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  4. /CDM 63600061

CDM 63600061

HC Shell Q4104, Integra Bilayer Matrix Wound Dressing, per Sq Cm at Baylor Scott & White All Saints Medical Center - Fort Worth

Fort Worth, TX

Pricing by billing methodology

Price type

All methodologies

$125

Aggregated across all available billing methodologies for this code.

Case rate

Not reported

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

Fee schedule

$131

Reflects negotiated fee schedule rates with commercial payers.

Per diem

Not reported

Reflects a negotiated per diem rate paid per day of care.

Percent of billed charges

$93

Reflects a negotiated percentage of total billed charges.

Other

Not reported

Reflects a payer-specific billing methodology not covered by the standard categories.

Last updated: Jun 29, 2026

Compare to other hospitals

See HC Shell Q4104, Integra Bilayer Matrix Wound Dressing, per Sq Cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.

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