLITAN HOSPITAL CENTER OutpatientFacility Local 1199 ALL PRODUCTS $44.63 2025-09-05 MRF ↗
JACOBI MEDICAL CENTER OutpatientFacility Local 1199 ALL PRODUCTS $44.63 2025-09-05 MRF ↗
QUEENS HOSPITAL CENTER OutpatientFacility Local 1199 ALL PRODUCTS $44.63 2025-09-05 MRF ↗
ELMHURST HOSPITAL CENTER OutpatientFacility Local 1199 ALL PRODUCTS $44.63 2025-09-05 MRF ↗
WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility Local 1199 ALL PRODUCTS $44.63 2025-09-05 MRF ↗
NY EYE AND EAR INFIRMARY OF MOUNT SINAI OutpatientFacility 1199 Seiu 1199 Seiu - Nyeei $44.63 2026-04-01 MRF ↗
LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility Local 1199 ALL PRODUCTS $44.63 2025-09-05 MRF ↗
MOUNT SINAI HOSPITAL OutpatientFacility Local 1199 1199 Seiu - Tmsh $44.63 2026-04-01 MRF ↗
KINGS COUNTY HOSPITAL CENTER OutpatientFacility Local 1199 ALL PRODUCTS $44.63 2025-09-05 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Commercial $44.63 2026-04-14 MRF ↗
HARLEM HOSPITAL CENTER OutpatientFacility Local 1199 ALL PRODUCTS $44.63 2025-09-05 MRF ↗
BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility Univera All Commercial Plans $44.63 2026-04-01 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility Local 1199 Local 1199 $44.63 2025-08-06 MRF ↗
North Central Bronx Hospital OutpatientFacility Local 1199 ALL PRODUCTS $44.63 2025-09-05 MRF ↗
QUEENS HOSPITAL CENTER OutpatientFacility Local 1199 ALL PRODUCTS $44.63 2025-09-05 MRF ↗
METROPOLITAN HOSPITAL CENTER OutpatientFacility Local 1199 ALL PRODUCTS $44.63 2025-09-05 MRF ↗
WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility Local 1199 ALL PRODUCTS $44.63 2025-09-05 MRF ↗
NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. OutpatientFacility Local 1199 Commercial PPO $44.63 2026-04-01 MRF ↗
KINGS COUNTY HOSPITAL CENTER OutpatientFacility Local 1199 ALL PRODUCTS $44.63 2025-09-05 MRF ↗
Roswell Park Cancer Institute OutpatientFacility Univera All Commercial Plans $44.63 2026-04-01 MRF ↗
JACOBI MEDICAL CENTER OutpatientFacility Local 1199 ALL PRODUCTS $44.63 2025-09-05 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Commercial $44.63 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Univera Univera Medicare $44.63 2026-04-14 MRF ↗
MOUNT SINAI WEST OutpatientFacility Local 1199 1199 Seiu - Bi $44.63 2026-04-01 MRF ↗
Mount Sinai Behavioral Health Center OutpatientFacility Local 1199 1199 Seiu - Brook $44.63 2026-04-01 MRF ↗
SOUTH BROOKLYN HEALTH OutpatientFacility Local 1199 ALL PRODUCTS $44.63 2025-09-05 MRF ↗
MOUNT SINAI WEST OutpatientFacility Local 1199 1199 Seiu - Slw $44.63 2026-04-01 MRF ↗
Mount Sinai Behavioral Health Center OutpatientFacility Local 1199 1199 Seiu - Msq $44.63 2026-04-01 MRF ↗
OLEAN GENERAL HOSPITAL OutpatientFacility Univera Essential Other Commercial Plan $44.63 2026-04-01 MRF ↗
OLEAN GENERAL HOSPITAL OutpatientFacility Univera All Commercial Plans $44.63 2026-04-01 MRF ↗
BELLEVUE HOSPITAL CENTER OutpatientFacility Local 1199 ALL PRODUCTS $44.63 2025-09-05 MRF ↗
MAIMONIDES MEDICAL CENTER OutpatientFacility Local 1199 Commercial PPO $44.63 2026-04-01 MRF ↗
NYACK HOSPITAL Outpatient SEIU1199 SEIU1199 $44.63 2026-04-01 MRF ↗
RENOWN SOUTH MEADOWS MEDICAL CENTER OutpatientFacility Anthem Blue Cross and Blue Shield PPO_HMO_EPO $53.00 2026-03-27 MRF ↗
