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
Allowrap ds or dry 1 sq cm
Summit, WI
See all hospitals reporting HCPCS Q4150 →Price type
Aurora Medical Center Summit’s median price of $117 is 32% below the median hospital's median price ($171), higher than 22% of the 1,235 hospitals reporting HCPCS Q4150. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 5 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 | Aetna hmo fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 2 | Healthpartners employee trust fund fee schedule · outpatient | $101 | $101 | — | — | — | $101 – $101 |
| 3 | Healthpartners robin fee schedule · outpatient | $106 | $106 | — | — | — | $106 – $106 |
| 4 | Cigna ppo-gppo fee schedule · outpatient | $130 | $130 | — | — | — | $130 – $130 |
| 5 | Molina commercial fee schedule · outpatient | $212 | $212 | — | — | — | $212 – $212 |
Last updated: Nov 21, 2025
See Allowrap dressing, per square centimeter pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.