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
INTEGRA MATRIX WND INJ FLOWABLE 3CC-Q4114-COST PER SQ CM
Dublin, OH
See all hospitals reporting HCPCS Q4114 →Price type
Mount Carmel Dublin’s median price of $3.2k is 4% above the median hospital's median price ($3.1k), higher than 52% of the 1,266 hospitals reporting HCPCS Q4114. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 13 payers, 20 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 medicare advantage facility · percent of total billed charges · bothfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 2 | Molina molina medicare advantage facility · percent of total billed charges · bothfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 3 | Aetna aetna asa meritain facility · percent of total billed charges · bothfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 4 | Medical Mutual medical mutual medflex facility · percent of total billed charges · bothfrom % of charges | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 5 | Medcost cofinity facility · percent of total billed charges · bothfrom % of charges | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 6 | Medical Mutual medical mutual supermed ppo pos hmo facility · percent of total billed charges · bothfrom % of charges | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 7 | UnitedHealthcare united healthcare ppo facility · percent of total billed charges · bothfrom % of charges | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 8 | Humana choice care humana facility · percent of total billed charges · bothfrom % of charges | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 9 | Humana humana one facility · percent of total billed charges · bothfrom % of charges | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 10 | Anthem anthem bcbs pathway grp hmo facility · percent of total billed charges · bothfrom % of charges | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 11 | First Health aetna first health facility · percent of total billed charges · bothfrom % of charges | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 12 | UnitedHealthcare united healthcare exchange facility · percent of total billed charges · bothfrom % of charges | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 13 | Cigna cigna facility · percent of total billed charges · bothfrom % of charges | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 14 | Aetna aetna facility · percent of total billed charges · bothfrom % of charges | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 15 | Oscar oscar facility · percent of total billed charges · bothfrom % of charges | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 16 | MultiPlan multiplan phcs facility · percent of total billed charges · bothfrom % of charges | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 17 | Phcs multiplan phcs facility · percent of total billed charges · bothfrom % of charges | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 18 | Amerihealth Caritas amerihealth caritas medicaid facility · percent of total billed charges · bothfrom % of charges | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 19 | Anthem anthem bcbs blue trad facility · percent of total billed charges · bothfrom % of charges | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 20 | Humana humana medicaid facility · percent of total billed charges · bothfrom % of charges | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
Last updated: Mar 31, 2026
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