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
PURAPLY WOUND MATRIX XTHICK 4.91 X 4.91
Hackensack, NJ
See all hospitals reporting HCPCS Q4197 →Price type
Hmh Hospitals Corporation’s median price of $164 is 11% above the median hospital's median price ($147), higher than 59% of the 1,125 hospitals reporting HCPCS Q4197. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 14 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 | Clover medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $395 | $395 | $364 | 92% | — | $30 – $759 |
| 2 | Optum managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $482 | $482 | $445 | 92% | — | $37 – $928 |
| 3 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $649 | $649 | $599 | 92% | — | $50 – $1.2k |
| 4 | Cigna hmo facility · percent of total billed charges · bothfrom % of charges | $743 | $743 | $686 | 92% | — | $57 – $1.4k |
| 5 | Cigna ppo facility · percent of total billed charges · bothfrom % of charges | $743 | $743 | $686 | 92% | — | $57 – $1.4k |
| 6 | Aetna asa facility · percent of total billed charges · outpatientfrom % of charges | $938 | $938 | $866 | 92% | — | $72 – $1.8k |
| 7 | Aetna hmo facility · percent of total billed charges · outpatientfrom % of charges | $938 | $938 | $866 | 92% | — | $72 – $1.8k |
| 8 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $938 | $938 | $866 | 92% | — | $72 – $1.8k |
| 9 | WellCare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $987 | $987 | $911 | 92% | — | $76 – $1.9k |
| 10 | WellCare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $987 | $987 | $911 | 92% | — | $76 – $1.9k |
| 11 | Aetna managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | $992 | 92% | — | $83 – $2.1k |
| 12 | UnitedHealthcare hmo facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | $1.1k | 92% | — | $95 – $2.4k |
| 13 | Cigna bh facility · percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.8k | $1.6k | 92% | — | $135 – $3.4k |
| 14 | MultiPlan all products facility · percent of total billed charges · bothfrom % of charges | $1.9k | $1.9k | $1.7k | 92% | — | $144 – $3.6k |
Last updated: Dec 31, 2025
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