Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing cost in Indiana
$72
Cash from
$72–$153
Cash range · 11 distinct prices
$33
Insurer rates from
13
Hospitals
Lowest published amounts at each hospital, from each hospital's own price file. Newest file: Mar 2026; each row shows its own date.
Prices by hospital
| Hospital | City | Cash | Insurer from | Data date |
|---|---|---|---|---|
| Eskenazi Health | Indianapolis | $78 | $33 | Mar 2026229 days old |
| Indiana University Health Ball Memorial Hospital Inc. | Muncie | $72 | $122 | Mar 2026205 days old |
| Indiana University Health Bloomington Inc. | Bloomington | $84 | $122 | Mar 2026205 days old |
| Indiana University Health Arnett Inc. | Lafayette | $85 | $122 | Mar 2026205 days old |
| Indiana University Health West Hospital Inc. | Avon | $97 | $122 | Mar 2026205 days old |
| Indiana University Health North Hospital Inc. | Carmel | $97 | $122 | Mar 2026205 days old |
| Indiana University Health Inc. | Indianapolis | $97 | $122 | Mar 2026205 days old |
| Indiana University Health Bedford Inc. | Bedford | $97 | $122 | Mar 2026205 days old |
| Indiana University Health White Memorial Hospital Inc. | Monticello | $106 | $122 | Mar 2026205 days old |
| Indiana University Health Frankfort Inc. | Frankfort | $138 | $122 | Mar 2026205 days old |
| Indiana University Health Tipton Hospital Inc. | Tipton | $128 | $122 | Mar 2026205 days old |
| Indiana University Health Jay Inc. | Portland | $153 | $122 | Mar 2026205 days old |
| Indiana University Health Paoli Inc. | Paoli | $131 | $122 | Mar 2026205 days old |
Where this procedure name comes from
This is the HCPCS Level II descriptor published by CMS — a US government work in the public domain.
What the hospitals published for this code, in their own words:
- Berger HospitalFoam drg > 48 sq in w/o brdr
- Bethesda Hospital Inc.Foam drg > 48 sq in w/o brdr
- Clinton Memorial HospitalFoam drg > 48 sq in w/o brdr
- Eskenazi HealthMEPILEX LITE FOAM 8X20
- Fairview HospitalFoam drg > 48 sq in w/o brdr
- HEART HOSP OF AUSTINFoam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
- HEART HOSP OF AUSTIN AT ST. DAVID'S ROUND ROCKFoam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
- Indiana University Health Arnett Inc.FOAM DSG WOUND CVR STERILE MORE THAN 48 SQ IN W/O ADHESIVE BORDER,EA DRESSING
- Indiana University Health Ball Memorial Hospital Inc.FOAM DSG WOUND CVR STERILE MORE THAN 48 SQ IN W/O ADHESIVE BORDER,EA DRESSING
- Indiana University Health Bedford Inc.FOAM DSG WOUND CVR STERILE MORE THAN 48 SQ IN W/O ADHESIVE BORDER,EA DRESSING
Compare prices near you
See published prices for this procedure near your ZIP, for your insurer or for cash, with the source and date of each.
Price it for me →Estimates from published hospital rates — not your exact bill.