Oasis wound matrix dressing at Mount Carmel East

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 OASIS FEN WND 3X3.5CM 10.5SQCM-Q4102-COST PER SQ CM

Columbus, OH

See all hospitals reporting HCPCS Q4102 →

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How this price compares nationally

Mount Carmel East’s median price of $21 is 57% below the median hospital's median price ($49), higher than 28% of the 1,638 hospitals reporting HCPCS Q4102. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4102 at Mount Carmel East

Negotiated rates from the hospital’s own file: 21 payers, 32 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	$9	$9	$1	8%	—	$8 – $9
2	Molina molina medicare advantage facility · percent of total billed charges · bothfrom % of charges	$14	$14	$1	9%	—	$12 – $15
3	Anthem anthem bcbs pathway hmo facility · percent of total billed charges · bothfrom % of charges	$15	$15	$1	9%	—	$13 – $16
4	Aetna aetna asa meritain facility · percent of total billed charges · bothfrom % of charges	$18	$18	$2	9%	—	$16 – $19
5	Medical Mutual medical mutual medflex facility · percent of total billed charges · bothfrom % of charges	$19	$18	$2	9%	—	$16 – $20
6	Medical Mutual medical mutual oh supermed ppo pos hmo facility · percent of total billed charges · bothfrom % of charges	$19	$18	$2	9%	—	$16 – $20
7	Medcost cofinity facility · percent of total billed charges · bothfrom % of charges	$19	$18	$2	9%	—	$16 – $20
8	Aetna aetna neighborhood narrow network facility · percent of total billed charges · bothfrom % of charges	$20	$19	$2	9%	—	$17 – $21
9	UnitedHealthcare united healthcare ppo facility · percent of total billed charges · bothfrom % of charges	$21	$20	$2	9%	—	$18 – $22
10	Humana choice care humana facility · percent of total billed charges · bothfrom % of charges	$21	$20	$2	9%	—	$18 – $22
11	Humana humana one facility · percent of total billed charges · bothfrom % of charges	$21	$20	$2	9%	—	$18 – $22
12	Anthem anthem bcbs pathway grp hmo facility · percent of total billed charges · bothfrom % of charges	$21	$21	$2	9%	—	$18 – $22
13	First Health aetna first health facility · percent of total billed charges · bothfrom % of charges	$22	$21	$2	9%	—	$18 – $23
14	UnitedHealthcare united healthcare exchange facility · percent of total billed charges · bothfrom % of charges	$23	$22	$2	9%	—	$19 – $24
15	Cigna cigna facility · percent of total billed charges · bothfrom % of charges	$23	$22	$2	9%	—	$20 – $24
16	Anthem anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$24	$24	$2	9%	—	$21 – $26
17	Blue Cross Blue Shield anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$24	$24	$2	9%	—	$21 – $26
18	Carefirst anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$24	$24	$2	9%	—	$21 – $26
19	Excellus anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$24	$24	$2	9%	—	$21 – $26
20	Highmark anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$24	$24	$2	9%	—	$21 – $26
21	Premera anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$24	$24	$2	9%	—	$21 – $26
22	Regence anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$24	$24	$2	9%	—	$21 – $26
23	Wellmark anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$24	$24	$2	9%	—	$21 – $26
24	Oscar oscar facility · percent of total billed charges · bothfrom % of charges	$25	$24	$2	9%	—	$21 – $26
25	Caresource caresource marketplace facility · percent of total billed charges · bothfrom % of charges	$30	$29	$2	9%	—	$25 – $31

Page 1 of 2 · 32 rates

Last updated: Mar 31, 2026

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