What does code A6021 cost?

Across the published hospital price files, the disclosed cash price for A6021 ranges from $11.18 to $198. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Will this be my final bill?

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

A6021 is the billing code hospitals use to identify "HC ENDOFORM 2X2" on their published price files. We use it to line up the same service across different hospitals.

Why do prices for this code differ between hospitals?

Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.

What this page is not

It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

A6021

HCPCS

HC ENDOFORM 2X2

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code A6021 (HC ENDOFORM 2X2) appears at 25 hospitals with disclosed cash prices from $11.18 to $198. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

hospitals publish a price

list this service without a published price

Cash

List

Negotiated

Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare A6021 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Based on hospital-published prices verified from each hospital’s own file. Coverage expands as data is verified.

Published cash prices for code A6021 vary by about 18× across the 24 hospitals with disclosed prices here — from $11.18 to $198. Shopping around can matter.

Hospitals

Prices shown

$11.18

Lowest cash

$198

Highest cash

code A6021 cash price51 disclosed · 24 hospitals

$11.18median ~$18.77$198

Lowest cash price by hospital

Cash price by city

Reflects your current filters.

Cash price by city$11.18 – $42.50

Green Bay · 1 hospital$11.18–$42.50
Burlington · 1 hospital$11.88–$42.50
Marinette · 1 hospital$12.17–$14.64
Elkhorn · 1 hospital$14.30–$42.50
Kenosha · 1 hospital$14.58–$42.50
Grafton · 1 hospital$17.14–$42.50

53 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
HC ENDOFORM 2X2 Inpatient & outpatient	Endeavor Health Edward Hospital	A6021 HCPCS	$50.00	$50.00	—	—
Collagen dressing <=16 sq in Outpatient	Endeavor Health Edward Hospital	A6021 HCPCS	—	—	$46.75 – $46.75	—
Hc Collagen Dressing, Sterile, Size 16 Sq. In. Or Less, Each Inpatient & outpatient	University of Chicago Medical Center	A6021 HCPCS	—	—	—	—
COLLAGEN DRESSING 16 SQ IN OR< Inpatient	Aurora BayCare Medical Center	A6021 HCPCS	$85.00	$42.50	$51.00 – $72.25	—
1212406 - DRESSING WND MTRX PROMOGRAN 4.34SQ IN HEX Inpatient	Aurora BayCare Medical Center	A6021 HCPCS	$22.36	$11.18	$13.42 – $19.01	—
COLLAGEN DRESSING 16 SQ IN OR< Inpatient	Aurora Medical Center Burlington	A6021 HCPCS	$85.00	$42.50	$51.00 – $72.25	—
1212406 - DRESSING WND MTRX PROMOGRAN 4.34SQ IN HEX Inpatient	Aurora Medical Center Burlington	A6021 HCPCS	$23.76	$11.88	$14.26 – $20.20	—
1099031 - DRESSING BIO L2 IN X W2 IN DRML TMPLT FENESTRATE ENDOFORM Inpatient	Aurora Medical Center Burlington	A6021 HCPCS	$37.49	$18.75	$22.49 – $31.87	—
1199106 - DRESSING WND MTRX ANTIMICROBIAL PROMOGRAN PRSM CLGN OXIDIZE Inpatient	Aurora Medical Center Burlington	A6021 HCPCS	$28.59	$14.30	$17.15 – $24.30	—
1212406 - DRESSING WND MTRX PROMOGRAN 4.34SQ IN HEX Inpatient	Aurora Medical Center Bay Area	A6021 HCPCS	$24.33	$12.17	$14.60 – $20.58	—
1199106 - DRESSING WND MTRX ANTIMICROBIAL PROMOGRAN PRSM CLGN OXIDIZE Inpatient	Aurora Medical Center Bay Area	A6021 HCPCS	$29.27	$14.64	$17.56 – $24.76	—
COLLAGEN DRESSING 16 SQ IN OR< Inpatient	Aurora Medical Center Fond du Lac	A6021 HCPCS	$85.00	$42.50	$51.00 – $72.25	—
1212406 - DRESSING WND MTRX PROMOGRAN 4.34SQ IN HEX Inpatient	Aurora Medical Center Grafton	A6021 HCPCS	$34.28	$17.14	$20.57 – $29.14	—
COLLAGEN DRESSING 16 SQ IN OR< Inpatient	Aurora Medical Center Grafton	A6021 HCPCS	$85.00	$42.50	$51.00 – $72.25	—
1199106 - DRESSING WND MTRX ANTIMICROBIAL PROMOGRAN PRSM CLGN OXIDIZE Inpatient	Aurora Medical Center Grafton	A6021 HCPCS	$41.24	$20.62	$24.74 – $35.05	—
1099031 - DRESSING BIO L2 IN X W2 IN DRML TMPLT FENESTRATE ENDOFORM Inpatient	Aurora Medical Center Grafton	A6021 HCPCS	$53.69	$26.85	$32.21 – $45.64	—
1212406 - DRESSING WND MTRX PROMOGRAN 4.34SQ IN HEX Inpatient	Aurora Medical Center Kenosha	A6021 HCPCS	$29.16	$14.58	$17.50 – $24.79	—
COLLAGEN DRESSING 16 SQ IN OR< Inpatient	Aurora Medical Center Kenosha	A6021 HCPCS	$85.00	$42.50	$51.00 – $72.25	—
1099031 - DRESSING BIO L2 IN X W2 IN DRML TMPLT FENESTRATE ENDOFORM Inpatient	Aurora Medical Center Kenosha	A6021 HCPCS	$45.48	$22.74	$27.29 – $38.66	—
1199106 - DRESSING WND MTRX ANTIMICROBIAL PROMOGRAN PRSM CLGN OXIDIZE Inpatient	Aurora Medical Center Kenosha	A6021 HCPCS	$35.09	$17.55	$21.05 – $29.83	—
COLLAGEN DRESSING 16 SQ IN OR< Inpatient	Aurora Lakeland Medical Center	A6021 HCPCS	$85.00	$42.50	$51.00 – $72.25	—
1199106 - DRESSING WND MTRX ANTIMICROBIAL PROMOGRAN PRSM CLGN OXIDIZE Inpatient	Aurora Lakeland Medical Center	A6021 HCPCS	$28.59	$14.30	$17.15 – $24.30	—
1099031 - DRESSING BIO L2 IN X W2 IN DRML TMPLT FENESTRATE ENDOFORM Inpatient	Aurora Lakeland Medical Center	A6021 HCPCS	$37.49	$18.75	$22.49 – $31.87	—
DRSNG PROMOGRAN MATRIX 4.34 Outpatient	Texas Health Presbyterian Hospital Allen	A6021 HCPCS	$31.28	$18.77	$3.60 – $33.87	$26.64
DRSNG PRISMA MATRIX 4.5" Outpatient	Texas Health Presbyterian Hospital Allen	A6021 HCPCS	$37.62	$22.58	$4.33 – $35.40	$26.64

How to read these prices

Cash price: The discounted self-pay price for paying directly, without insurance.
List price: The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate: A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount: A historical reference for what was actually allowed, where disclosed.

Hospitals that publish A6021 prices

Open a hospital to see this code in the context of its full published prices.

Code A6021: frequently asked

What does code A6021 cost?: Across the published hospital price files, the disclosed cash price for A6021 ranges from $11.18 to $198. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?: Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code A6021?: A6021 is the billing code hospitals use to identify "HC ENDOFORM 2X2" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?: Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not: It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

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