Hyalomatrix wound matrix dressing at Endo Surgery Center

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

000000000001029029-MATRIX

Carmel, IN

See all hospitals reporting HCPCS Q4117 →

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Pricing by billing methodology

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How this price compares nationally

Endo Surgery Center’s median price of $17 is 85% below the median hospital's median price ($111), higher than 4% of the 1,079 hospitals reporting HCPCS Q4117. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4117 at Endo Surgery Center

Negotiated rates from the hospital’s own file: 2 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	Anthem 9399_anthem healthsync hmo vein 20250101 fee schedule · outpatient	$17	$17	—	—	—	$17 – $17
2	Anthem 9401_anthem healthsync pos vein 20250101 fee schedule · outpatient	$17	$17	—	—	—	$17 – $17
3	Anthem 9403_anthem hmo pos vein 20250101 fee schedule · outpatient	$17	$17	—	—	—	$17 – $17
4	Anthem 9404_anthem pathway vein 20250101 fee schedule · outpatient	$17	$17	—	—	—	$17 – $17
5	Anthem 9405_anthem pathway x vein 20250101 fee schedule · outpatient	$17	$17	—	—	—	$17 – $17
6	Anthem 9406_anthem preferred vein 20250101 fee schedule · outpatient	$17	$17	—	—	—	$17 – $17
7	Anthem 9407_anthem short term limited duration vein 20250101 fee schedule · outpatient	$17	$17	—	—	—	$17 – $17
8	Anthem 9408_anthem traditional vein 20250101 fee schedule · outpatient	$17	$17	—	—	—	$17 – $17
9	UnitedHealthcare 6575_united health care self funded non-contracted vein 20221002 fee schedule · both	$31	$31	—	—	—	$31 – $31
10	UnitedHealthcare 9470_united healthcare vein 20250101 fee schedule · both	$31	$31	—	—	—	$31 – $31
11	Anthem 7373_anthem medicaid replacement outpatient 20230101 fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
12	Anthem 8255_anthem connect medicaid replacement outpatient 20240101 fee schedule · outpatient	$49	$49	—	—	—	$49 – $49
13	Anthem 8879_anthem connect medicaid replacement asc outpatient 20240401 fee schedule · outpatient	$49	$49	—	—	—	$49 – $49
14	UnitedHealthcare 6793_united healthcare new business outpatient ecin 20230101 fee schedule · outpatient	$52	$52	—	—	—	$52 – $52
15	Anthem 4090_anthem behavioral medicaid replacement outpatient 20200201 fee schedule · outpatient	$109	$109	—	—	—	$109 – $109

Last updated: Jan 1, 2026

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