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
$166
Median
$92
High
$5.8k
Each hospital's average Humana rate, under the methodology and billing class chosen below.
444 hospitals; the 90th percentile is 13.4× 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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526 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 | Grant Memorial Hospital Inc Petersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $979 | $979 | — | — | 11 | $979 – $979 |
| 2 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $130 | $130 | — | — | — | $130 – $130 |
| 3 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 1 | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 4 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $119 | $119 | — | — | — | $119 – $119 |
| 5 | Adventhealth Redmond Rome, GA fee schedule · outpatient | 1 | $360 | $360 | — | — | — | $360 – $360 |
| 6 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · outpatient | 1 | $135 | $135 | — | — | — | $135 – $135 |
| 7 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE other · outpatient | 1 | $49 | $50 | $43 | 86% | — | $8 – $129 |
| 8 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION DBA INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL BRIGHTON, CO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $17 | $17 | — | — | — | $17 – $17 |
| 9 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · inpatient | 1 | $2.7k | $3.4k | $1.5k | 44% | — | $2.0k – $5.5k |
| 10 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient | 1 | $2.7k | $3.4k | $1.5k | 44% | — | $2.0k – $5.5k |
| 11 | Barnes Jewish Hospital St. Louis, MO other · both | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 12 | Barnes Jewish Hospital St. Louis, MO percent of total billed charges · bothfrom % of charges | 1 | $41 | $73 | $48 | 66% | — | $37 – $141 |
| 13 | Boston Medical Center Boston, MA other · both | 1 | $145 | $145 | — | — | — | $145 – $145 |
| 14 | Boston Medical Center South Brockton, MA other · both | 1 | $149 | $149 | — | — | — | $149 – $149 |
| 15 | Boulder Community Health Lafayette, CO facility · case rate · outpatient | 1 | $135 | $135 | — | — | — | $135 – $135 |
| 16 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $135 | $135 | — | — | — | $135 – $135 |
| 17 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 18 | Brunswick Community Hospital, LLC Bolivia, NC fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 19 | Bryn Mawr Rehabilitation Hospital Malvern, PA facility · fee schedule · outpatient | 1 | $124 | $124 | — | — | — | $124 – $124 |
| 20 | Buchanan County Health Center Independence, IA facility · per diem · inpatient | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 21 | Buchanan County Health Center Independence, IA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 22 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 23 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 24 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 25 | CATHOLIC HEALTH INITIATIVES COLORADO West Valley City, UT fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
← Payers reporting HCPCS Q4103 · Snapshot 20261111T120946Z-9134e7f7