What does code A6223 cost?

Across the published hospital price files, the disclosed cash price for A6223 ranges from $0.68 to $6.00. 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.

A6223 is the billing code hospitals use to identify "HC GAUZE IMPREGNATED XEROFORM 5X9" 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.

A6223

HCPCS

HC GAUZE IMPREGNATED XEROFORM 5X9

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code A6223 (HC GAUZE IMPREGNATED XEROFORM 5X9) appears at 22 hospitals with disclosed cash prices from $0.68 to $6.00. 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

Compare A6223 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 A6223 vary by about 8.8× across the 22 hospitals with disclosed prices here — from $0.68 to $6.00. Shopping around can matter.

Hospitals

Prices shown

$0.68

Lowest cash

$6.00

Highest cash

code A6223 cash price41 disclosed · 22 hospitals

$0.68median ~$1.71$6.00

Lowest cash price by hospital

Cash price by city

Reflects your current filters.

Cash price by city$0.68 – $5.00

Burlington · 1 hospital$0.68–$5.00
Fond Du Lac · 1 hospital$0.80–$5.00
Green Bay · 1 hospital$0.83–$5.00
Kenosha · 1 hospital$0.83–$5.00
Elkhorn · 1 hospital$0.88–$5.00
Marinette · 1 hospital$0.89–$1.45

42 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
HC GAUZE IMPREGNATED XEROFORM 5X9 Inpatient & outpatient	Endeavor Health Edward Hospital	A6223 HCPCS	$6.00	$6.00	—	—
Gauze >16<=48 no w/sal w/o b Outpatient	Endeavor Health Edward Hospital	A6223 HCPCS	—	—	$5.39 – $5.39	—
1169824 - DRESSING PETRO 9X5IN NADH OCL IMPREGNATE CRD XEROFORM CTN Inpatient	Aurora BayCare Medical Center	A6223 HCPCS	$1.83	$0.92	$1.10 – $1.56	—
1142975 - DRESSING PETRO 9X5IN XEROFORM 3% BI 3BRM GAUZE Inpatient	Aurora BayCare Medical Center	A6223 HCPCS	$1.65	$0.83	$0.99 – $1.40	—
GAUZE W/O NS/BORDER >/=16<48 SQ IN Inpatient	Aurora BayCare Medical Center	A6223 HCPCS	$10.00	$5.00	$6.00 – $8.50	—
GAUZE W/O NS/BORDER >/=16<48 SQ IN Inpatient	Aurora Medical Center Burlington	A6223 HCPCS	$10.00	$5.00	$6.00 – $8.50	—
1142968 - DRESSING PETRO 9X5IN NADH OCL BCTRST LOWPRFL XEROFORM 3% BI Inpatient	Aurora Medical Center Burlington	A6223 HCPCS	$3.10	$1.55	$1.86 – $2.64	—
1142954 - DRESSING PETROLATUM L9 IN X W3 IN NONADHESIVE STRIP FINE Inpatient	Aurora Medical Center Burlington	A6223 HCPCS	$1.35	$0.68	$0.81 – $1.15	—
1142975 - DRESSING PETRO 9X5IN XEROFORM 3% BI 3BRM GAUZE Inpatient	Aurora Medical Center Burlington	A6223 HCPCS	$1.76	$0.88	$1.06 – $1.50	—
1052364 - DRESSING PETRO 9X5IN NADH EMUL MESH ADP CLU-ACT STRL LF Inpatient	Aurora Medical Center Bay Area	A6223 HCPCS	$2.89	$1.45	$1.73 – $2.44	—
1142975 - DRESSING PETRO 9X5IN XEROFORM 3% BI 3BRM GAUZE Inpatient	Aurora Medical Center Bay Area	A6223 HCPCS	$1.80	$0.90	$1.08 – $1.52	—
1108580 - DRESSING WND 8X3IN NADH KNIT OIL EMUL BLEND OPEN MESH CURITY Inpatient	Aurora Medical Center Bay Area	A6223 HCPCS	$1.77	$0.89	$1.06 – $1.50	—
GAUZE W/O NS/BORDER >/=16<48 SQ IN Inpatient	Aurora Medical Center Fond du Lac	A6223 HCPCS	$10.00	$5.00	$6.00 – $8.50	—
1142975 - DRESSING PETRO 9X5IN XEROFORM 3% BI 3BRM GAUZE Inpatient	Aurora Medical Center Fond du Lac	A6223 HCPCS	$1.59	$0.80	$0.95 – $1.35	—
1142975 - DRESSING PETRO 9X5IN XEROFORM 3% BI 3BRM GAUZE Inpatient	Aurora Medical Center Grafton	A6223 HCPCS	$2.53	$1.27	$1.52 – $2.15	—
1052170 - DRESSING PETROLATUM ADAPTIC L20.3 CM X W7.6 CM CELLULOSE ACT Inpatient	Aurora Medical Center Grafton	A6223 HCPCS	$3.69	$1.85	$2.21 – $3.14	—
1108580 - DRESSING WND 8X3IN NADH KNIT OIL EMUL BLEND OPEN MESH CURITY Inpatient	Aurora Medical Center Grafton	A6223 HCPCS	$2.50	$1.25	$1.50 – $2.13	—
1108588 - DRESSING PETRO 16X3IN NADH ADP STRL Inpatient	Aurora Medical Center Grafton	A6223 HCPCS	$3.72	$1.86	$2.23 – $3.16	—
GAUZE W/O NS/BORDER >/=16<48 SQ IN Inpatient	Aurora Medical Center Grafton	A6223 HCPCS	$10.00	$5.00	$6.00 – $8.50	—
1052227 - DRESSING PETRO 8X3IN NADH ADP CLU-ACT FABRIC STRL LF Inpatient	Aurora Medical Center Grafton	A6223 HCPCS	$2.30	$1.15	$1.38 – $1.96	—
1142954 - DRESSING PETROLATUM L9 IN X W3 IN NONADHESIVE STRIP FINE Inpatient	Aurora Medical Center Kenosha	A6223 HCPCS	$1.65	$0.83	$0.99 – $1.40	—
1108580 - DRESSING WND 8X3IN NADH KNIT OIL EMUL BLEND OPEN MESH CURITY Inpatient	Aurora Medical Center Kenosha	A6223 HCPCS	$2.13	$1.07	$1.28 – $1.81	—
1169824 - DRESSING PETRO 9X5IN NADH OCL IMPREGNATE CRD XEROFORM CTN Inpatient	Aurora Medical Center Kenosha	A6223 HCPCS	$2.38	$1.19	$1.43 – $2.02	—
GAUZE W/O NS/BORDER >/=16<48 SQ IN Inpatient	Aurora Medical Center Kenosha	A6223 HCPCS	$10.00	$5.00	$6.00 – $8.50	—
1108588 - DRESSING PETRO 16X3IN NADH ADP STRL Inpatient	Aurora Medical Center Kenosha	A6223 HCPCS	$3.16	$1.58	$1.90 – $2.69	—

