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
MATRIX OASIS BURN PER SQCM
Low
$96
Average
$1.4k
Median
$557
High
$5.4k
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Reflects a negotiated per diem rate paid per day of care.
Showing only prices reported under the per diem methodology. Choose another in the filter above to change the chart. 10 hospitals; the 90th percentile is 29.6× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Manatee Memorial Hospital Bradenton, FL | $673 | $602 | $88 | 15% | — | $474 – $673 |
| 2 | Lakewood Ranch Lakewood Ranch, FL | $1.0k | $982 | $188 | 19% | — | $735 – $1.2k |
| 3 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL | $763 | $744 | $98 | 13% | — | $29 – $776 |
| 4 | Nazareth Hospital Philadelphia, PA | $474 | $474 | — | — | — | $14 – $474 |
| 5 | Arthur G James Cancer Hospital And Research Institute Columbus, OH | $5.4k | $5.4k | $434 | 8% | — | $4.3k – $5.8k |
| 6 | Prisma Health Blount Memorial Hospital MARYVILLE, TN | $159 | $159 | — | — | — | $2 – $159 |
| 7 | Boston Medical Center Boston, MA | $513 | $513 | — | — | — | $9 – $513 |
| 8 | Boston Medical Center South Brockton, MA | $395 | $395 | — | — | — | $12 – $395 |
| 9 | Buchanan County Health Center Independence, IA | $96 | $96 | — | — | — | $47 – $96 |
| 10 | Astera Health Wadena, MN | $5.1k | $4.4k | $1.2k | 26% | — | $7 – $5.4k |
Ask Claude or any MCP client for HCPCS Q4103 pricing at a specific hospital — see how to connect.