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
MATRIX MICRO OASIS WOUND 500MG
MEMPHIS, TN
See all hospitals reporting HCPCS Q4100 →Price type
Methodist Lebonheur Childrens Hosp’s median price of $757 is 59% below the median hospital's median price ($1.8k), higher than 34% of the 968 hospitals reporting HCPCS Q4100. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 8 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 hb cigna hmo - lebonheur percent of total billed charges · bothfrom % of charges | $554 | $819 | $805 | 98% | — | $164 – $4.8k |
| 2 | Cigna hb cigna ifp - lebonheur percent of total billed charges · bothfrom % of charges | $554 | $819 | $805 | 98% | — | $164 – $4.8k |
| 3 | Cigna hb cigna localplus - lebonheur percent of total billed charges · bothfrom % of charges | $554 | $819 | $805 | 98% | — | $164 – $4.8k |
| 4 | Cigna hb cigna oap – lebonheur percent of total billed charges · bothfrom % of charges | $554 | $819 | $805 | 98% | 38–380 | $164 – $4.8k |
| 5 | Cigna hb cigna ppo - lebonheur percent of total billed charges · bothfrom % of charges | $582 | $860 | $846 | 98% | — | $172 – $5.1k |
| 6 | UnitedHealthcare hb uhc mschips lebonheur contract percent of total billed charges · bothfrom % of charges | $714 | $1.1k | $1.0k | 98% | — | $211 – $6.2k |
| 7 | Cigna hb cigna epo le bonheur percent of total billed charges · bothfrom % of charges | $1.7k | $2.1k | $1.5k | 71% | — | $1.0k – $7.6k |
| 8 | Aetna hb leb direct aetna contract percent of total billed charges · bothfrom % of charges | $1.7k | $2.5k | $2.4k | 98% | — | $490 – $14.5k |
Last updated: Mar 19, 2026
See Amniotic membrane allograft, 9 x 20 cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.