HCPCS A6212 at Skyline Hospital

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing

Skyline Hospital, White Salmon

Description from CMS's HCPCS Level II code file.

What Skyline Hospital publishes for this code: as an outpatient

Skyline Hospital’s prices for HCPCS A6212, as an outpatient
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	$8.08 – $8.932 plans	—
Medicare AdvantageInsurer rates	$4.563 plans	—
Medicaid managed careInsurer rates	$4.73 – $5.593 plans	—
Other government programInsurer rates	$6.841 plan	—
UnknownInsurer rates	$5.02 – $9.506 plans	—
Cash pricePaying yourself, without insurance	$6.84	—
List priceBefore any discount; few people pay it	$9.50	—

Lowest and highest amounts Skyline Hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-08-21. This is one line of a bill; most care brings several.

Bills to expect

The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.

Bills to expect for HCPCS A6212 at Skyline Hospital
Bill	What it’s for	Original Medicare allows	Private plan estimate
Hospital's feeThe hospital	The service	—	The price above

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare HCPCS A6212 at every Washington hospital, with Medicare’s reference amounts.