Marigen wound dressing, 1 square cm 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

TISSUE DISC OMEGA3 WOUND 16MM BX/10 -COST PER SQ CM

Columbus, OH

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Pricing by billing methodology

Price type

How this price compares nationally

Mount Carmel East’s median price of $132 is 13% below the median hospital's median price ($152), higher than 37% of the 1,530 hospitals reporting HCPCS Q4158. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4158 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	$50	$98	$169	172%	—	$25 – $896
2	Aetna aetna neighborhood narrow network facility · percent of total billed charges · bothfrom % of charges	$112	$147	$104	71%	—	$56 – $478
3	Molina molina medicare advantage facility · percent of total billed charges · bothfrom % of charges	$81	$159	$273	172%	—	$40 – $1.4k
4	Anthem anthem bcbs pathway hmo facility · percent of total billed charges · bothfrom % of charges	$86	$169	$291	172%	—	$42 – $1.5k
5	Aetna aetna asa meritain facility · percent of total billed charges · bothfrom % of charges	$103	$204	$350	172%	—	$51 – $1.9k
6	Medical Mutual medical mutual medflex facility · percent of total billed charges · bothfrom % of charges	$106	$209	$360	172%	—	$53 – $1.9k
7	Medical Mutual medical mutual oh supermed ppo pos hmo facility · percent of total billed charges · bothfrom % of charges	$106	$209	$360	172%	—	$53 – $1.9k
8	Medcost cofinity facility · percent of total billed charges · bothfrom % of charges	$107	$212	$364	172%	—	$53 – $1.9k
9	UnitedHealthcare united healthcare ppo facility · percent of total billed charges · bothfrom % of charges	$116	$229	$394	172%	—	$58 – $2.1k
10	Humana choice care humana facility · percent of total billed charges · bothfrom % of charges	$118	$232	$398	172%	—	$58 – $2.1k
11	Humana humana one facility · percent of total billed charges · bothfrom % of charges	$118	$232	$398	172%	—	$58 – $2.1k
12	Anthem anthem bcbs pathway grp hmo facility · percent of total billed charges · bothfrom % of charges	$120	$236	$405	172%	—	$59 – $2.1k
13	First Health aetna first health facility · percent of total billed charges · bothfrom % of charges	$121	$239	$410	172%	—	$60 – $2.2k
14	UnitedHealthcare united healthcare exchange facility · percent of total billed charges · bothfrom % of charges	$127	$251	$431	172%	—	$63 – $2.3k
15	Cigna cigna facility · percent of total billed charges · bothfrom % of charges	$129	$254	$437	172%	—	$64 – $2.3k
16	Anthem anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$137	$270	$464	172%	—	$68 – $2.5k
17	Blue Cross Blue Shield anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$137	$270	$464	172%	—	$68 – $2.5k
18	Carefirst anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$137	$270	$464	172%	—	$68 – $2.5k
19	Excellus anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$137	$270	$464	172%	—	$68 – $2.5k
20	Highmark anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$137	$270	$464	172%	—	$68 – $2.5k
21	Premera anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$137	$270	$464	172%	—	$68 – $2.5k
22	Regence anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$137	$270	$464	172%	—	$68 – $2.5k
23	Wellmark anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$137	$270	$464	172%	—	$68 – $2.5k
24	Oscar oscar facility · percent of total billed charges · bothfrom % of charges	$138	$272	$467	172%	—	$68 – $2.5k
25	Caresource caresource marketplace facility · percent of total billed charges · bothfrom % of charges	$168	$331	$569	172%	—	$83 – $3.0k

Page 1 of 2 · 33 rates

Last updated: Mar 31, 2026

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