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 A6223 prices

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

Endeavor Health Edward Hospital Aurora BayCare Medical Center Aurora Medical Center Burlington Aurora Medical Center Bay Area Aurora Medical Center Fond du Lac Aurora Medical Center Grafton Aurora Medical Center Kenosha Aurora Lakeland Medical Center Texas Health Presbyterian Hospital Allen Texas Health Harris Methodist Hospital Alliance Texas Health Harris Methodist Hospital Azle Texas Health Presbyterian Hospital Dallas Texas Health Presbyterian Hospital Denton Texas Health Harris Methodist Hospital Fort Worth Texas Health Heart & Vascular Hospital Arlington Texas Health Harris Methodist Hospital Hurst-Euless-Bedford Texas Health Presbyterian Hospital Kaufman Texas Health Presbyterian Hospital Plano Texas Health Harris Methodist Hospital Southlake Texas Health Harris Methodist Hospital Southwest Fort Worth Texas Health Specialty Hospital Fort Worth Texas Health Harris Methodist Hospital Stephenville

Code A6223: frequently asked

What does code A6223 cost?: Across the published hospital price files, the disclosed cash price for A6223 ranges from $0.68 to $6.00. 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 A6223?: A6223 is the billing code hospitals use to identify "HC GAUZE IMPREGNATED XEROFORM 5X9" 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.

All CPT / HCPCS codes Browse hospitals How to read this data

Hospitals publishing code A6223 by state

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