PuraPly wound covering, 1 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 PURAPLYAM 6X9/54SQCM

Arlington, TX

See all hospitals reporting HCPCS Q4196 →

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Pricing by billing methodology

Price type

How this price compares nationally

AMH Cath Labs LLC’s median price of $269 is 28% above the median hospital's median price ($210), higher than 61% of the 1,827 hospitals reporting HCPCS Q4196. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4196 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	$48	$116	$128	111%	—	$35 – $413
2	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$48	$116	$128	111%	—	$35 – $413
3	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$50	$122	$135	111%	—	$36 – $434
4	Blue Cross Blue Shield medicare advantage case rate · outpatient	$125	$125	—	—	—	$125 – $125
5	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$52	$125	$139	111%	—	$37 – $446
6	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$53	$128	$141	111%	—	$38 – $454
7	Humana medicare advantage case rate · outpatient	$130	$130	—	—	—	$130 – $130
8	Humana medicare advantage ppo case rate · outpatient	$130	$130	—	—	—	$130 – $130
9	Molina medicare advantage case rate · outpatient	$131	$131	—	—	—	$131 – $131
10	WellCare medicare advantage hmo case rate · outpatient	$131	$131	—	—	—	$131 – $131
11	WellCare medicare advantage mmp case rate · outpatient	$138	$138	—	—	—	$138 – $138
12	UnitedHealthcare medicare advantage ppo case rate · outpatient	$139	$139	—	—	—	$139 – $139
13	UnitedHealthcare medicare advantage hmo case rate · outpatient	$142	$142	—	—	—	$142 – $142
14	Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges	$156	$379	$418	111%	—	$113 – $1.3k
15	Aetna whole health percent of total billed charges · inpatientfrom % of charges	$186	$451	$499	111%	—	$135 – $1.6k
16	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$221	$536	$592	111%	—	$160 – $1.9k
17	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$248	$602	$665	111%	—	$180 – $2.1k
18	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$249	$603	$667	111%	—	$180 – $2.1k
19	Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges	$277	$671	$742	111%	—	$200 – $2.4k
20	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$278	$675	$746	111%	—	$201 – $2.4k
21	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$295	$715	$790	111%	—	$213 – $2.5k
22	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$295	$715	$791	111%	—	$213 – $2.5k
23	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$297	$722	$798	111%	—	$215 – $2.6k
24	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$374	$907	$1.0k	111%	—	$271 – $3.2k
25	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$375	$910	$1.0k	111%	—	$271 – $3.2k

Page 1 of 2 · 33 rates

Last updated: Apr 21, 2026

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