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
XWRAP 4X6 2714X-3529
Henderson, NV
See all hospitals reporting HCPCS Q4204 →Price type
Dignity Health’s median price of $6.6k is 1636% above the median hospital's median price ($381), higher than 94% of the 930 hospitals reporting HCPCS Q4204. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 15 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 commercial|all other plans fee schedule · outpatient | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 2 | Cigna commercial|ppo fee schedule · outpatient | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 3 | UnitedHealthcare commercial|dh employees fee schedule · inpatient | $5.0k | $5.0k | $655 | 13% | — | $4.4k – $5.7k |
| 4 | UnitedHealthcare commercial|dh employees fee schedule · outpatient | $5.0k | $5.0k | $655 | 13% | — | $4.4k – $5.7k |
| 5 | Aetna commercial|hmo fee schedule · inpatient | $5.5k | $5.5k | $721 | 13% | — | $4.8k – $6.2k |
| 6 | Aetna commercial|all other plans fee schedule · inpatient | $5.7k | $5.7k | $742 | 13% | — | $4.9k – $6.4k |
| 7 | Aetna commercial|ppo fee schedule · inpatient | $5.7k | $5.7k | $742 | 13% | — | $4.9k – $6.4k |
| 8 | Anthem commercial|hmo fee schedule · inpatient | $5.9k | $5.9k | $764 | 13% | — | $5.1k – $6.6k |
| 9 | Anthem commercial|ppo fee schedule · inpatient | $7.5k | $7.5k | $983 | 13% | — | $6.5k – $8.5k |
| 10 | Cigna commercial|all other plans fee schedule · inpatient | $10.4k | $10.4k | $1.4k | 13% | — | $9.0k – $11.7k |
| 11 | Cigna commercial|ppo fee schedule · inpatient | $10.4k | $10.4k | $1.4k | 13% | — | $9.0k – $11.7k |
| 12 | MultiPlan commercial|all plans fee schedule · inpatient | $11.5k | $11.5k | $1.5k | 13% | — | $10.0k – $13.0k |
| 13 | MultiPlan commercial|all plans fee schedule · outpatient | $11.5k | $11.5k | $1.5k | 13% | — | $10.0k – $13.0k |
| 14 | UnitedHealthcare commercial|options fee schedule · inpatient | $12.0k | $12.0k | $1.6k | 13% | — | $10.5k – $13.6k |
| 15 | UnitedHealthcare commercial|options fee schedule · outpatient | $12.0k | $12.0k | $1.6k | 13% | — | $10.5k – $13.6k |
Last updated: Feb 28, 2026
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