Oasis wound matrix dressing at AMH Cath Labs LLC

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

MATRIX WND OASIS SGL FEN 3X3.5/10.5SQCM

Arlington, TX

See all hospitals reporting HCPCS Q4102 →

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Pricing by billing methodology

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How this price compares nationally

AMH Cath Labs LLC’s median price of $54 is 12% above the median hospital's median price ($49), higher than 53% of the 1,638 hospitals reporting HCPCS Q4102. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4102 at AMH Cath Labs LLC

Negotiated rates from the hospital’s own file: 9 payers, 33 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 managed medicaid percent of total billed charges · outpatientfrom % of charges	$7	$7	$1	10%	—	$6 – $8
2	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$7	$7	$1	10%	—	$6 – $8
3	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$8	$8	$1	10%	—	$7 – $8
4	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$8	$8	$1	10%	—	$7 – $9
5	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$8	$8	$1	10%	—	$7 – $9
6	Blue Cross Blue Shield hmo fee schedule · outpatient	$24	$24	—	—	—	$24 – $24
7	Blue Cross Blue Shield exchange fee schedule · outpatient	$25	$25	—	—	—	$25 – $25
8	Blue Cross Blue Shield ppo fee schedule · outpatient	$27	$27	—	—	—	$27 – $27
9	Aetna whole health percent of total billed charges · inpatientfrom % of charges	$28	$28	$3	10%	—	$25 – $31
10	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$33	$33	$3	10%	—	$30 – $36
11	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$37	$37	$4	10%	—	$34 – $41
12	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$42	$42	$4	10%	—	$38 – $46
13	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$44	$44	$4	10%	—	$40 – $49
14	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$44	$44	$4	10%	—	$40 – $49
15	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$45	$45	$4	10%	—	$40 – $49
16	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$56	$56	$6	10%	—	$51 – $62
17	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$56	$56	$6	10%	—	$51 – $62
18	Aetna asa percent of total billed charges · outpatientfrom % of charges	$57	$57	$6	10%	—	$51 – $62
19	Aetna coventry percent of total billed charges · outpatientfrom % of charges	$57	$57	$6	10%	—	$51 – $62
20	Phcs ppo percent of total billed charges · inpatientfrom % of charges	$60	$60	$6	10%	—	$54 – $66
21	MultiPlan commercial percent of total billed charges · inpatientfrom % of charges	$70	$70	$7	10%	—	$63 – $77
22	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$70	$70	$7	10%	—	$63 – $77
23	Cigna indemnity percent of total billed charges · inpatientfrom % of charges	$76	$76	$8	10%	—	$68 – $84
24	Cigna indemnity percent of total billed charges · outpatientfrom % of charges	$76	$76	$8	10%	—	$68 – $84
25	Blue Cross Blue Shield traditional fee schedule · outpatient	$109	$109	—	—	—	$109 – $109

Page 1 of 2 · 33 rates

Last updated: Apr 21, 2026

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