Oasis ultra tri-layer wound matrix, per square centimeter at Enumclaw Regional Hospital Association

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

MTRX TRI LAYR OASIS 3X3.5CM 8213-0000-16

Enumclaw, WA

See all hospitals reporting HCPCS Q4124 →

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Pricing by billing methodology

Price type

How this price compares nationally

Enumclaw Regional Hospital Association’s median price of $325 is 202% above the median hospital's median price ($108), higher than 84% of the 1,428 hospitals reporting HCPCS Q4124. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4124 at Enumclaw Regional Hospital Association

Negotiated rates from the hospital’s own file: 10 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	Kaiser medicare\|all plans fee schedule · outpatient	$197	$185	$144	78%	—	$3 – $355
2	UnitedHealthcare medicaid\|all plans fee schedule · outpatient	$197	$185	$144	78%	—	$3 – $355
3	Molina medicaid\|all plans fee schedule · outpatient	$198	$186	$145	78%	—	$3 – $357
4	Optum medicare\|all plans fee schedule · outpatient	$199	$187	$146	78%	—	$3 – $359
5	Premera medicare\|all plans fee schedule · outpatient	$203	$190	$148	78%	—	$3 – $366
6	Regence medicare\|all plans fee schedule · outpatient	$203	$190	$148	78%	—	$3 – $366
7	Humana medicare\|all plans fee schedule · outpatient	$211	$198	$154	78%	—	$3 – $380
8	Molina medicare\|all plans fee schedule · outpatient	$213	$200	$156	78%	—	$3 – $383
9	UnitedHealthcare medicare\|all plans fee schedule · outpatient	$213	$200	$156	78%	—	$3 – $383
10	Aetna medicare\|all plans fee schedule · outpatient	$241	$226	$176	78%	—	$3 – $434
11	UnitedHealthcare medicaid\|all plans fee schedule · inpatient	$325	$305	$238	78%	—	$4 – $585
12	Molina medicaid\|all plans fee schedule · inpatient	$327	$306	$239	78%	—	$4 – $588
13	Molina commercial\|marketplace exchange fee schedule · outpatient	$379	$355	$277	78%	—	$5 – $682
14	Aetna commercial\|awh fee schedule · inpatient	$438	$411	$320	78%	—	$6 – $789
15	Aetna commercial\|all other plans fee schedule · inpatient	$526	$493	$384	78%	—	$7 – $947
16	Aetna commercial\|rental fee schedule · inpatient	$789	$740	$577	78%	—	$10 – $1.4k
17	Aetna commercial\|rental fee schedule · outpatient	$789	$740	$577	78%	—	$10 – $1.4k
18	UnitedHealthcare commercial\|cascade care fee schedule · outpatient	$752	$752	$215	29%	—	$537 – $966
19	UnitedHealthcare commercial\|navigate fee schedule · outpatient	$752	$752	$215	29%	—	$537 – $966
20	Cigna commercial\|all plans fee schedule · outpatient	$767	$767	$219	29%	—	$548 – $986
21	UnitedHealthcare commercial\|all other plans fee schedule · outpatient	$798	$798	$228	29%	—	$570 – $1.0k
22	Cigna commercial\|all plans fee schedule · inpatient	$844	$844	$241	29%	—	$603 – $1.1k
23	MultiPlan commercial\|all plans fee schedule · inpatient	$986	$925	$721	78%	—	$13 – $1.8k
24	MultiPlan commercial\|all plans fee schedule · outpatient	$986	$925	$721	78%	—	$13 – $1.8k

Last updated: Feb 28, 2026

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