Integra dermal matrix skin substitute at Christian Hospital

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 Dsg 52021 5cm X 5cm Mtrx Wound Acl per Sq Cm

St. Louis, MO

See all hospitals reporting HCPCS Q4108 →

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How this price compares nationally

Christian Hospital’s median price of $125 is 5% below the median hospital's median price ($132), higher than 42% of the 1,390 hospitals reporting HCPCS Q4108. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4108 at Christian Hospital

Negotiated rates from the hospital’s own file: 11 payers, 30 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	Cigna bjc hb cigna local plus community fee schedule · both	$64	$64	—	—	—	$64 – $64
2	Cigna bjc hb cigna hmo/ppo community fee schedule · both	$72	$72	—	—	—	$72 – $72
3	Cigna bjc hb cigna special community fee schedule · both	$72	$72	—	—	—	$72 – $72
4	Aetna bjc hb aetna commercial community fee schedule · both	$99	$99	—	—	—	$99 – $99
5	Humana bjc hb humana choicecare community percent of total billed charges · bothfrom % of charges	$112	$112	$52	46%	—	$60 – $165
6	Blue Cross Blue Shield bjc hb wash u student health percent of total billed charges · bothfrom % of charges	$115	$115	$54	46%	—	$62 – $169
7	Aetna bjc hb medicare advantra ch other · both	$125	$125	—	—	—	$125 – $125
8	Aetna bjc hb medicare gold advantage ch other · both	$125	$125	—	—	—	$125 – $125
9	Blue Cross Blue Shield bjc hb medicare anthem advantage ch other · both	$125	$125	—	—	—	$125 – $125
10	Humana bjc hb medicare humana ch other · both	$125	$125	—	—	—	$125 – $125
11	UnitedHealthcare bjc hb medicare uhc ch other · both	$125	$125	—	—	—	$125 – $125
12	Devoted bjc hb medicare devoted ch other · both	$131	$131	—	—	—	$131 – $131
13	Medica bjc hb medicare wellfirst ch other · both	$131	$131	—	—	—	$131 – $131
14	Blue Cross Blue Shield bjc hb anthem choice community percent of total billed charges · bothfrom % of charges	$137	$137	$64	46%	—	$73 – $200
15	Blue Cross Blue Shield bjc hb anthem access community percent of total billed charges · bothfrom % of charges	$139	$139	$64	46%	—	$74 – $203
16	Aetna bjc hb aetna national percent of total billed charges · bothfrom % of charges	$156	$156	$72	46%	—	$84 – $228
17	Aetna bjc hb first health percent of total billed charges · bothfrom % of charges	$156	$156	$72	46%	—	$84 – $228
18	First Health bjc hb first health percent of total billed charges · bothfrom % of charges	$156	$156	$72	46%	—	$84 – $228
19	UnitedHealthcare bjc hb first health percent of total billed charges · bothfrom % of charges	$156	$156	$72	46%	—	$84 – $228
20	Aetna bjc hb group health plan ppo select percent of total billed charges · bothfrom % of charges	$157	$157	$73	46%	—	$84 – $230
21	Beechstreet bjc hb multiplan percent of total billed charges · bothfrom % of charges	$157	$157	$73	46%	—	$84 – $230
22	MultiPlan bjc hb multiplan percent of total billed charges · bothfrom % of charges	$157	$157	$73	46%	—	$84 – $230
23	Phcs bjc hb phcs community percent of total billed charges · bothfrom % of charges	$157	$157	$73	46%	—	$84 – $230
24	Cigna bjc hb cigna behavioral health percent of total billed charges · bothfrom % of charges	$168	$168	$78	46%	—	$90 – $246
25	Medica bjc hb wellfirst first health community percent of total billed charges · bothfrom % of charges	$168	$168	$78	46%	—	$90 – $246

Page 1 of 2 · 30 rates

Last updated: Dec 15, 2025

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