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, WOUND OASIS 3X3.5
Low
$2
Average
$368
Median
$216
High
$2.4k
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
133 hospitals; the 90th percentile is 16.0× 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.
Filter by billing methodology
Filter by billing class
147 hospital rates
iThe hospitals that file a Ambetter 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 | Bartow Regional Medical Center Bartow, FL facility · percent of total billed charges · inpatientfrom % of charges | 2 | $2.4k | $2.4k | $1.0k | 42% | — | $1.4k – $3.4k |
| 2 | Bartow Regional Medical Center Bartow, FL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $2.4k | $2.4k | $1.0k | 42% | — | $1.4k – $3.4k |
| 3 | Baxter County Regional Hospital, Inc. Home, AR facility · fee schedule · outpatient | 1 | $169 | $169 | — | — | — | $169 – $169 |
| 4 | Baycare Hospital Wesley Chapel Chapel, FL facility · percent of total billed charges · inpatientfrom % of charges | 2 | $2.4k | $2.4k | $1.0k | 42% | — | $1.4k – $3.4k |
| 5 | Baycare Hospital Wesley Chapel Chapel, FL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $2.4k | $2.4k | $1.0k | 42% | — | $1.4k – $3.4k |
| 6 | Bradley Medical Center Cleveland, TN facility · fee schedule · outpatient | 1 | $194 | $194 | — | — | — | $194 – $194 |
| 7 | Brunswick Community Hospital, LLC Bolivia, NC fee schedule · outpatient | 1 | $300 | $300 | — | — | — | $300 – $300 |
| 8 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $55 | $55 | $2 | 3% | — | $53 – $56 |
| 9 | Coffee Regional Medical Center, Inc Douglas, GA facility · fee schedule · outpatient | 1 | $164 | $164 | — | — | — | $164 – $164 |
| 10 | Coffee Regional Medical Center, Inc Douglas, GA professional · fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 11 | Columbus Regional Healthcare System, Inc Whiteville, NC percent of total billed charges · inpatientfrom % of charges | 1 | $431 | $431 | — | — | — | $431 – $431 |
| 12 | Columbus Regional Healthcare System, Inc Whiteville, NC percent of total billed charges · outpatientfrom % of charges | 1 | $370 | $370 | — | — | — | $370 – $370 |
| 13 | Geisinger Bloomsburg Hospital Bloomsburg, PA fee schedule · outpatient | 1 | $291 | $291 | — | — | — | $291 – $291 |
| 14 | Geisinger Community Medical Center Scranton, PA fee schedule · outpatient | 1 | $406 | $406 | — | — | — | $406 – $406 |
| 15 | Geisinger Lewistown Hospital Lewistown, PA fee schedule · outpatient | 1 | $300 | $300 | — | — | — | $300 – $300 |
| 16 | Geisinger Medical Center Muncy, PA fee schedule · outpatient | 1 | $405 | $405 | — | — | — | $405 – $405 |
| 17 | Geisinger Wyoming Valley Wilkes-Barre, PA fee schedule · outpatient | 1 | $406 | $406 | — | — | — | $406 – $406 |
| 18 | Good Samaritan Hospital Puyallup, WA fee schedule · outpatient | 1 | $285 | $285 | — | — | — | $285 – $285 |
| 19 | Grady Memorial Hospital Atlanta, GA facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 20 | Grady Memorial Hospital Atlanta, GA professional · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 21 | HH HEALTH SYSTEM DEKALB REGIONAL Payne, AL fee schedule · both | 1 | $226 | $226 | — | — | — | $226 – $226 |
| 22 | Hardin County General Hospital Savannah, TN facility · fee schedule · outpatient | 1 | $181 | $181 | — | — | — | $181 – $181 |
| 23 | Hendrick Medical Center Brownwood, TX facility · case rate · outpatient | 1 | $284 | $284 | — | — | — | $284 – $284 |
| 24 | HonorHealth Florence Medical Center Florence, AZ facility · fee schedule · outpatient | 1 | $189 | $189 | — | — | — | $189 – $189 |
| 25 | Honorhealth Deer Valley Medical Center Phoenix, AZ facility · fee schedule · outpatient | 1 | $189 | $189 | — | — | — | $189 – $189 |
← Payers reporting HCPCS Q4124 · Snapshot 20261111T120946Z-9134e7f7