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 MATRIX, PER SQUARE CENTIMETER
Low
$1
Average
$561
Median
$161
High
$2.0k
Each hospital's average Amerihealth Caritas rate, under the methodology and billing class chosen below.
27 hospitals; the 90th percentile is 596.2× 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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27 hospital rates
iThe hospitals that file a Amerihealth Caritas 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 | Bay Park Community Hospital Oregon, OH facility · other · outpatient | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 2 | CentraState Medical Center Freehold Township, NJ other · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 3 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 4 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 5 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $251 | $251 | — | — | — | $251 – $251 |
| 6 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA other · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 7 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 8 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $219 | $219 | — | — | — | $219 – $219 |
| 9 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $161 | $161 | — | — | — | $161 – $161 |
| 10 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 2 | $3 | $3 | $0 | 1% | — | $3 – $4 |
| 11 | Morristown Medical Center Morristown, NJ other · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 12 | Mount Carmel Dublin Dublin, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $286 | $286 | — | — | — | $286 – $286 |
| 13 | Mount Carmel East Reynoldsburg, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $286 | $286 | — | — | — | $286 – $286 |
| 14 | Mount Carmel Grove City Grove City, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $286 | $286 | — | — | — | $286 – $286 |
| 15 | Mount Carmel New Albany Surgical Hospital New Albany, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $286 | $286 | — | — | — | $286 – $286 |
| 16 | Mount Carmel St Ann's Lewis Center, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $286 | $286 | — | — | — | $286 – $286 |
| 17 | Newton Medical Center Newton, NJ other · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 18 | OCHSNER CLINIC FOUNDATION LA 70121; 4430 Veterans Memorial Blvd.Metairie, LA other · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 19 | Overlook Medical Center Summit, NJ other · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 20 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $106 | $106 | — | — | — | $106 – $106 |
| 21 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 22 | St Joseph Regional Health Network Reading, PA fee schedule · both | 2 | $117 | $117 | $10 | 8% | — | $108 – $127 |
| 23 | St. Francis Hospital Inc Wilmington, DE facility · percent of total billed charges · bothfrom % of charges | 1 | $138 | $138 | — | — | — | $138 – $138 |
| 24 | The New London Hospital Association, Inc. London, NH professional · fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 25 | Uniontown Hospital Uniontown, PA facility · other · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
← Payers reporting HCPCS Q4103 · Snapshot 20261111T120946Z-9134e7f7