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
$8
Average
$428
Median
$134
High
$2.7k
Each hospital's average Amerihealth Caritas rate, under the methodology and billing class chosen below.
57 hospitals; the 90th percentile is 59.1× 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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58 hospital rates
iThe hospitals that file a Amerihealth Caritas 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 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $391 | $391 | — | — | — | $391 – $391 |
| 2 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $124 | $124 | — | — | — | $124 – $124 |
| 3 | BRFHH MONROE, LLC Monroe, LA other · outpatient | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 4 | Bay Park Community Hospital Oregon, OH facility · other · outpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 5 | Cheshire Medical Center Keene, NH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $84 | $84 | $28 | 33% | — | $57 – $112 |
| 6 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $50 | $50 | $2 | 3% | — | $48 – $51 |
| 7 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA other · outpatient | 1 | $170 | $170 | — | — | — | $170 – $170 |
| 8 | HOSPITAL SERVICE DISTRICT NO. 1 OF THE PARISH OF ST. CHARLES, STATE OF LOUISIANA LULING, LA other · outpatient | 1 | $416 | $416 | — | — | — | $416 – $416 |
| 9 | HOSPITAL SERVICE DISTRICT OF THE PARISH OF ST. BERNARD, STATE OF LOUISIANA Chalmette, LA other · outpatient | 1 | $262 | $262 | — | — | — | $262 – $262 |
| 10 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $38 | $38 | $1 | 3% | — | $37 – $39 |
| 11 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $28 | $28 | $1 | 3% | — | $27 – $29 |
| 12 | Independence Health System Frick Hospital Mt Plesant, PA fee schedule · both | 1 | $127 | $127 | — | — | — | $127 – $127 |
| 13 | Independence Health System Westmoreland Regional Hospital Greeensburg, PA fee schedule · both | 1 | $127 | $127 | — | — | — | $127 – $127 |
| 14 | KAPLAN GENERAL HOSPITAL, INC ST, LA other · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 15 | LAFAYETTE GENERAL MEDICAL CENTER INC Lafayette, LA other · outpatient | 1 | $366 | $366 | — | — | — | $366 – $366 |
| 16 | Mary Hitchcock Memorial Hospital Lebanon, NH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $85 | $85 | $28 | 33% | — | $57 – $113 |
| 17 | MedStar Franklin Square Medical Center Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $2.2k | $2.1k | $1.0k | 50% | — | $960 – $3.7k |
| 18 | MedStar Good Samaritan Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $2.7k | $2.5k | $1.2k | 49% | — | $1.2k – $4.5k |
| 19 | MedStar Harbor Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $1.9k | $1.8k | $949 | 53% | — | $788 – $3.4k |
| 20 | MedStar Montgomery Medical Center Olney, MD percent of total billed charges · outpatientfrom % of charges | 1 | $2.1k | $1.9k | $1.0k | 54% | — | $842 – $3.7k |
| 21 | MedStar Southern Hospital Center Clinton, MD percent of total billed charges · outpatientfrom % of charges | 1 | $2.8k | $2.6k | $1.5k | 56% | — | $1.1k – $5.2k |
| 22 | MedStar St. Mary's Hospital Leonardtown, MD percent of total billed charges · outpatientfrom % of charges | 1 | $2.9k | $2.7k | $1.5k | 57% | — | $1.1k – $5.3k |
| 23 | MedStar Union Memorial Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $1.7k | $1.5k | $762 | 49% | — | $736 – $2.8k |
| 24 | Mount Carmel Dublin Dublin, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $50 | $50 | $2 | 3% | — | $48 – $51 |
| 25 | Mount Carmel East Reynoldsburg, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $50 | $50 | $2 | 3% | — | $48 – $51 |
← Payers reporting HCPCS Q4124 · Snapshot 20261111T120946Z-9134e7f7