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
HC (SUP SHELL Q4138) BIODFENCE DRYFLEX, 1CM
Low
$1
Average
$7.3k
Median
$5.3k
High
$17.4k
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
46 hospitals; the 90th percentile is 10.9× 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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54 hospital rates
iThe hospitals that file a MultiPlan 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 | DIGNITY HEALTH Phoenix, AZ fee schedule · inpatient | 1 | $5.2k | $6.1k | $2.6k | 44% | — | $3.5k – $10.4k |
| 2 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 1 | $5.2k | $6.1k | $2.6k | 44% | — | $3.5k – $10.4k |
| 3 | Grady Memorial Hospital Atlanta, GA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $4.0k | $4.4k | $2.3k | 53% | — | $2.2k – $8.7k |
| 4 | Grady Memorial Hospital Atlanta, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4.0k | $4.4k | $2.3k | 53% | — | $2.2k – $8.7k |
| 5 | Granbury Hospital Corporation Granbury, TX facility · percent of total billed charges · inpatientfrom % of charges | 1 | $579 | $579 | — | — | — | $579 – $579 |
| 6 | Granbury Hospital Corporation Granbury, TX facility · percent of total billed charges · outpatientfrom % of charges | 2 | $536 | $536 | $43 | 8% | — | $494 – $579 |
| 7 | HCA FLORIDA KENDALL HOSPITAL MIAMI, FL percent of total billed charges · outpatientfrom % of charges | 2 | $14.0k | $14.4k | $6.6k | 46% | — | $7.3k – $22.3k |
| 8 | HCA FLORIDA NORTH FLORIDA HOSPITAL GAINESVILLE, FL percent of total billed charges · outpatientfrom % of charges | 2 | $1 | $1 | $0 | 5% | — | $1 – $1 |
| 9 | Indiana University Health Arnett Inc. Lafayette, IN percent of total billed charges · outpatientfrom % of charges | 2 | $1.7k | $1.7k | $49 | 3% | — | $1.7k – $1.7k |
| 10 | Indiana University Health Ball Memorial Hospital Inc. Muncie, IN percent of total billed charges · outpatientfrom % of charges | 2 | $1.7k | $1.7k | $49 | 3% | — | $1.7k – $1.7k |
| 11 | Indiana University Health Bedford Inc. Bedford, IN percent of total billed charges · outpatientfrom % of charges | 2 | $1.7k | $1.7k | $49 | 3% | — | $1.7k – $1.7k |
| 12 | Indiana University Health Bloomington Inc. Bloomington, IN percent of total billed charges · outpatientfrom % of charges | 2 | $1.7k | $1.7k | $49 | 3% | — | $1.7k – $1.7k |
| 13 | Indiana University Health Frankfort Inc. Frankfort, IN percent of total billed charges · outpatientfrom % of charges | 2 | $1.7k | $1.7k | $49 | 3% | — | $1.7k – $1.7k |
| 14 | Indiana University Health Inc. Martinsville, IN percent of total billed charges · outpatientfrom % of charges | 2 | $1.7k | $1.7k | $49 | 3% | — | $1.7k – $1.7k |
| 15 | Indiana University Health Jay Inc. Portland, IN percent of total billed charges · outpatientfrom % of charges | 2 | $1.7k | $1.7k | $49 | 3% | — | $1.7k – $1.7k |
| 16 | Indiana University Health North Hospital Inc. Carmel, IN percent of total billed charges · outpatientfrom % of charges | 2 | $1.7k | $1.7k | $49 | 3% | — | $1.7k – $1.7k |
| 17 | Indiana University Health Paoli Inc. Paoli, IN percent of total billed charges · outpatientfrom % of charges | 2 | $1.7k | $1.7k | $49 | 3% | — | $1.7k – $1.7k |
| 18 | Indiana University Health Tipton Hospital Inc. Tipton, IN percent of total billed charges · outpatientfrom % of charges | 2 | $1.7k | $1.7k | $49 | 3% | — | $1.7k – $1.7k |
| 19 | Indiana University Health West Hospital Inc. Avon, IN percent of total billed charges · outpatientfrom % of charges | 2 | $1.7k | $1.7k | $49 | 3% | — | $1.7k – $1.7k |
| 20 | Indiana University Health White Memorial Hospital Inc. Monticello, IN percent of total billed charges · outpatientfrom % of charges | 2 | $1.7k | $1.7k | $49 | 3% | — | $1.7k – $1.7k |
| 21 | Northside Hospital, Inc. Lawrenceville, GA percent of total billed charges · inpatientfrom % of charges | 2 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 22 | Northside Hospital, Inc. Lawrenceville, GA percent of total billed charges · outpatientfrom % of charges | 2 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 23 | Northside Hospital, Inc. Atlanta, GA percent of total billed charges · inpatientfrom % of charges | 2 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 24 | Northside Hospital, Inc. Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 2 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 25 | Northside Hospital, Inc. Cumming, GA percent of total billed charges · inpatientfrom % of charges | 2 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
← Payers reporting HCPCS Q4138 · Snapshot 20261111T120946Z-9134e7f7