Oasis ultra tri-layer wound matrix, per square centimeter 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 TRI MESH 7X10/70SQCM

Arlington, TX

See all hospitals reporting HCPCS Q4124 →

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Pricing by billing methodology

Price type

How this price compares nationally

AMH Cath Labs LLC’s median price of $65 is 40% below the median hospital's median price ($108), higher than 46% of the 1,422 hospitals reporting HCPCS Q4124. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4124 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	$19	$17	91%	—	$7 – $43
2	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$7	$19	$17	91%	—	$7 – $43
3	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$7	$20	$18	91%	—	$7 – $45
4	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$7	$20	$18	91%	—	$7 – $46
5	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$7	$21	$19	91%	—	$7 – $47
6	Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges	$22	$61	$56	91%	—	$21 – $140
7	Aetna whole health percent of total billed charges · inpatientfrom % of charges	$26	$73	$66	91%	—	$25 – $167
8	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$31	$86	$79	91%	—	$30 – $198
9	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$35	$97	$89	91%	—	$34 – $222
10	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$35	$97	$89	91%	—	$34 – $223
11	Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges	$39	$108	$99	91%	—	$38 – $248
12	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$39	$109	$99	91%	—	$38 – $249
13	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$41	$115	$105	91%	—	$40 – $264
14	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$41	$115	$105	91%	—	$40 – $264
15	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$42	$116	$106	91%	—	$40 – $266
16	Blue Cross Blue Shield medicare advantage case rate · outpatient	$125	$125	—	—	—	$125 – $125
17	Humana medicare advantage case rate · outpatient	$130	$130	—	—	—	$130 – $130
18	Humana medicare advantage ppo case rate · outpatient	$130	$130	—	—	—	$130 – $130
19	Molina medicare advantage case rate · outpatient	$131	$131	—	—	—	$131 – $131
20	WellCare medicare advantage hmo case rate · outpatient	$131	$131	—	—	—	$131 – $131
21	WellCare medicare advantage mmp case rate · outpatient	$138	$138	—	—	—	$138 – $138
22	UnitedHealthcare medicare advantage ppo case rate · outpatient	$139	$139	—	—	—	$139 – $139
23	UnitedHealthcare medicare advantage hmo case rate · outpatient	$142	$142	—	—	—	$142 – $142
24	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$53	$146	$134	91%	—	$51 – $335
25	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$53	$146	$134	91%	—	$51 – $336

Page 1 of 2 · 33 rates

Last updated: Apr 21, 2026

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