Biodfence dermal wound matrix, per square centimeter at Northside Hospital, Inc.

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

BIODFENCE PER SQ CM

Duluth, GA

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Pricing by billing methodology

Price type

How this price compares nationally

Northside Hospital, Inc.’s median price of $685 is 235% above the median hospital's median price ($204), higher than 87% of the 1,031 hospitals reporting HCPCS Q4140. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4140 at Northside Hospital, Inc.

Negotiated rates from the hospital’s own file: 10 payers, 70 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	Tricare tricare fee schedule · outpatient	$127	$127	—	—	—	$127 – $127
2	Caresource caresource other · outpatient	$139	$139	—	—	—	$139 – $139
3	Cigna cigna healthsprings medicare advantage other · outpatient	$186	$186	—	—	—	$186 – $186
4	Blue Cross Blue Shield bcbs_pathway other · outpatient	$195	$195	—	—	—	$195 – $195
5	Blue Cross Blue Shield bcbs_pathway-l other · outpatient	$195	$195	—	—	—	$195 – $195
6	Blue Cross Blue Shield blue hpn other · outpatient	$302	$302	—	—	—	$302 – $302
7	Blue Cross Blue Shield blue hpn-l other · outpatient	$302	$302	—	—	—	$302 – $302
8	Blue Cross Blue Shield bcbs_hmo other · outpatient	$392	$392	—	—	—	$392 – $392
9	Blue Cross Blue Shield bcbs_hmo-l other · outpatient	$392	$392	—	—	—	$392 – $392
10	Caresource caresource marketplace percent of total billed charges · inpatientfrom % of charges	$398	$398	—	—	—	$398 – $398
11	Caresource caresource marketplace percent of total billed charges · outpatientfrom % of charges	$398	$398	—	—	—	$398 – $398
12	UnitedHealthcare uhc ga individual exchange fee schedule · outpatient	$453	$453	—	—	—	$453 – $453
13	UnitedHealthcare uhc heritage select fee schedule · outpatient	$453	$453	—	—	—	$453 – $453
14	UnitedHealthcare uhc hmo/pos/ppo fee schedule · outpatient	$453	$453	—	—	—	$453 – $453
15	UnitedHealthcare uhc hmo/pos/ppo-g fee schedule · outpatient	$453	$453	—	—	—	$453 – $453
16	UnitedHealthcare uhc hmo/pos/ppo-t fee schedule · outpatient	$453	$453	—	—	—	$453 – $453
17	Blue Cross Blue Shield bcbs_ppo other · outpatient	$464	$464	—	—	—	$464 – $464
18	Blue Cross Blue Shield bcbs_ppo-l other · outpatient	$464	$464	—	—	—	$464 – $464
19	Aetna aetna whole health other · inpatient	$482	$482	—	—	—	$482 – $482
20	Aetna aetna whole health-g other · inpatient	$482	$482	—	—	—	$482 – $482
21	Aetna aetna hmo/pos/ppo fee schedule · outpatient	$525	$525	—	—	—	$525 – $525
22	Aetna aetna hmo/pos/ppo-g fee schedule · outpatient	$525	$525	—	—	—	$525 – $525
23	Aetna aetna hmo/pos/ppo-q fee schedule · outpatient	$525	$525	—	—	—	$525 – $525
24	Aetna aetna whole health percent of total billed charges · outpatientfrom % of charges	$535	$535	—	—	—	$535 – $535
25	Aetna aetna whole health-g percent of total billed charges · outpatientfrom % of charges	$535	$535	—	—	—	$535 – $535

Page 1 of 3 · 70 rates

Last updated: Feb 14, 2026

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