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
Xwrap tribus, per square centimeter (add-on, list separately in addition to primary procedure)
SAN ANTONIO, TX
See all hospitals reporting HCPCS Q4407 →Price type
Methodist Hospital’s median price of $191 is about the same as the median hospital's median price ($191), higher than 47% of the 351 hospitals reporting HCPCS Q4407. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 2 payers, 10 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 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 2 | Blue Cross Blue Shield blueadvantage fee schedule · outpatient | $130 | $130 | — | — | — | $130 – $130 |
| 3 | Blue Cross Blue Shield blueessentials fee schedule · outpatient | $167 | $167 | — | — | — | $167 – $167 |
| 4 | Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient | $167 | $167 | — | — | — | $167 – $167 |
| 5 | Blue Cross Blue Shield healthselectopenaccess(eposoa) fee schedule · outpatient | $183 | $183 | — | — | — | $183 – $183 |
| 6 | Blue Cross Blue Shield ppo fee schedule · outpatient | $198 | $198 | — | — | — | $198 – $198 |
| 7 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $210 | $210 | — | — | — | $210 – $210 |
| 8 | UnitedHealthcare charter fee schedule · outpatient | $210 | $210 | — | — | — | $210 – $210 |
| 9 | UnitedHealthcare nexusaco fee schedule · outpatient | $210 | $210 | — | — | — | $210 – $210 |
| 10 | UnitedHealthcare smallgroup fee schedule · outpatient | $210 | $210 | — | — | — | $210 – $210 |
Last updated: May 1, 2026
See Xwrap tribus skin substitute wound dressing pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.