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
DRSG WND MESH BOVINE BILAYER 4X10IN MATRIX-Q4104-COST PER SQ CM
Low
$1
Average
$1.8k
Median
$133
High
$41.2k
Each hospital's average Humana rate, under the methodology and billing class chosen below.
728 hospitals; the 90th percentile is 127.5× 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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905 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 | Public Hospital Dist No 1 Skagit dba Cascade Valley Hospital Arlington, WA fee schedule · both | 1 | $292 | $292 | — | — | 6–60 | $292 – $292 |
| 2 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $3.9k | $4.4k | $1.7k | 38% | — | $2.5k – $7.0k |
| 3 | ALBANY GENERAL HOSPITAL Albany, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $402 | $13.5k | $18.6k | 138% | — | $193 – $39.8k |
| 4 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · outpatient | 1 | $5.7k | $5.9k | $2.4k | 40% | — | $2.5k – $9.3k |
| 5 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · outpatient | 1 | $4.0k | $4.2k | $1.7k | 40% | — | $1.8k – $6.5k |
| 6 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · outpatient | 1 | $3.3k | $3.4k | $1.4k | 40% | — | $1.5k – $5.3k |
| 7 | ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER Schuyler, NE fee schedule · outpatient | 1 | $4.8k | $4.9k | $2.0k | 40% | — | $2.1k – $7.8k |
| 8 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $130 | $130 | — | — | — | $130 – $130 |
| 9 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 1 | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 10 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $74 | $1.2k | $4.2k | 345% | — | $26 – $16.9k |
| 11 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 2 | $55 | $911 | $3.2k | 346% | — | $18 – $13.6k |
| 12 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 13 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $119 | $119 | — | — | — | $119 – $119 |
| 14 | Adventhealth Redmond Rome, GA fee schedule · outpatient | 1 | $360 | $360 | — | — | — | $360 – $360 |
| 15 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 16 | Alton Memorial Hospital Alton, IL other · both | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 17 | Alton Memorial Hospital Alton, IL percent of total billed charges · bothfrom % of charges | 1 | $126 | $126 | $61 | 49% | — | $64 – $187 |
| 18 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · both | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 19 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · outpatient | 1 | $135 | $135 | — | — | — | $135 – $135 |
| 20 | Athens Hospital, LLC Athens, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $7.4k | $7.4k | $2.0k | 27% | — | $5.4k – $9.4k |
| 21 | Avita Ontario Hospital Ontario, OH per diem · both | 1 | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 22 | Avita Ontario Hospital Ontario, OH percent of total billed charges · bothfrom % of charges | 2 | $29 | $29 | $12 | 40% | — | $18 – $41 |
| 23 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY other · outpatient | 1 | $1.3k | $1.3k | $673 | 51% | — | $634 – $2.0k |
| 24 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 1 | $114 | $114 | $59 | 51% | — | $55 – $173 |
| 25 | BAPTIST HEALTHCARE SYSTEM INC Albany, IN fee schedule · outpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
← Payers reporting HCPCS Q4104 · Snapshot 20261111T120946Z-9134e7f7