Ez-Derm skin substitute, per square centimeter at Dignity Health

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

EZDERM 3X24IN 150X-195

Merced, CA

See all hospitals reporting HCPCS Q4136 →

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Pricing by billing methodology

Price type

How this price compares nationally

Dignity Health’s median price of $324 is 160% above the median hospital's median price ($125), higher than 88% of the 728 hospitals reporting HCPCS Q4136. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4136 at Dignity Health

Negotiated rates from the hospital’s own file: 8 payers, 24 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	Anthem medicaid\|< 21 fee schedule · outpatient	$117	$117	$30	26%	—	$87 – $147
2	Anthem medicaid\|> 21 fee schedule · outpatient	$117	$117	$30	26%	—	$87 – $147
3	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$284	$284	$73	26%	—	$211 – $357
4	Cigna commercial\|all other plans fee schedule · inpatient	$303	$303	$78	26%	—	$225 – $381
5	Cigna commercial\|all other plans fee schedule · outpatient	$303	$303	$78	26%	—	$225 – $381
6	Cigna commercial\|ppo fee schedule · inpatient	$303	$303	$78	26%	—	$225 – $381
7	Cigna commercial\|ppo fee schedule · outpatient	$303	$303	$78	26%	—	$225 – $381
8	Kaiser commercial\|all plans fee schedule · inpatient	$322	$322	$83	26%	—	$239 – $404
9	Kaiser commercial\|all plans fee schedule · outpatient	$322	$322	$83	26%	—	$239 – $404
10	UnitedHealthcare commercial\|non-options ppo fee schedule · outpatient	$345	$345	$89	26%	—	$256 – $434
11	Anthem commercial\|exchange fee schedule · outpatient	$354	$354	$91	26%	—	$263 – $445
12	First Health commercial\|all plans fee schedule · inpatient	$373	$373	$96	26%	—	$277 – $469
13	First Health commercial\|all plans fee schedule · outpatient	$373	$373	$96	26%	—	$277 – $469
14	UnitedHealthcare commercial\|options ppo fee schedule · outpatient	$373	$373	$96	26%	—	$277 – $469
15	UnitedHealthcare commercial\|all other plans fee schedule · outpatient	$382	$382	$98	26%	—	$284 – $481
16	Blue Cross Blue Shield commercial\|exchange fee schedule · inpatient	$405	$405	$104	26%	—	$301 – $510
17	Blue Cross Blue Shield commercial\|all other plans fee schedule · inpatient	$410	$410	$106	26%	—	$304 – $516
18	MultiPlan commercial\|all plans fee schedule · inpatient	$438	$438	$113	26%	—	$325 – $551
19	MultiPlan commercial\|all plans fee schedule · outpatient	$438	$438	$113	26%	—	$325 – $551
20	Aetna commercial\|all other plans fee schedule · inpatient	$447	$447	$115	26%	—	$332 – $563
21	Aetna commercial\|hmo fee schedule · inpatient	$447	$447	$115	26%	—	$332 – $563
22	Aetna commercial\|ppo fee schedule · inpatient	$447	$447	$115	26%	—	$332 – $563
23	Anthem commercial\|all other plans fee schedule · outpatient	$466	$466	$120	26%	—	$346 – $586
24	Anthem commercial\|mcs fee schedule · outpatient	$466	$466	$120	26%	—	$346 – $586

Last updated: Feb 28, 2026

Compare to other hospitals

See Ez-Derm skin substitute, per square centimeter pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.