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
$147
Average
$383
Median
$182
High
$3.8k
Each hospital's average Oscar rate, under the methodology and billing class chosen below.
35 hospitals; the 90th percentile is 5.7× 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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40 hospital rates
iThe hospitals that file a Oscar 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 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $182 | $182 | — | — | — | $182 – $182 |
| 2 | Grady Memorial Hospital Atlanta, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.3k | $3.8k | $2.0k | 53% | — | $1.9k – $7.3k |
| 3 | HonorHealth Florence Medical Center Florence, AZ facility · fee schedule · outpatient | 1 | $150 | $150 | $25 | 17% | — | $125 – $175 |
| 4 | Honorhealth Deer Valley Medical Center Phoenix, AZ facility · fee schedule · outpatient | 1 | $150 | $150 | $25 | 17% | — | $125 – $175 |
| 5 | Honorhealth Four Peaks Medical Center Mesa, AZ facility · fee schedule · outpatient | 1 | $150 | $150 | $25 | 17% | — | $125 – $175 |
| 6 | Honorhealth John C. Lincoln Medical Center Phoenix, AZ facility · fee schedule · outpatient | 1 | $150 | $150 | $25 | 17% | — | $125 – $175 |
| 7 | Honorhealth Scottsdale Osborn Medical Center Scottsdale, AZ facility · fee schedule · outpatient | 1 | $150 | $150 | $25 | 17% | — | $125 – $175 |
| 8 | Honorhealth Scottsdale Shea Medical Center Scottsdale, AZ facility · fee schedule · outpatient | 1 | $150 | $150 | $25 | 17% | — | $125 – $175 |
| 9 | Honorhealth Scottsdale Thompson Peak Med Center Scottsdale, AZ facility · fee schedule · outpatient | 1 | $150 | $150 | $25 | 17% | — | $125 – $175 |
| 10 | Honorhealth Sonoran Crossing Medical Center Phoenix, AZ facility · fee schedule · outpatient | 1 | $150 | $150 | $25 | 17% | — | $125 – $175 |
| 11 | Ingalls Memorial Hospital Harvey, IL fee schedule · outpatient | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 12 | McCullough-Hyde Memorial Hospital, Inc. Oxford, OH facility · fee schedule · outpatient | 1 | $182 | $182 | — | — | — | $182 – $182 |
| 13 | Montefiore Medical Center Bronx, NY fee schedule · outpatient | 1 | $155 | $155 | — | — | — | $155 – $155 |
| 14 | Northside Hospital, Inc. Lawrenceville, GA percent of total billed charges · inpatientfrom % of charges | 1 | $854 | $854 | — | — | — | $854 – $854 |
| 15 | Northside Hospital, Inc. Lawrenceville, GA percent of total billed charges · outpatientfrom % of charges | 1 | $854 | $854 | — | — | — | $854 – $854 |
| 16 | Northside Hospital, Inc. Atlanta, GA percent of total billed charges · inpatientfrom % of charges | 1 | $854 | $854 | — | — | — | $854 – $854 |
| 17 | Northside Hospital, Inc. Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $854 | $854 | — | — | — | $854 – $854 |
| 18 | Northside Hospital, Inc. Cumming, GA percent of total billed charges · inpatientfrom % of charges | 1 | $854 | $854 | — | — | — | $854 – $854 |
| 19 | Northside Hospital, Inc. Cumming, GA percent of total billed charges · outpatientfrom % of charges | 1 | $854 | $854 | — | — | — | $854 – $854 |
| 20 | Northside Hospital, Inc. Duluth, GA percent of total billed charges · inpatientfrom % of charges | 1 | $854 | $854 | — | — | — | $854 – $854 |
| 21 | Northside Hospital, Inc. Duluth, GA percent of total billed charges · outpatientfrom % of charges | 1 | $854 | $854 | — | — | — | $854 – $854 |
| 22 | Northside Hospital, Inc. Canton, GA percent of total billed charges · inpatientfrom % of charges | 1 | $854 | $854 | — | — | — | $854 – $854 |
| 23 | Northside Hospital, Inc. Canton, GA percent of total billed charges · outpatientfrom % of charges | 1 | $854 | $854 | — | — | — | $854 – $854 |
| 24 | OHI West, Inc. Pinellas Park, FL fee schedule · outpatient | 1 | $270 | $270 | — | — | — | $270 – $270 |
| 25 | SSM Health Care of Oklahoma, Inc Midwest City, OK fee schedule · outpatient | 1 | $157 | $157 | — | — | — | $157 – $157 |
← Payers reporting HCPCS Q4138 · Snapshot 20261111T120946Z-9134e7f7