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
Xwrap dual, per square centimeter (add-on, list separately in addition to primary procedure)
CONROE, TX
See all hospitals reporting HCPCS Q4358 →Price type
Hca Houston Healthcare Conroe’s median price of $210 is 3% above the median hospital's median price ($204), higher than 50% of the 497 hospitals reporting HCPCS Q4358. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 11 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 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 2 | Blue Cross Blue Shield bav fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 3 | Blue Cross Blue Shield hmo fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 4 | Blue Cross Blue Shield eposoa fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 5 | Blue Cross Blue Shield ppo fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 6 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $210 | $210 | — | — | — | $210 – $210 |
| 7 | UnitedHealthcare narrownetworkindivexchange fee schedule · outpatient | $210 | $210 | — | — | — | $210 – $210 |
| 8 | UnitedHealthcare smallgroup fee schedule · outpatient | $210 | $210 | — | — | — | $210 – $210 |
| 9 | Cigna csn fee schedule · outpatient | $14.1k | $14.1k | — | — | — | $14.1k – $14.1k |
| 10 | Cigna openaccessplus fee schedule · outpatient | $15.2k | $15.2k | — | — | — | $15.2k – $15.2k |
| 11 | Cigna ppo fee schedule · outpatient | $18.1k | $18.1k | — | — | — | $18.1k – $18.1k |
Last updated: May 14, 2026
See Dual-layer skin substitute wound dressing, per square centimeter pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.