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
Oasis tri-layer wound matrix
Quincy, IL
See all hospitals reporting HCPCS Q4124 →Price type
Blessing Hospital’s median price of $13 is 88% below the median hospital's median price ($108), higher than 16% of the 1,428 hospitals reporting HCPCS Q4124. 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, 6 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 commercial professional · fee schedule · both | $10 | $10 | — | — | — | $10 – $10 |
| 2 | Bcbs Il commercial professional · fee schedule · both | $12 | $12 | — | — | — | $12 – $12 |
| 3 | UnitedHealthcare commercial professional · fee schedule · both | $13 | $13 | — | — | — | $13 – $13 |
| 4 | Aetna commercial professional · case rate · both | $116 | $116 | — | — | — | $116 – $116 |
| 5 | UnitedHealthcare medicare advantage professional · case rate · both | $116 | $116 | — | — | — | $116 – $116 |
| 6 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $133 | $133 | — | — | — | $133 – $133 |
Last updated: Jun 8, 2026
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.