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
BONE ALLOWRAP DS 2X4 NACL-COST PER SQ CM
Dublin, OH
See all hospitals reporting HCPCS Q4150 →Price type
Mount Carmel Dublin’s median price of $188 is 10% above the median hospital's median price ($171), higher than 54% of the 1,235 hospitals reporting HCPCS Q4150. 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 | $86 | $103 | $49 | 47% | — | $60 – $202 |
| 2 | Molina molina medicare advantage facility · percent of total billed charges · bothfrom % of charges | $138 | $167 | $78 | 47% | — | $96 – $326 |
| 3 | Aetna aetna asa meritain facility · percent of total billed charges · bothfrom % of charges | $177 | $214 | $101 | 47% | — | $124 – $418 |
| 4 | Medical Mutual medical mutual medflex facility · percent of total billed charges · bothfrom % of charges | $182 | $220 | $103 | 47% | — | $127 – $430 |
| 5 | Medcost cofinity facility · percent of total billed charges · bothfrom % of charges | $184 | $222 | $105 | 47% | — | $129 – $434 |
| 6 | Medical Mutual medical mutual supermed ppo pos hmo facility · percent of total billed charges · bothfrom % of charges | $190 | $229 | $108 | 47% | — | $133 – $448 |
| 7 | Aetna aetna neighborhood narrow network facility · percent of total billed charges · bothfrom % of charges | $194 | $234 | $110 | 47% | — | $135 – $457 |
| 8 | UnitedHealthcare united healthcare ppo facility · percent of total billed charges · bothfrom % of charges | $200 | $241 | $113 | 47% | — | $139 – $471 |
| 9 | Humana choice care humana facility · percent of total billed charges · bothfrom % of charges | $202 | $243 | $114 | 47% | — | $141 – $476 |
| 10 | Humana humana one facility · percent of total billed charges · bothfrom % of charges | $202 | $243 | $114 | 47% | — | $141 – $476 |
| 11 | Anthem anthem bcbs pathway grp hmo facility · percent of total billed charges · bothfrom % of charges | $205 | $247 | $116 | 47% | — | $143 – $484 |
| 12 | First Health aetna first health facility · percent of total billed charges · bothfrom % of charges | $208 | $251 | $118 | 47% | — | $145 – $490 |
| 13 | UnitedHealthcare united healthcare exchange facility · percent of total billed charges · bothfrom % of charges | $218 | $263 | $124 | 47% | — | $152 – $514 |
| 14 | Cigna cigna facility · percent of total billed charges · bothfrom % of charges | $221 | $267 | $126 | 47% | — | $154 – $521 |
| 15 | Oscar oscar facility · percent of total billed charges · bothfrom % of charges | $237 | $285 | $134 | 47% | — | $165 – $558 |
| 16 | MultiPlan multiplan phcs facility · percent of total billed charges · bothfrom % of charges | $315 | $380 | $179 | 47% | — | $220 – $743 |
| 17 | Phcs multiplan phcs facility · percent of total billed charges · bothfrom % of charges | $315 | $380 | $179 | 47% | — | $220 – $743 |
| 18 | Amerihealth Caritas amerihealth caritas medicaid facility · percent of total billed charges · bothfrom % of charges | $394 | $476 | $224 | 47% | — | $275 – $930 |
| 19 | Anthem anthem bcbs blue trad facility · percent of total billed charges · bothfrom % of charges | $394 | $476 | $224 | 47% | — | $275 – $930 |
| 20 | Humana humana medicaid facility · percent of total billed charges · bothfrom % of charges | $394 | $476 | $224 | 47% | — | $275 – $930 |
Last updated: Mar 31, 2026
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