Matrion skin substitute, per square centimeter at Kettering Medical Center

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
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Matrion 1 sq cm

Troy, OH

See all hospitals reporting HCPCS Q4201 →

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Pricing by billing methodology

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How this price compares nationally

Kettering Medical Center’s median price of $187 is 34% above the median hospital's median price ($139), higher than 72% of the 1,053 hospitals reporting HCPCS Q4201. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4201 at Kettering Medical Center

Negotiated rates from the hospital’s own file: 7 payers, 12 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	UnitedHealthcare all commercial plans fee schedule · outpatient	$104	$104	—	—	—	$104 – $104
2	UnitedHealthcare employee fee schedule · outpatient	$104	$104	—	—	—	$104 – $104
3	Medical Mutual new business other commercial plan fee schedule · outpatient	$108	$108	—	—	—	$108 – $108
4	Aetna medicare managed care plan fee schedule · outpatient	$122	$122	—	—	—	$122 – $122
5	Molina medicare managed care plan fee schedule · outpatient	$128	$128	—	—	—	$128 – $128
6	Medical Mutual supermed ppo fee schedule · outpatient	$180	$180	—	—	—	$180 – $180
7	Blue Cross Blue Shield anthem pathway hmox exchange fee schedule · outpatient	$185	$185	—	—	—	$185 – $185
8	Caresource marketplace exchange fee schedule · outpatient	$188	$188	—	—	—	$188 – $188
9	UnitedHealthcare exchange fee schedule · outpatient	$189	$189	—	—	—	$189 – $189
10	Cigna all commercial plans fee schedule · outpatient	$241	$241	—	—	—	$241 – $241
11	Molina exchange fee schedule · outpatient	$253	$253	—	—	—	$253 – $253
12	Blue Cross Blue Shield anthem - blue access/blue preferred hmo/ppo fee schedule · outpatient	$427	$427	—	—	—	$427 – $427

Last updated: Apr 1, 2026

Compare to other hospitals

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