Hmatrix wound dressing, per square centimeter 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

GRAFT TIS HMATRIX DERMIS 10X5 -COST PER SQ CM

Columbus, OH

See all hospitals reporting HCPCS Q4134 →

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Pricing by billing methodology

Price type

How this price compares nationally

Mount Carmel East’s median price of $63 is 64% below the median hospital's median price ($176), higher than 8% of the 802 hospitals reporting HCPCS Q4134. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4134 at Mount Carmel East

Negotiated rates from the hospital’s own file: 18 payers, 24 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 asa meritain facility · percent of total billed charges · bothfrom % of charges	$48	$48	—	—	—	$48 – $48
2	Medcost cofinity facility · percent of total billed charges · bothfrom % of charges	$50	$50	—	—	—	$50 – $50
3	Aetna aetna neighborhood narrow network facility · percent of total billed charges · bothfrom % of charges	$52	$52	—	—	—	$52 – $52
4	UnitedHealthcare united healthcare ppo facility · percent of total billed charges · bothfrom % of charges	$54	$54	—	—	—	$54 – $54
5	Humana choice care humana facility · percent of total billed charges · bothfrom % of charges	$54	$54	—	—	—	$54 – $54
6	Humana humana one facility · percent of total billed charges · bothfrom % of charges	$54	$54	—	—	—	$54 – $54
7	Anthem anthem bcbs pathway grp hmo facility · percent of total billed charges · bothfrom % of charges	$55	$55	—	—	—	$55 – $55
8	First Health aetna first health facility · percent of total billed charges · bothfrom % of charges	$56	$56	—	—	—	$56 – $56
9	UnitedHealthcare united healthcare exchange facility · percent of total billed charges · bothfrom % of charges	$59	$59	—	—	—	$59 – $59
10	Cigna cigna facility · percent of total billed charges · bothfrom % of charges	$59	$59	—	—	—	$59 – $59
11	Anthem anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$63	$63	—	—	—	$63 – $63
12	Blue Cross Blue Shield anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$63	$63	—	—	—	$63 – $63
13	Carefirst anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$63	$63	—	—	—	$63 – $63
14	Excellus anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$63	$63	—	—	—	$63 – $63
15	Highmark anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$63	$63	—	—	—	$63 – $63
16	Premera anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$63	$63	—	—	—	$63 – $63
17	Regence anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$63	$63	—	—	—	$63 – $63
18	Wellmark anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$63	$63	—	—	—	$63 – $63
19	Caresource caresource marketplace facility · percent of total billed charges · bothfrom % of charges	$77	$77	—	—	—	$77 – $77
20	Medical Mutual medical mutual ohio health traditional facility · percent of total billed charges · bothfrom % of charges	$81	$81	—	—	—	$81 – $81
21	MultiPlan multiplan phcs facility · percent of total billed charges · bothfrom % of charges	$85	$85	—	—	—	$85 – $85
22	Phcs multiplan phcs facility · percent of total billed charges · bothfrom % of charges	$85	$85	—	—	—	$85 – $85
23	Aetna aetnaio health facility · percent of total billed charges · bothfrom % of charges	$106	$106	—	—	—	$106 – $106
24	Anthem anthem bcbs blue trad facility · percent of total billed charges · bothfrom % of charges	$106	$106	—	—	—	$106 – $106

Last updated: Mar 31, 2026

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