Allowrap 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

BONE ALLOWRAP DS 4X4 NACL-COST PER SQ CM

Columbus, OH

See all hospitals reporting HCPCS Q4150 →

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Pricing by billing methodology

Price type

How this price compares nationally

Mount Carmel East’s median price of $264 is 55% above the median hospital's median price ($170), higher than 69% of the 1,240 hospitals reporting HCPCS Q4150. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4150 at Mount Carmel East

Negotiated rates from the hospital’s own file: 21 payers, 33 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	$105	$253	$317	126%	—	$64 – $955
2	Aetna aetna neighborhood narrow network facility · percent of total billed charges · bothfrom % of charges	$198	$253	$110	44%	—	$145 – $457
3	Molina molina medicare advantage facility · percent of total billed charges · bothfrom % of charges	$169	$407	$512	126%	—	$103 – $1.5k
4	Anthem anthem bcbs pathway hmo facility · percent of total billed charges · bothfrom % of charges	$181	$434	$546	126%	—	$110 – $1.6k
5	Aetna aetna asa meritain facility · percent of total billed charges · bothfrom % of charges	$217	$522	$657	126%	—	$133 – $2.0k
6	Medical Mutual medical mutual medflex facility · percent of total billed charges · bothfrom % of charges	$224	$538	$676	126%	—	$136 – $2.0k
7	Medical Mutual medical mutual oh supermed ppo pos hmo facility · percent of total billed charges · bothfrom % of charges	$224	$538	$676	126%	—	$136 – $2.0k
8	Medcost cofinity facility · percent of total billed charges · bothfrom % of charges	$226	$543	$683	126%	—	$138 – $2.1k
9	UnitedHealthcare united healthcare ppo facility · percent of total billed charges · bothfrom % of charges	$245	$589	$740	126%	—	$149 – $2.2k
10	Humana choice care humana facility · percent of total billed charges · bothfrom % of charges	$248	$595	$748	126%	—	$151 – $2.3k
11	Humana humana one facility · percent of total billed charges · bothfrom % of charges	$248	$595	$748	126%	—	$151 – $2.3k
12	Anthem anthem bcbs pathway grp hmo facility · percent of total billed charges · bothfrom % of charges	$252	$605	$761	126%	—	$154 – $2.3k
13	First Health aetna first health facility · percent of total billed charges · bothfrom % of charges	$255	$613	$771	126%	—	$156 – $2.3k
14	UnitedHealthcare united healthcare exchange facility · percent of total billed charges · bothfrom % of charges	$268	$644	$809	126%	—	$163 – $2.4k
15	Cigna cigna facility · percent of total billed charges · bothfrom % of charges	$271	$652	$820	126%	—	$166 – $2.5k
16	Anthem anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$289	$694	$872	126%	—	$176 – $2.6k
17	Blue Cross Blue Shield anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$289	$694	$872	126%	—	$176 – $2.6k
18	Carefirst anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$289	$694	$872	126%	—	$176 – $2.6k
19	Excellus anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$289	$694	$872	126%	—	$176 – $2.6k
20	Highmark anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$289	$694	$872	126%	—	$176 – $2.6k
21	Premera anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$289	$694	$872	126%	—	$176 – $2.6k
22	Regence anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$289	$694	$872	126%	—	$176 – $2.6k
23	Wellmark anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$289	$694	$872	126%	—	$176 – $2.6k
24	Oscar oscar facility · percent of total billed charges · bothfrom % of charges	$290	$698	$878	126%	—	$177 – $2.6k
25	Caresource caresource marketplace facility · percent of total billed charges · bothfrom % of charges	$353	$849	$1.1k	126%	—	$216 – $3.2k

Page 1 of 2 · 33 rates

Last updated: Mar 31, 2026

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