Integra dermal matrix skin substitute at Mount Carmel Dublin

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

DRSG WND MATRIX 2X2-Q4108-COST PER SQ CM

Dublin, OH

See all hospitals reporting HCPCS Q4108 →

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Pricing by billing methodology

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How this price compares nationally

Mount Carmel Dublin’s median price of $160 is 21% above the median hospital's median price ($132), higher than 64% of the 1,386 hospitals reporting HCPCS Q4108. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4108 at Mount Carmel Dublin

Negotiated rates from the hospital’s own file: 13 payers, 21 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 aetna neighborhood narrow network facility · percent of total billed charges · bothfrom % of charges	$111	$111	$57	51%	—	$54 – $168
2	Aetna aetna medicare advantage facility · percent of total billed charges · bothfrom % of charges	$74	$188	$197	105%	—	$24 – $465
3	Molina molina medicare advantage facility · percent of total billed charges · bothfrom % of charges	$120	$303	$318	105%	—	$38 – $750
4	Aetna aetna asa meritain facility · percent of total billed charges · bothfrom % of charges	$154	$388	$408	105%	—	$49 – $962
5	Medical Mutual medical mutual medflex facility · percent of total billed charges · bothfrom % of charges	$158	$400	$420	105%	—	$51 – $990
6	Medcost cofinity facility · percent of total billed charges · bothfrom % of charges	$160	$404	$424	105%	—	$51 – $1.0k
7	Medical Mutual medical mutual supermed ppo pos hmo facility · percent of total billed charges · bothfrom % of charges	$165	$417	$437	105%	—	$53 – $1.0k
8	UnitedHealthcare united healthcare ppo facility · percent of total billed charges · bothfrom % of charges	$173	$438	$459	105%	—	$56 – $1.1k
9	Humana choice care humana facility · percent of total billed charges · bothfrom % of charges	$175	$442	$464	105%	—	$56 – $1.1k
10	Humana humana one facility · percent of total billed charges · bothfrom % of charges	$175	$442	$464	105%	—	$56 – $1.1k
11	Anthem anthem bcbs pathway grp hmo facility · percent of total billed charges · bothfrom % of charges	$178	$450	$472	105%	—	$57 – $1.1k
12	First Health aetna first health facility · percent of total billed charges · bothfrom % of charges	$181	$456	$479	105%	—	$58 – $1.1k
13	UnitedHealthcare united healthcare exchange facility · percent of total billed charges · bothfrom % of charges	$190	$478	$502	105%	—	$61 – $1.2k
14	Cigna cigna facility · percent of total billed charges · bothfrom % of charges	$192	$485	$509	105%	—	$62 – $1.2k
15	Oscar oscar facility · percent of total billed charges · bothfrom % of charges	$206	$519	$545	105%	—	$66 – $1.3k
16	MultiPlan multiplan phcs facility · percent of total billed charges · bothfrom % of charges	$274	$691	$726	105%	—	$88 – $1.7k
17	Phcs multiplan phcs facility · percent of total billed charges · bothfrom % of charges	$274	$691	$726	105%	—	$88 – $1.7k
18	Amerihealth Caritas amerihealth caritas medicaid facility · percent of total billed charges · bothfrom % of charges	$343	$865	$908	105%	—	$110 – $2.1k
19	Anthem anthem bcbs blue trad facility · percent of total billed charges · bothfrom % of charges	$343	$865	$908	105%	—	$110 – $2.1k
20	Humana humana medicaid facility · percent of total billed charges · bothfrom % of charges	$343	$865	$908	105%	—	$110 – $2.1k
21	Aetna aetna facility · percent of total billed charges · bothfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k

Last updated: Mar 31, 2026

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