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
WOUND MATRIX NEOX FLO 100MG NX-FL-100MG
Enumclaw, WA
See all hospitals reporting HCPCS Q4155 →Price type
Enumclaw Regional Hospital Association’s median price of $1.5k is 2853% above the median hospital's median price ($50), higher than 90% of the 1,067 hospitals reporting HCPCS Q4155. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 | $894 | $926 | $418 | 45% | — | $383 – $1.5k |
| 2 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $895 | $927 | $418 | 45% | — | $384 – $1.5k |
| 3 | Molina medicaid|all plans fee schedule · outpatient | $900 | $932 | $420 | 45% | — | $386 – $1.5k |
| 4 | Optum medicare|all plans fee schedule · outpatient | $903 | $936 | $422 | 45% | — | $387 – $1.5k |
| 5 | Premera medicare|all plans fee schedule · outpatient | $921 | $954 | $430 | 45% | — | $395 – $1.6k |
| 6 | Regence medicare|all plans fee schedule · outpatient | $921 | $954 | $430 | 45% | — | $395 – $1.6k |
| 7 | Humana medicare|all plans fee schedule · outpatient | $957 | $991 | $447 | 45% | — | $410 – $1.6k |
| 8 | Molina medicare|all plans fee schedule · outpatient | $966 | $1.0k | $451 | 45% | — | $414 – $1.7k |
| 9 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $966 | $1.0k | $451 | 45% | — | $414 – $1.7k |
| 10 | Aetna medicare|all plans fee schedule · outpatient | $1.1k | $1.1k | $511 | 45% | — | $469 – $1.9k |
| 11 | UnitedHealthcare medicaid|all plans fee schedule · inpatient | $1.5k | $1.5k | $689 | 45% | — | $632 – $2.5k |
| 12 | Molina medicaid|all plans fee schedule · inpatient | $1.5k | $1.5k | $692 | 45% | — | $635 – $2.5k |
| 13 | Molina commercial|marketplace exchange fee schedule · outpatient | $1.7k | $1.8k | $802 | 45% | — | $736 – $2.9k |
| 14 | Aetna commercial|awh fee schedule · inpatient | $2.0k | $2.1k | $928 | 45% | — | $852 – $3.4k |
| 15 | Aetna commercial|all other plans fee schedule · inpatient | $2.4k | $2.5k | $1.1k | 45% | — | $1.0k – $4.1k |
| 16 | UnitedHealthcare commercial|cascade care fee schedule · outpatient | $2.4k | $2.5k | $1.1k | 45% | — | $1.0k – $4.2k |
| 17 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $2.4k | $2.5k | $1.1k | 45% | — | $1.0k – $4.2k |
| 18 | Cigna commercial|all plans fee schedule · outpatient | $2.5k | $2.6k | $1.2k | 45% | — | $1.1k – $4.3k |
| 19 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $2.6k | $2.7k | $1.2k | 45% | — | $1.1k – $4.4k |
| 20 | Cigna commercial|all plans fee schedule · inpatient | $2.7k | $2.8k | $1.3k | 45% | — | $1.2k – $4.7k |
| 21 | Aetna commercial|rental fee schedule · inpatient | $3.6k | $3.7k | $1.7k | 45% | — | $1.5k – $6.1k |
| 22 | Aetna commercial|rental fee schedule · outpatient | $3.6k | $3.7k | $1.7k | 45% | — | $1.5k – $6.1k |
| 23 | MultiPlan commercial|all plans fee schedule · inpatient | $4.5k | $4.6k | $2.1k | 45% | — | $1.9k – $7.7k |
| 24 | MultiPlan commercial|all plans fee schedule · outpatient | $4.5k | $4.6k | $2.1k | 45% | — | $1.9k – $7.7k |
Last updated: Feb 28, 2026
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