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
$1
Average
$1.2k
Median
$133
High
$8.1k
Each hospital's average Humana rate, under the methodology and billing class chosen below.
98 hospitals; the 90th percentile is 37.8× 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.
Filter by billing methodology
Filter by billing class
117 hospital rates
iThe hospitals that file a Humana 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 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · outpatient | 1 | $4.8k | $4.9k | $3.0k | 61% | — | $1.5k – $8.3k |
| 2 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · outpatient | 1 | $3.4k | $3.4k | $2.1k | 61% | — | $1.0k – $5.8k |
| 3 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · outpatient | 1 | $2.8k | $2.8k | $1.7k | 61% | — | $847 – $4.8k |
| 4 | ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER Schuyler, NE fee schedule · outpatient | 1 | $4.0k | $4.1k | $2.5k | 61% | — | $1.2k – $6.9k |
| 5 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $126 | $126 | — | — | — | $126 – $126 |
| 6 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 1 | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 7 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $3.0k | $6.2k | $6.0k | 97% | — | $1.9k – $17.9k |
| 8 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 2 | $2.3k | $4.6k | $4.5k | 97% | — | $1.3k – $14.5k |
| 9 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 10 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $135 | $135 | — | — | — | $135 – $135 |
| 11 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 12 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 13 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 14 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 15 | CATHOLIC HEALTH INITIATIVES COLORADO West Valley City, UT fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 16 | CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 17 | CATHOLIC HEALTH INITIATIVES COLORADO Lehi, UT fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 18 | CATHOLIC HEALTH INITIATIVES COLORADO Layton, UT fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 19 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 20 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 21 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 22 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 23 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 24 | CATHOLIC HEALTH INITIATIVES COLORADO Fort Morgan, CO fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 25 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · case rate · inpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
← Payers reporting HCPCS A4100 · Snapshot 20261111T120946Z-9134e7f7