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.
Original text from hospital filings
HC Integra Mwm4051 10x12.5cm Mtrx Msh Bilayer per Sq Cm
O'Fallon, MO
See all hospitals reporting HCPCS C9363 →Price type
Progress West Hospital’s median price of $114 is 37% below the median hospital's median price ($181), higher than 21% of the 1,055 hospitals reporting HCPCS C9363. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 27 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 bjc hb aetna commercial community percent of total billed charges · bothfrom % of charges | $45 | $45 | — | — | — | $45 – $45 |
| 2 | Aetna bjc hb medicare gold advantage pwc percent of total billed charges · bothfrom % of charges | $54 | $54 | $26 | 48% | — | $28 – $80 |
| 3 | Aetna bjc hb medicare advantra pwc percent of total billed charges · bothfrom % of charges | $61 | $61 | $30 | 48% | — | $32 – $91 |
| 4 | Humana bjc hb humana choicecare community percent of total billed charges · bothfrom % of charges | $74 | $112 | $78 | 69% | — | $54 – $245 |
| 5 | Cigna bjc hb cigna local plus community fee schedule · both | $114 | $114 | — | — | — | $114 – $114 |
| 6 | Cigna bjc hb cigna hmo/ppo community percent of total billed charges · bothfrom % of charges | $80 | $120 | $78 | 65% | — | $51 – $229 |
| 7 | Cigna bjc hb cigna local plus community percent of total billed charges · bothfrom % of charges | $80 | $120 | $78 | 65% | — | $51 – $229 |
| 8 | Cigna bjc hb cigna special community percent of total billed charges · bothfrom % of charges | $80 | $120 | $78 | 65% | — | $51 – $229 |
| 9 | Cigna bjc hb cigna hmo/ppo community fee schedule · both | $128 | $128 | — | — | — | $128 – $128 |
| 10 | Cigna bjc hb cigna special community fee schedule · both | $128 | $128 | — | — | — | $128 – $128 |
| 11 | Blue Cross Blue Shield bjc hb anthem choice community percent of total billed charges · bothfrom % of charges | $89 | $132 | $91 | 69% | — | $64 – $288 |
| 12 | Blue Cross Blue Shield bjc hb anthem access community percent of total billed charges · bothfrom % of charges | $90 | $134 | $92 | 69% | — | $65 – $291 |
| 13 | Medica bjc hb wellfirst first health community percent of total billed charges · bothfrom % of charges | $109 | $162 | $111 | 69% | — | $78 – $352 |
| 14 | Phcs bjc hb wellfirst first health community percent of total billed charges · bothfrom % of charges | $109 | $162 | $111 | 69% | — | $78 – $352 |
| 15 | Blue Cross Blue Shield bjc hb anthem traditional percent of total billed charges · bothfrom % of charges | $118 | $176 | $121 | 69% | — | $85 – $383 |
| 16 | UnitedHealthcare bjc hb united health care community fee schedule · both | $210 | $210 | — | — | — | $210 – $210 |
| 17 | Aetna bjc hb aetna national percent of total billed charges · bothfrom % of charges | $221 | $221 | $107 | 48% | — | $114 – $327 |
| 18 | Aetna bjc hb first health percent of total billed charges · bothfrom % of charges | $221 | $221 | $107 | 48% | — | $114 – $327 |
| 19 | First Health bjc hb first health percent of total billed charges · bothfrom % of charges | $221 | $221 | $107 | 48% | — | $114 – $327 |
| 20 | UnitedHealthcare bjc hb first health percent of total billed charges · bothfrom % of charges | $221 | $221 | $107 | 48% | — | $114 – $327 |
| 21 | Aetna bjc hb group health plan ppo select percent of total billed charges · bothfrom % of charges | $223 | $223 | $108 | 48% | — | $115 – $330 |
| 22 | Beechstreet bjc hb multiplan percent of total billed charges · bothfrom % of charges | $223 | $223 | $108 | 48% | — | $115 – $330 |
| 23 | MultiPlan bjc hb multiplan percent of total billed charges · bothfrom % of charges | $223 | $223 | $108 | 48% | — | $115 – $330 |
| 24 | Phcs bjc hb phcs community percent of total billed charges · bothfrom % of charges | $223 | $223 | $108 | 48% | — | $115 – $330 |
| 25 | Blue Cross Blue Shield bjc hb anthem alliance epo percent of total billed charges · bothfrom % of charges | $253 | $253 | $122 | 48% | — | $131 – $374 |
Last updated: Dec 15, 2025
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