Hmatrix wound dressing, per square centimeter

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC (SUP SHELL Q4134) HMATRIX

Payers reporting HCPCS Q4134

Payer pricing summary

Low

Average

$502

Median

$168

High

$4.5k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +14 other terms	309	$210	$1.0k	$3.4k	332%	—	$1 – $29.9k
2	Cigna fee schedule · outpatient · +15 other terms	229	$300	$867	$2.9k	335%	—	$119 – $33.0k
3	Aetna fee schedule · outpatient · +16 other terms	191	$133	$301	$630	210%	—	$69 – $8.7k
4	Blue Cross Blue Shield fee schedule · outpatient · +15 other terms	102	$138	$377	$666	177%	—	$0 – $5.2k
5	Humana fee schedule · outpatient · +10 other terms	99	$127	$177	$156	88%	—	$1 – $979
6	Molina fee schedule · outpatient · +13 other terms	54	$191	$343	$483	141%	—	$1 – $3.4k
7	WellCare fee schedule · outpatient · +5 other terms	45	$136	$138	$14	10%	—	$115 – $171
8	Anthem fee schedule · outpatient · +10 other terms	39	$515	$5.4k	$9.8k	181%	—	$48 – $42.4k
9	Kaiser fee schedule · outpatient · +7 other terms	39	$258	$1.2k	$2.1k	177%	—	$125 – $12.3k
10	Ambetter fee schedule · outpatient · +5 other terms	33	$234	$246	$45	18%	—	$162 – $351
11	Optum fee schedule · outpatient · +3 other terms	33	$125	$530	$1.7k	314%	—	$113 – $10.5k
12	Devoted fee schedule · outpatient · +3 other terms	32	$125	$124	$7	6%	—	$116 – $136
13	Caresource fee schedule · outpatient · +6 other terms	25	$100	$93	$66	71%	—	$1 – $213
14	Oscar facility · fee schedule · outpatient · +4 other terms	19	$182	$196	$25	13%	—	$175 – $234
15	Medical Mutual facility · fee schedule · outpatient · +4 other terms	18	$289	$335	$184	55%	—	$64 – $692
16	Medicare fee schedule · outpatient · +1 other terms	18	$125	$125	—	—	—	$125 – $125
17	MultiPlan fee schedule · inpatient · +8 other terms	18	$4.9k	$9.0k	$9.9k	110%	—	$552 – $35.7k
18	Tricare fee schedule · outpatient · +3 other terms	16	$121	$120	$6	5%	—	$113 – $127
19	First Health fee schedule · outpatient · +6 other terms	14	$3.8k	$6.9k	$8.6k	124%	—	$253 – $31.2k
20	Medcost facility · percent of total billed charges · bothfrom % of charges · +2 other terms	14	$55	$58	$10	17%	—	$50 – $81
21	Medica fee schedule · outpatient · +5 other terms	10	$329	$332	$83	25%	—	$199 – $425
22	Regence fee schedule · outpatient · +6 other terms	10	$146	$146	$4	3%	—	$140 – $156
23	Clover facility · fee schedule · outpatient · +1 other terms	8	$123	$123	$6	5%	—	$117 – $134
24	Aetna Better Health fee schedule · inpatient · +3 other terms	7	$134	$134	—	—	—	$134 – $134
25	Medicaid fee schedule · both · +2 other terms	7	$300	$300	—	—	—	$300 – $300

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