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
$3
Average
$560
Median
$44
High
$63.3k
Filter by billing methodology
Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 228 hospitals; the 90th percentile is 59.2× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Lodi Memorial Hospital Association Inc Lodi, CA | $117 | $151 | $65 | 43% | 13–22 | $1 – $346 |
| 2 | Grant Memorial Hospital Inc Petersburg, WV | $979 | $979 | — | — | 11 | $21 – $979 |
| 3 | Hca Healthone Belmar Er LAKEWOOD, CO | $120 | $1.3k | $6.8k | 525% | 2–20 | $25 – $40.2k |
| 4 | Hca Healthone Southwest Er LITTLETON, CO | $120 | $1.3k | $6.8k | 525% | 2–20 | $25 – $40.2k |
| 5 | Hca Healthone Swedish Englewood, CO | $120 | $1.3k | $6.8k | 525% | 2–20 | $25 – $40.2k |
| 6 | Hillsdale Hospital Hillsdale, MI | $139 | $140 | $18 | 13% | 1–10 | $13 – $176 |
| 7 | Medical City Plano Plano, TX | $156 | $151 | $90 | 60% | — | $21 – $343 |
| 8 | Medical City Decatur DECATUR, TX | $114 | $155 | $129 | 83% | — | $42 – $455 |
| 9 | Hca Florida Lake Monroe Hospital SANFORD, FL | $15 | $19 | $14 | 74% | — | $3 – $15k |
| 10 | Hca Florida North Florida Hospital NEWBERRY, FL | $1.9k | $63.3k | $155.1k | 245% | — | $0 – $713.5k |
Ask Claude or any MCP client for HCPCS Q4103 pricing at a specific hospital — see how to connect.