PuraPly wound covering, 1 square centimeter at Brandon HMA LLC

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

18474-0000-08 - Collagen-Antimicrobial Sheet 4 cm2

Brandon, MS

See all hospitals reporting HCPCS Q4196 →

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Pricing by billing methodology

Price type

How this price compares nationally

Brandon HMA LLC’s median price of $300 is 43% above the median hospital's median price ($210), higher than 66% of the 1,827 hospitals reporting HCPCS Q4196. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4196 at Brandon HMA LLC

Negotiated rates from the hospital’s own file: 11 payers, 20 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	Molina molina chip facility · fee schedule · outpatient	$109	$109	—	—	—	$109 – $109
2	Molina molina medicaid ms facility · fee schedule · outpatient	$109	$109	—	—	—	$109 – $109
3	Humana node humana mcr adv facility · fee schedule · outpatient	$118	$118	—	—	—	$118 – $118
4	UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient	$118	$118	—	—	—	$118 – $118
5	Optum node united optum va ccn facility · fee schedule · outpatient	$120	$120	—	—	—	$120 – $120
6	Devoted node devoted health mcr adv facility · fee schedule · outpatient	$121	$121	—	—	—	$121 – $121
7	Molina node molina mcr adv facility · fee schedule · outpatient	$121	$121	—	—	—	$121 – $121
8	Aetna node first choice aetna mcr adv facility · fee schedule · outpatient	$122	$122	—	—	—	$122 – $122
9	WellCare node first choice wellcare mcr adv facility · fee schedule · outpatient	$123	$123	—	—	—	$123 – $123
10	Tricare node tricare facility · fee schedule · outpatient	$127	$127	—	—	—	$127 – $127
11	UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges	$279	$279	—	—	—	$279 – $279
12	Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges	$290	$290	—	—	—	$290 – $290
13	UnitedHealthcare uhc iex facility · percent of total billed charges · outpatientfrom % of charges	$311	$311	—	—	—	$311 – $311
14	UnitedHealthcare uhc options ppo facility · percent of total billed charges · inpatientfrom % of charges	$406	$406	—	—	—	$406 – $406
15	UnitedHealthcare uhc options ppo facility · percent of total billed charges · outpatientfrom % of charges	$406	$406	—	—	—	$406 – $406
16	Aetna aetna pho facility · other · outpatient	$700	$700	—	—	—	$700 – $700
17	Phcs phcs facility · percent of total billed charges · inpatientfrom % of charges	$840	$840	—	—	—	$840 – $840
18	Phcs phcs facility · percent of total billed charges · outpatientfrom % of charges	$840	$840	—	—	—	$840 – $840
19	Cigna cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges	$980	$980	—	—	—	$980 – $980
20	Blue Cross Blue Shield bcbs ms fmp facility · other · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k

Last updated: Apr 1, 2026

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