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
WND MTRX PURAPLY ANTMIC 4X4 515-048
Enumclaw, WA
See all hospitals reporting HCPCS Q4196 →Price type
Enumclaw Regional Hospital Association’s median price of $1.3k is 530% above the median hospital's median price ($210), higher than 87% of the 1,839 hospitals reporting HCPCS Q4196. 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare commercial|cascade care fee schedule · outpatient | $105 | $105 | — | — | — | $105 – $105 |
| 2 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $164 | $164 | — | — | — | $164 – $164 |
| 3 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $173 | $173 | — | — | — | $173 – $173 |
| 4 | Kaiser medicare|all plans fee schedule · outpatient | $1.1k | $1.7k | $2.0k | 117% | — | $141 – $7.1k |
| 5 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $1.2k | $1.7k | $2.0k | 117% | — | $141 – $7.1k |
| 6 | Molina medicaid|all plans fee schedule · outpatient | $1.2k | $1.7k | $2.0k | 117% | — | $141 – $7.2k |
| 7 | Optum medicare|all plans fee schedule · outpatient | $1.2k | $1.7k | $2.0k | 117% | — | $142 – $7.2k |
| 8 | Premera medicare|all plans fee schedule · outpatient | $1.2k | $1.7k | $2.0k | 117% | — | $145 – $7.3k |
| 9 | Regence medicare|all plans fee schedule · outpatient | $1.2k | $1.7k | $2.0k | 117% | — | $145 – $7.3k |
| 10 | Humana medicare|all plans fee schedule · outpatient | $1.2k | $1.8k | $2.1k | 117% | — | $150 – $7.6k |
| 11 | Molina medicare|all plans fee schedule · outpatient | $1.2k | $1.8k | $2.1k | 117% | — | $152 – $7.7k |
| 12 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $1.2k | $1.8k | $2.1k | 117% | — | $152 – $7.7k |
| 13 | Aetna medicare|all plans fee schedule · outpatient | $1.4k | $2.1k | $2.4k | 117% | — | $172 – $8.7k |
| 14 | UnitedHealthcare medicaid|all plans fee schedule · inpatient | $1.9k | $2.8k | $3.2k | 117% | — | $232 – $11.7k |
| 15 | Molina medicaid|all plans fee schedule · inpatient | $1.9k | $2.8k | $3.3k | 117% | — | $233 – $11.8k |
| 16 | Molina commercial|marketplace exchange fee schedule · outpatient | $2.2k | $3.2k | $3.8k | 117% | — | $270 – $13.6k |
| 17 | Aetna commercial|awh fee schedule · inpatient | $2.6k | $3.7k | $4.4k | 117% | — | $312 – $15.8k |
| 18 | Aetna commercial|all other plans fee schedule · inpatient | $3.1k | $4.5k | $5.3k | 117% | — | $375 – $19.0k |
| 19 | Aetna commercial|rental fee schedule · inpatient | $4.6k | $6.7k | $7.9k | 117% | — | $562 – $28.4k |
| 20 | Aetna commercial|rental fee schedule · outpatient | $4.6k | $6.7k | $7.9k | 117% | — | $562 – $28.4k |
| 21 | Cigna commercial|all plans fee schedule · outpatient | $4.7k | $7.0k | $5.6k | 80% | — | $1.6k – $19.7k |
| 22 | Cigna commercial|all plans fee schedule · inpatient | $5.2k | $7.7k | $6.2k | 80% | — | $1.8k – $21.7k |
| 23 | MultiPlan commercial|all plans fee schedule · inpatient | $5.7k | $8.4k | $9.8k | 117% | — | $703 – $35.5k |
| 24 | MultiPlan commercial|all plans fee schedule · outpatient | $5.7k | $8.4k | $9.8k | 117% | — | $703 – $35.5k |
Last updated: Feb 28, 2026
See PuraPly wound covering, 1 square centimeter pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.