RENOWN REGIONAL MEDICAL CENTER OutpatientFacility Anthem Blue Cross and Blue Shield PPO_HMO_EPO $53.00 2026-03-27 MRF ↗
KUAKINI MEDICAL CENTER OutpatientFacility HMAA ALL PRODUCTS $55.88 2026-01-25 MRF ↗
AMBERWELL ATCHISON ASSOCIATION Aetna Negotiated Rate $67.10 $122.00 $85.40 2026-05-23 MRF ↗
AMBERWELL ATCHISON ASSOCIATION Cigna Negotiated Rate $67.10 $122.00 $85.40 2026-05-23 MRF ↗
AMBERWELL ATCHISON ASSOCIATION Uhc Negotiated Rate $71.25 $122.00 $85.40 2026-05-23 MRF ↗
AMBERWELL ATCHISON ASSOCIATION Humana Negotiated Rate $73.20 $122.00 $85.40 2026-05-23 MRF ↗
AMBERWELL ATCHISON ASSOCIATION Bcbs Kansas City Inpatient Negotiated Rate $77.71 $122.00 $85.40 2026-05-23 MRF ↗
ST MARYS MEDICAL CENTER Outpatient Caresource Wv Marketplace 2026-05-06 MRF ↗
AMBERWELL ATCHISON ASSOCIATION Bcbs Kansas City Outpatient Negotiated Rate $107.36 $122.00 $85.40 2026-05-23 MRF ↗
Henry Ford Hospital OutpatientFacility Cofinity Group Health ALL PRODUCTS $118.82 2025-06-28 MRF ↗
HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility Cofinity Group Health ALL PRODUCTS $118.82 2025-06-28 MRF ↗
WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility Cofinity Group Health ALL PRODUCTS $118.82 2025-06-28 MRF ↗
NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility Anthem BCBS All Products $165.77 2026-04-01 MRF ↗
Nationwide Children's Hospital OutpatientFacility Anthem BCBS All Products $165.77 2026-04-01 MRF ↗
Rehabilitation Hospital Of Indiana Inc Inpatient Elevance Health Anthem Pathways Essentials $25.00 $14.25 2024-12-03 MRF ↗
Rehabilitation Hospital Of Indiana Inc Inpatient Elevance Health All PPO $25.00 $14.25 2024-12-03 MRF ↗
Rehabilitation Hospital Of Indiana Inc Inpatient SIHO Insurance Services All PPO Plans $25.00 $14.25 2024-12-03 MRF ↗
Rehabilitation Hospital Of Indiana Inc Inpatient Corvel All Managed Care Plans $25.00 $14.25 2024-12-03 MRF ↗
Rehabilitation Hospital Of Indiana Inc Inpatient Aetna All Managed Medicare $25.00 $14.25 2024-12-03 MRF ↗
Rehabilitation Hospital Of Indiana Inc Inpatient Humana All Managed Medicare $25.00 $14.25 2024-12-03 MRF ↗
Rehabilitation Hospital Of Indiana Inc Inpatient Elevance Health All Traditional Plans $25.00 $14.25 2024-12-03 MRF ↗
Rehabilitation Hospital Of Indiana Inc Inpatient Multiplan PPO - Multiplan Plans $25.00 $14.25 2024-12-03 MRF ↗
Rehabilitation Hospital Of Indiana Inc Inpatient United Healthcare All Managed Medicare $25.00 $14.25 2024-12-03 MRF ↗
Rehabilitation Hospital Of Indiana Inc Inpatient Health Alliance All Managed Medicare $25.00 $14.25 2024-12-03 MRF ↗
Rehabilitation Hospital Of Indiana Inc Inpatient Encore Health Network All Managed Care $25.00 $14.25 2024-12-03 MRF ↗
Rehabilitation Hospital Of Indiana Inc Inpatient Encore Health Network PPO/HMO/EPO - Combined/Encircle $25.00 $14.25 2024-12-03 MRF ↗
Rehabilitation Hospital Of Indiana Inc Inpatient Elevance Health All Managed Medicare $25.00 $14.25 2024-12-03 MRF ↗
Rehabilitation Hospital Of Indiana Inc Inpatient Caresource All Marketplace Plans $25.00 $14.25 2024-12-03 MRF ↗
Rehabilitation Hospital Of Indiana Inc Inpatient Elevance Health All HMO/POS $25.00 $14.25 2024-12-03 MRF ↗
Rehabilitation Hospital Of Indiana Inc Inpatient Elevance Health All Government Medicaid HIP $25.00 $14.25 2024-12-03 MRF ↗