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Allowrap ds or dry, per square centimeter (add-on, list separately in addition to primary procedure) cost in Ohio

$302
Cash from
$302–$554
Cash range · 3 distinct prices
$64
Insurer rates from
32
Hospitals

Lowest published amounts at each hospital, from each hospital's own price file. Newest file: Jun 2026; each row shows its own date.

Prices by hospital

HospitalCityCashInsurer fromData date
Metrohealth SystemCleveland—$64Apr 2026198 days old
Fairview HospitalCleveland—$86Jun 2026123 days old
LUTHERAN HOSPITALCleveland—$86Jun 2026123 days old
Kettering Medical Center 3 locations · one published priceDayton, Miamisburg, Troy—$106Apr 2026198 days old
Greene Memorial Hospital IncXenia—$106Apr 2026198 days old
Fort Hamilton HospitalHamilton—$106Apr 2026198 days old
Beavercreek Medical CenterDayton—$106Apr 2026198 days old
Dayton Osteopathic HospitalDayton—$106Apr 2026198 days old
The Cleveland Clinic FoundationBrunswick—$118Jun 2026122 days old
Southeastern Ohio Regional Medical CenterCambridge—$118Apr 2026198 days old
Ohiohealth Mansfield HospitalMansfield$302$119Apr 2026198 days old
Marion General HospitalMarion—$119Apr 2026198 days old
Ohiohealth O'bleness HospitalAthens$302$119Apr 2026198 days old
Riverside Methodist HospitalColumbus$554$120Apr 2026198 days old
Dublin Methodist HospitalDublin$554$120Apr 2026198 days old
Berger HospitalCircleville—$120Apr 2026198 days old
Grady Memorial HospitalDelaware—$120Apr 2026198 days old
Grant Medical CenterColumbus$554$120Apr 2026198 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:

  • Beavercreek Medical CenterAllowrap ds or dry 1 sq cm
  • Berger HospitalAllowrap ds or dry 1 sq cm
  • Bethesda Hospital Inc.ALLOWRAP 2X2CM AMNIOTIC MEMB
  • Clinton Memorial HospitalAllowrap ds or dry 1 sq cm
  • Dayton Osteopathic HospitalAllowrap ds or dry 1 sq cm
  • Doctors HospitalHc Allowrap Ds Or Dry Per Sq Cm
  • Dublin Methodist HospitalHc Allowrap Ds Or Dry Per Sq Cm
  • FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CARMELMembrane Barrier Amniotic Actishield 4 X 8cm per Sq Cm
  • FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CROWN POINTTissue Placental Viaflow Ambient 1.0cc
  • FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYERMembrane Barrier Amniotic Actishield 4 X 8cm per Sq Cm

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Estimates from published hospital rates — not your exact bill.