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HCPCS A2026

Restrata minimatrix, 5 mg

Current codeWound Care Directed Dressings11 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$15,711 – $18,2942 plans$8,609$21,522
Deaconess Medical CenterSpokaneFile dated 2026-08-27$7,995 – $15,7115 plans$8,609$21,522
Harborview Medical CenterSeattleFile dated 2026-04-01—$3,485 – $25,280$4,979 – $36,114
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$13,901 – $17,5196 plans$8,609$21,522
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$15,7112 plans$8,609$21,522
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$15,7112 plans$8,609$21,522
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$15,7112 plans$8,609$21,522
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$7,995 – $15,4965 plans$8,609$21,522
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$2,608$5,215
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$15,7112 plans$8,609$21,522
University of Washington Medical CtrSeattleFile dated 2026-04-01—$3,066 – $22,540$4,380 – $32,201

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.