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
Xwrap 1 sq cm
Chicago, IL
See all hospitals reporting HCPCS Q4204 →Price type
Advocate Trinity Hospital’s median price of $6.0k is 1467% above the median hospital's median price ($381), higher than 93% of the 930 hospitals reporting HCPCS Q4204. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 2 payers, 3 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Cigna commercial fee schedule · outpatient | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 2 | UnitedHealthcare commercial fee schedule · outpatient | $5.6k | $7.6k | $2.8k | 37% | — | $5.6k – $11.6k |
| 3 | UnitedHealthcare hmo fee schedule · outpatient | $11.6k | $11.6k | — | — | — | $11.6k – $11.6k |
Last updated: Nov 4, 2025
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