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
BONE ALLOWRAP DS 2X2 NACL-COST PER SQ CM
Silver Spring, MD
See all hospitals reporting HCPCS Q4150 →Price type
Holy Cross Hospital-Silver Spring’s median price of $258 is 51% above the median hospital's median price ($171), higher than 69% of the 1,233 hospitals reporting HCPCS Q4150. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Cigna cigna healthspring medicare advantage facility · percent of total billed charges · bothfrom % of charges | $246 | $567 | $684 | 121% | — | $155 – $2.1k |
| 2 | Aetna aetna medicare advantage facility · percent of total billed charges · bothfrom % of charges | $251 | $580 | $700 | 121% | — | $159 – $2.1k |
| 3 | Humana humana medicare advantage facility · percent of total billed charges · bothfrom % of charges | $251 | $580 | $700 | 121% | — | $159 – $2.1k |
| 4 | Kaiser kaiser medicare advantage facility · percent of total billed charges · bothfrom % of charges | $251 | $580 | $700 | 121% | — | $159 – $2.1k |
| 5 | Kaiser kaiser medicaid facility · percent of total billed charges · bothfrom % of charges | $253 | $584 | $705 | 121% | — | $160 – $2.1k |
| 6 | UnitedHealthcare united healthcare medicaid facility · percent of total billed charges · bothfrom % of charges | $253 | $584 | $705 | 121% | — | $160 – $2.1k |
| 7 | Carefirst care first bcbs medicaid facility · percent of total billed charges · bothfrom % of charges | $256 | $590 | $712 | 121% | — | $161 – $2.2k |
| 8 | UnitedHealthcare united healthcare medicare advantage facility · percent of total billed charges · bothfrom % of charges | $257 | $593 | $715 | 121% | — | $162 – $2.2k |
| 9 | Aetna aetna better health medicaid facility · percent of total billed charges · bothfrom % of charges | $259 | $596 | $720 | 121% | — | $163 – $2.2k |
| 10 | Amerihealth Caritas amerihealth caritas medicaid facility · percent of total billed charges · bothfrom % of charges | $262 | $605 | $731 | 121% | — | $166 – $2.2k |
| 11 | Aetna aetna facility · percent of total billed charges · bothfrom % of charges | $273 | $629 | $760 | 121% | — | $172 – $2.3k |
| 12 | Anthem care first bcbs facility · percent of total billed charges · bothfrom % of charges | $273 | $629 | $760 | 121% | — | $172 – $2.3k |
| 13 | Blue Cross Blue Shield care first bcbs facility · percent of total billed charges · bothfrom % of charges | $273 | $629 | $760 | 121% | — | $172 – $2.3k |
| 14 | Carefirst care first bcbs facility · percent of total billed charges · bothfrom % of charges | $273 | $629 | $760 | 121% | — | $172 – $2.3k |
| 15 | Cigna cigna facility · percent of total billed charges · bothfrom % of charges | $273 | $629 | $760 | 121% | — | $172 – $2.3k |
| 16 | Excellus care first bcbs facility · percent of total billed charges · bothfrom % of charges | $273 | $629 | $760 | 121% | — | $172 – $2.3k |
| 17 | Highmark care first bcbs facility · percent of total billed charges · bothfrom % of charges | $273 | $629 | $760 | 121% | — | $172 – $2.3k |
| 18 | Kaiser kaiser facility · percent of total billed charges · bothfrom % of charges | $273 | $629 | $760 | 121% | — | $172 – $2.3k |
| 19 | Premera care first bcbs facility · percent of total billed charges · bothfrom % of charges | $273 | $629 | $760 | 121% | — | $172 – $2.3k |
| 20 | Regence care first bcbs facility · percent of total billed charges · bothfrom % of charges | $273 | $629 | $760 | 121% | — | $172 – $2.3k |
| 21 | UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges | $273 | $629 | $760 | 121% | — | $172 – $2.3k |
| 22 | Wellmark care first bcbs facility · percent of total billed charges · bothfrom % of charges | $273 | $629 | $760 | 121% | — | $172 – $2.3k |
| 23 | Carefirst care first network leasing facility · percent of total billed charges · bothfrom % of charges | $276 | $636 | $767 | 121% | — | $174 – $2.3k |
| 24 | Humana humana facility · percent of total billed charges · bothfrom % of charges | $276 | $636 | $767 | 121% | — | $174 – $2.3k |
| 25 | Humana humana military facility · percent of total billed charges · bothfrom % of charges | $276 | $636 | $767 | 121% | — | $174 – $2.3k |
Last updated: Mar 31, 2026
See Allowrap 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.