Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
WOUND MATRIX SYN 10X23CM (230 SQ CM) PELASHIELDAM
Low
$111
Average
$549
Median
$710
High
$1.3k
Each hospital's average Highmark rate, under the methodology and billing class chosen below.
11 hospitals; the 90th percentile is 6.4× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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12 hospital rates
iThe hospitals that file a Highmark rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 2 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $710 | $710 | — | — | — | $710 – $710 |
| 3 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $710 | $710 | — | — | — | $710 – $710 |
| 4 | Davis Medical Center Elkins, WV facility · case rate · outpatient | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 5 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 6 | ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · outpatient | 5 | $1.5k | $1.3k | $1.2k | 90% | — | $127 – $3.4k |
| 7 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 2 | $710 | $710 | — | — | — | $710 – $710 |
| 8 | Morristown Medical Center Morristown, NJ other · outpatient | 2 | $710 | $710 | — | — | — | $710 – $710 |
| 9 | Newton Medical Center Newton, NJ other · outpatient | 2 | $710 | $710 | — | — | — | $710 – $710 |
| 10 | Overlook Medical Center Summit, NJ other · outpatient | 2 | $710 | $710 | — | — | — | $710 – $710 |
| 11 | United Memorial Medical Center Batavia, NY facility · fee schedule · outpatient | 1 | $127 | $127 | — | — | — | $127 – $127 |
| 12 | Webster Memorial Hospital Inc Cowen, WV professional · fee schedule · both | 1 | $111 | $111 | — | — | — | $111 – $111 |
← Payers reporting HCPCS A4100 · Snapshot 20261111T120946Z-9134e7f7