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
HC OASIS ULTRA TRI-LAYER 3X3.5SQCM LOW COST
Milwaukee, WI
See all hospitals reporting HCPCS Q4124 →Price type
Ascension SE Wisconsin Hospital, Inc.’s median price of $17 is 84% below the median hospital's median price ($108), higher than 25% of the 1,408 hospitals reporting HCPCS Q4124. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Last updated: Jan 1, 2026
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