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
SEALR WOUND MATRIX FLO 3 ML FWD301
Garrison, ND
See all hospitals reporting HCPCS Q4114 →Price type
Garrison Memorial Hospital’s median price of $8.7k is 183% above the median hospital's median price ($3.1k), higher than 92% of the 1,270 hospitals reporting HCPCS Q4114. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 13 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 | Humana medicare|all plans fee schedule · outpatient | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
| 2 | Medica medicare|all plans fee schedule · outpatient | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
| 3 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
| 4 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 5 | UnitedHealthcare commercial|all plans fee schedule · inpatient | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 6 | UnitedHealthcare commercial|all plans fee schedule · outpatient | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 7 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $8.9k | $8.9k | — | — | — | $8.9k – $8.9k |
| 8 | Medica commercial|all plans fee schedule · inpatient | $8.9k | $8.9k | — | — | — | $8.9k – $8.9k |
| 9 | Medica commercial|all plans fee schedule · outpatient | $8.9k | $8.9k | — | — | — | $8.9k – $8.9k |
| 10 | MultiPlan commercial|all plans fee schedule · inpatient | $9.2k | $9.2k | — | — | — | $9.2k – $9.2k |
| 11 | MultiPlan commercial|all plans fee schedule · outpatient | $9.2k | $9.2k | — | — | — | $9.2k – $9.2k |
| 12 | Sanford Health Plan commercial|all plans fee schedule · inpatient | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
| 13 | Sanford Health Plan commercial|all plans fee schedule · outpatient | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
Last updated: Feb 28, 2026
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