Oasis ultra tri-layer wound matrix, per square centimeter at Baylor Scott & White Medical Center - Buda

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

HC OASIS MATRIX,ULTRA TRI-LAYER WOUND DRESSING PER SQ CM

Buda, TX

See all hospitals reporting HCPCS Q4124 →

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Pricing by billing methodology

Price type

How this price compares nationally

Baylor Scott & White Medical Center - Buda’s median price of $61 is 43% below the median hospital's median price ($108), higher than 45% of the 1,428 hospitals reporting HCPCS Q4124. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4124 at Baylor Scott & White Medical Center - Buda

Negotiated rates from the hospital’s own file: 8 payers, 27 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	Superior Healthplan medicaid facility · percent of total billed charges · outpatientfrom % of charges	$11	$11	—	—	—	$11 – $11
2	UnitedHealthcare medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges	$12	$12	—	—	—	$12 – $12
3	Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · percent of total billed charges · inpatientfrom % of charges	$43	$43	—	—	—	$43 – $43
4	Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · percent of total billed charges · outpatientfrom % of charges	$43	$43	—	—	—	$43 – $43
5	Blue Cross Blue Shield blue advantage facility · percent of total billed charges · outpatientfrom % of charges	$43	$43	—	—	—	$43 – $43
6	Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · percent of total billed charges · outpatientfrom % of charges	$43	$43	—	—	—	$43 – $43
7	Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges	$44	$44	—	—	—	$44 – $44
8	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$47	$47	—	—	—	$47 – $47
9	Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · percent of total billed charges · inpatientfrom % of charges	$50	$50	—	—	—	$50 – $50
10	Blue Cross Blue Shield blue essentials (hmo) facility · percent of total billed charges · outpatientfrom % of charges	$50	$50	—	—	—	$50 – $50
11	Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · percent of total billed charges · outpatientfrom % of charges	$51	$51	—	—	—	$51 – $51
12	Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges	$51	$51	—	—	—	$51 – $51
13	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$52	$52	—	—	—	$52 – $52
14	Blue Cross Blue Shield bluechoice (ppo) facility · percent of total billed charges · outpatientfrom % of charges	$53	$53	—	—	—	$53 – $53
15	Humana commercial hmo facility · percent of total billed charges · inpatientfrom % of charges	$61	$61	—	—	—	$61 – $61
16	First Health ppo facility · percent of total billed charges · inpatientfrom % of charges	$66	$66	—	—	—	$66 – $66
17	First Health ppo facility · percent of total billed charges · outpatientfrom % of charges	$66	$66	—	—	—	$66 – $66
18	Humana commercial ppo facility · percent of total billed charges · outpatientfrom % of charges	$66	$66	—	—	—	$66 – $66
19	Baylor Scott White Health Plan medicare advantage facility · fee schedule · outpatient	$119	$119	—	—	—	$119 – $119
20	Humana medicare facility · fee schedule · outpatient	$125	$125	—	—	—	$125 – $125
21	Superior Healthplan medicare hmo/medicare ppo facility · fee schedule · outpatient	$125	$125	—	—	—	$125 – $125
22	Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient	$131	$131	—	—	—	$131 – $131
23	UnitedHealthcare medicare advantage facility · fee schedule · outpatient	$140	$140	—	—	—	$140 – $140
24	Baylor Scott White Health Plan bsw premier - small group facility · fee schedule · outpatient	$150	$150	—	—	—	$150 – $150
25	Baylor Scott White Health Plan bsw premier - individual facility · fee schedule · outpatient	$157	$157	—	—	—	$157 – $157

Page 1 of 2 · 27 rates

Last updated: Jun 13, 2026

Compare to other hospitals

See Oasis ultra tri-layer wound matrix, per square centimeter pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.