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
ALLOWRAP 4X8CM 5965X-7755
Phoenix, AZ
See all hospitals reporting HCPCS Q4150 →Price type
Dignity Health’s median price of $2.1k is 1111% above the median hospital's median price ($170), higher than 87% of the 1,240 hospitals reporting HCPCS Q4150. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 16 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 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 2 | Cigna commercial|exchange fee schedule · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 3 | Cigna commercial|localplus surefit fee schedule · outpatient | $110 | $110 | — | — | — | $110 – $110 |
| 4 | Cigna commercial|all other plans fee schedule · outpatient | $145 | $145 | — | — | — | $145 – $145 |
| 5 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $422 | $422 | — | — | — | $422 – $422 |
| 6 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $422 | $422 | — | — | — | $422 – $422 |
| 7 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $563 | $563 | — | — | — | $563 – $563 |
| 8 | Blue Cross Blue Shield commercial|workers comp fee schedule · outpatient | $831 | $831 | — | — | — | $831 – $831 |
| 9 | UnitedHealthcare commercial|dignityhealthemployee fee schedule · outpatient | $1.5k | $1.8k | $956 | 52% | — | $496 – $3.3k |
| 10 | Aetna commercial|all plans fee schedule · outpatient | $3.0k | $3.8k | $2.0k | 52% | — | $1.0k – $6.7k |
| 11 | Optum commercial|optumhealth fee schedule · outpatient | $3.7k | $4.5k | $2.4k | 52% | — | $1.2k – $8.1k |
| 12 | Cigna commercial|lifesource fee schedule · outpatient | $4.3k | $5.3k | $2.8k | 52% | — | $1.4k – $9.4k |
| 13 | First Health commercial|all plans fee schedule · inpatient | $5.5k | $6.8k | $3.5k | 52% | — | $1.8k – $12.0k |
| 14 | First Health commercial|all plans fee schedule · outpatient | $5.5k | $6.8k | $3.5k | 52% | — | $1.8k – $12.0k |
| 15 | MultiPlan commercial|all plans fee schedule · inpatient | $6.2k | $7.6k | $4.0k | 52% | — | $2.1k – $13.5k |
| 16 | MultiPlan commercial|all plans fee schedule · outpatient | $6.2k | $7.6k | $4.0k | 52% | — | $2.1k – $13.5k |
Last updated: Feb 28, 2026
See Allowrap dressing, per square centimeter pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.