Integra bone matrix wound dressing at Page Hospital

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

INTGR BM FIX INT 10X25/SC

Page, AZ

See all hospitals reporting HCPCS Q4104 →

SharePost on X LinkedIn

Pricing by billing methodology

Price type

How this price compares nationally

Page Hospital’s median price of $77 is 43% below the median hospital's median price ($136), higher than 19% of the 1,723 hospitals reporting HCPCS Q4104. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4104 at Page Hospital

Negotiated rates from the hospital’s own file: 8 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.

Filter by billing methodology

Filter by billing class

#
1	Humana medicare advantage facility · fee schedule · outpatient	$50	$50	—	—	—	$50 – $50
2	Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$43	$65	$45	70%	—	$32 – $143
3	Aetna banner employee plans facility · percent of total billed charges · outpatientfrom % of charges	$63	$96	$67	70%	—	$47 – $211
4	Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$67	$102	$71	70%	—	$50 – $224
5	Bcbs Az medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$67	$102	$71	70%	—	$50 – $224
6	Cigna hmo medicare advantage plan/ppo medicare advantage plan facility · percent of total billed charges · outpatientfrom % of charges	$67	$102	$71	70%	—	$50 – $224
7	Kaiser medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$67	$102	$71	70%	—	$50 – $224
8	UnitedHealthcare uhc medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$67	$102	$71	70%	—	$50 – $224
9	UnitedHealthcare uhc individual exchange facility · percent of total billed charges · outpatientfrom % of charges	$69	$106	$73	70%	—	$52 – $232
10	Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$74	$112	$78	70%	—	$55 – $246
11	Bcbs Az bxbsaz neighborhood facility · percent of total billed charges · outpatientfrom % of charges	$75	$114	$79	70%	—	$56 – $250
12	Bcbs Az bxbsaz alliance/bxbsaz blue hpn facility · percent of total billed charges · outpatientfrom % of charges	$80	$121	$84	70%	—	$59 – $266
13	Bcbs Az bxbsaz alliance chs facility · percent of total billed charges · outpatientfrom % of charges	$84	$127	$88	70%	—	$62 – $280
14	Aetna aetna qualified health plan facility · percent of total billed charges · outpatientfrom % of charges	$91	$138	$96	70%	—	$68 – $304
15	Aetna joint venture facility · percent of total billed charges · outpatientfrom % of charges	$92	$139	$97	70%	—	$68 – $306
16	Bcbs Az bcbsaz medicare facility · percent of total billed charges · outpatientfrom % of charges	$100	$152	$105	70%	—	$74 – $333
17	Bcbs Az bcbsaz workers comp facility · percent of total billed charges · outpatientfrom % of charges	$100	$152	$105	70%	—	$74 – $333
18	Bcbs Az commercial facility · percent of total billed charges · outpatientfrom % of charges	$100	$152	$105	70%	—	$74 – $333
19	Oscar commercial facility · percent of total billed charges · outpatientfrom % of charges	$110	$168	$117	70%	—	$82 – $369
20	Aetna medical rental facility · percent of total billed charges · inpatientfrom % of charges	$112	$171	$119	70%	—	$84 – $376
21	Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges	$112	$171	$119	70%	—	$84 – $376
22	Aetna broad network facility · percent of total billed charges · outpatientfrom % of charges	$115	$174	$121	70%	—	$85 – $383
23	Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · inpatientfrom % of charges	$116	$177	$123	70%	—	$86 – $389
24	Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · outpatientfrom % of charges	$116	$177	$123	70%	—	$86 – $389

Last updated: Mar 2, 2026

Compare to other hospitals

See Integra bone matrix wound dressing pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.