Oasis ultra tri-layer wound matrix, per square centimeter at Lee's Summit 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.

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Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

OASIS TRI-LAYER 1SQCM

Lee's Summit, MO

See all hospitals reporting HCPCS Q4124 →

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Pricing by billing methodology

Price type

How this price compares nationally

Lee's Summit Medical Center’s median price of $13 is 88% below the median hospital's median price ($108), higher than 18% of the 1,428 hospitals reporting HCPCS Q4124. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4124 at Lee's Summit Medical Center

Negotiated rates from the hospital’s own file: 5 payers, 16 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	Aetna familyhealthplanmcd percent of total billed charges · outpatientfrom % of charges	$7	$7	—	—	—	$7 – $7
2	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$8	$8	—	—	—	$8 – $8
3	Blue Cross Blue Shield freedomnetworkselect percent of total billed charges · outpatientfrom % of charges	$9	$9	—	—	—	$9 – $9
4	Blue Cross Blue Shield tricare fee schedule · outpatient	$9	$9	—	—	—	$9 – $9
5	Aetna Better Health mcd percent of total billed charges · outpatientfrom % of charges	$10	$10	—	—	—	$10 – $10
6	Blue Cross Blue Shield blue-care(hmo) percent of total billed charges · outpatientfrom % of charges	$10	$10	—	—	—	$10 – $10
7	Blue Cross Blue Shield blueaccess percent of total billed charges · outpatientfrom % of charges	$10	$10	—	—	—	$10 – $10
8	Blue Cross Blue Shield preferred-careblue(ppo) percent of total billed charges · outpatientfrom % of charges	$10	$10	—	—	—	$10 – $10
9	Blue Cross Blue Shield freedomnetwork percent of total billed charges · outpatientfrom % of charges	$13	$13	—	—	—	$13 – $13
10	Blue Cross Blue Shield pc percent of total billed charges · outpatientfrom % of charges	$13	$13	—	—	—	$13 – $13
11	Blue Cross Blue Shield participating percent of total billed charges · outpatientfrom % of charges	$14	$14	—	—	—	$14 – $14
12	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$14	$14	—	—	—	$14 – $14
13	UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges	$14	$14	—	—	—	$14 – $14
14	MultiPlan complimentarynetwork percent of total billed charges · outpatientfrom % of charges	$23	$23	—	—	—	$23 – $23
15	MultiPlan wcompmissouri percent of total billed charges · outpatientfrom % of charges	$25	$25	—	—	—	$25 – $25
16	UnitedHealthcare allpayerappendix fee schedule · outpatient	$210	$210	—	—	—	$210 – $210

Last updated: Mar 1, 2026

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