Hmatrix wound dressing, per square centimeter at Holy Cross Hospital-Silver Spring

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.

Model: claude-haiku-5-5
Provider: anthropic
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

GRAFT TIS HMATRIX DERMIS 10X5 -COST PER SQ CM

Silver Spring, MD

See all hospitals reporting HCPCS Q4134 →

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Pricing by billing methodology

Price type

How this price compares nationally

Holy Cross Hospital-Silver Spring’s median price of $62 is 65% below the median hospital's median price ($178), higher than 8% of the 801 hospitals reporting HCPCS Q4134. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4134 at Holy Cross Hospital-Silver Spring

Negotiated rates from the hospital’s own file: 15 payers, 26 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	Cigna cigna healthspring medicare advantage facility · percent of total billed charges · bothfrom % of charges	$56	$56	—	—	—	$56 – $56
2	Aetna aetna medicare advantage facility · percent of total billed charges · bothfrom % of charges	$57	$57	—	—	—	$57 – $57
3	Humana humana medicare advantage facility · percent of total billed charges · bothfrom % of charges	$57	$57	—	—	—	$57 – $57
4	Kaiser kaiser medicare advantage facility · percent of total billed charges · bothfrom % of charges	$57	$57	—	—	—	$57 – $57
5	Kaiser kaiser medicaid facility · percent of total billed charges · bothfrom % of charges	$57	$57	—	—	—	$57 – $57
6	UnitedHealthcare united healthcare medicaid facility · percent of total billed charges · bothfrom % of charges	$57	$57	—	—	—	$57 – $57
7	Carefirst care first bcbs medicaid facility · percent of total billed charges · bothfrom % of charges	$58	$58	—	—	—	$58 – $58
8	UnitedHealthcare united healthcare medicare advantage facility · percent of total billed charges · bothfrom % of charges	$58	$58	—	—	—	$58 – $58
9	Aetna aetna better health medicaid facility · percent of total billed charges · bothfrom % of charges	$59	$59	—	—	—	$59 – $59
10	Amerihealth Caritas amerihealth caritas medicaid facility · percent of total billed charges · bothfrom % of charges	$59	$59	—	—	—	$59 – $59
11	Aetna aetna facility · percent of total billed charges · bothfrom % of charges	$62	$62	—	—	—	$62 – $62
12	Anthem care first bcbs facility · percent of total billed charges · bothfrom % of charges	$62	$62	—	—	—	$62 – $62
13	Blue Cross Blue Shield care first bcbs facility · percent of total billed charges · bothfrom % of charges	$62	$62	—	—	—	$62 – $62
14	Carefirst care first bcbs facility · percent of total billed charges · bothfrom % of charges	$62	$62	—	—	—	$62 – $62
15	Cigna cigna facility · percent of total billed charges · bothfrom % of charges	$62	$62	—	—	—	$62 – $62
16	Excellus care first bcbs facility · percent of total billed charges · bothfrom % of charges	$62	$62	—	—	—	$62 – $62
17	Highmark care first bcbs facility · percent of total billed charges · bothfrom % of charges	$62	$62	—	—	—	$62 – $62
18	Kaiser kaiser facility · percent of total billed charges · bothfrom % of charges	$62	$62	—	—	—	$62 – $62
19	Premera care first bcbs facility · percent of total billed charges · bothfrom % of charges	$62	$62	—	—	—	$62 – $62
20	Regence care first bcbs facility · percent of total billed charges · bothfrom % of charges	$62	$62	—	—	—	$62 – $62
21	UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges	$62	$62	—	—	—	$62 – $62
22	Wellmark care first bcbs facility · percent of total billed charges · bothfrom % of charges	$62	$62	—	—	—	$62 – $62
23	Carefirst care first network leasing facility · percent of total billed charges · bothfrom % of charges	$62	$62	—	—	—	$62 – $62
24	Humana humana facility · percent of total billed charges · bothfrom % of charges	$62	$62	—	—	—	$62 – $62
25	Humana humana military facility · percent of total billed charges · bothfrom % of charges	$62	$62	—	—	—	$62 – $62

Page 1 of 2 · 26 rates

Last updated: Mar 31, 2026

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