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
OASIS BURN MAT SQ CM
Low
$2
Average
$1.7k
Median
$151
High
$25.0k
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Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 87 hospitals; the 90th percentile is 108.3× 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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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Bullhead City Hospital Corporation City, AZ | $15 | $15 | $6 | 42% | — | $4 – $127 |
| 2 | Sonora Community Hospital Sonora, CA | $139 | $155 | $39 | 25% | — | $6 – $251 |
| 3 | Adventist Health Delano Delano, CA | $139 | $182 | $60 | 33% | — | $5 – $314 |
| 4 | San Joaquin Community Hospital Bakersfield, CA | $139 | $181 | $56 | 31% | — | $5 – $314 |
| 5 | Lodi Memorial Hospital Association Inc Lodi, CA | $139 | $163 | $47 | 29% | — | $1 – $346 |
| 6 | White Memorial Medical Center Angeles, CA | $151 | $303 | $961 | 317% | — | $6 – $7.9k |
| 7 | Ascension SE Wisconsin Hospital, Inc. Milwaukee, WI | $27 | $27 | $8 | 30% | — | $15 – $1.6k |
| 8 | Ascension NE Wisconsin, Inc. Oshkosh, WI | $776 | $1.1k | $965 | 88% | — | $18 – $2.6k |
| 9 | Columbia St. Mary's Hospital Ozaukee, Inc. Mequon, WI | $39 | $39 | — | — | — | $15 – $40 |
| 10 | Ascension NE Wisconsin, Inc. Appleton, WI | $776 | $1.1k | $965 | 88% | — | $18 – $2.6k |
Ask Claude or any MCP client for HCPCS Q4103 pricing at a specific hospital — see how to connect.