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
Oasis tri-layer wound matrix
Oakland, CA
See all hospitals reporting HCPCS Q4124 →Price type
Alta Bates Summit Medical Center’s median price of $38 is 65% below the median hospital's median price ($108), higher than 38% of the 1,428 hospitals reporting HCPCS Q4124. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 4 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 | Blue Cross Blue Shield hmo/ppo facility · fee schedule · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 2 | Blue Cross Blue Shield individual facility · fee schedule · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 3 | UnitedHealthcare hmo / ppo facility · fee schedule · outpatient | $55 | $55 | — | — | — | $55 – $55 |
| 4 | Anthem medicare adv_ hmo / ppo facility · fee schedule · outpatient | $177 | $177 | — | — | — | $177 – $177 |
Last updated: Apr 1, 2026
See Oasis ultra tri-layer wound matrix, per square centimeter pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.