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
Garrison, ND
See all hospitals reporting HCPCS Q4196 →Price type
Garrison Memorial Hospital’s median price of $3.3k is 1475% above the median hospital's median price ($210), higher than 96% 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: 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 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 2 | Medica medicare|all plans fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 3 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 4 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 5 | UnitedHealthcare commercial|all plans fee schedule · inpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 6 | UnitedHealthcare commercial|all plans fee schedule · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 7 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 8 | Medica commercial|all plans fee schedule · inpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 9 | Medica commercial|all plans fee schedule · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 10 | MultiPlan commercial|all plans fee schedule · inpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 11 | MultiPlan commercial|all plans fee schedule · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 12 | Sanford Health Plan commercial|all plans fee schedule · inpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 13 | Sanford Health Plan commercial|all plans fee schedule · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
Last updated: Feb 28, 2026
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