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
PATCH DERMAL MATRIX 2 X 2
Quitman, MS
See all hospitals reporting HCPCS Q4104 →Price type
Rush Medical Foundation’s median price of $7.7k is 5599% above the median hospital's median price ($136), higher than 91% of the 1,723 hospitals reporting HCPCS Q4104. 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, 14 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 | Humana all payor percent of total billed charges · outpatientfrom % of charges | $5.8k | $6.8k | $3.1k | 46% | — | $3.5k – $11.6k |
| 2 | Cigna all payor other · outpatient | $7.0k | $8.1k | $3.7k | 46% | — | $4.2k – $13.8k |
| 3 | Cigna Healthspring all payor other · outpatient | $7.2k | $8.5k | $3.9k | 46% | — | $4.3k – $14.3k |
| 4 | Humana all payor other · outpatient | $7.2k | $8.5k | $3.9k | 46% | — | $4.3k – $14.3k |
| 5 | Optum all payor other · outpatient | $7.2k | $8.5k | $3.9k | 46% | — | $4.3k – $14.3k |
| 6 | UnitedHealthcare all payor other · outpatient | $7.2k | $8.5k | $3.9k | 46% | — | $4.3k – $14.3k |
| 7 | Ambetter all payor other · outpatient | $7.3k | $8.5k | $3.9k | 46% | — | $4.4k – $14.5k |
| 8 | Molina all payor other · outpatient | $7.3k | $8.5k | $3.9k | 46% | — | $4.4k – $14.5k |
| 9 | WellCare all payor other · outpatient | $7.3k | $8.5k | $3.9k | 46% | — | $4.4k – $14.5k |
| 10 | Aetna all payor percent of total billed charges · outpatientfrom % of charges | $8.1k | $9.5k | $4.3k | 46% | — | $4.9k – $16.1k |
| 11 | UnitedHealthcare all payor percent of total billed charges · outpatientfrom % of charges | $8.1k | $9.5k | $4.3k | 46% | — | $4.9k – $16.1k |
| 12 | MultiPlan all payor percent of total billed charges · outpatientfrom % of charges | $9.4k | $10.9k | $5.0k | 46% | — | $5.6k – $18.5k |
| 13 | Bcbs Ms all payor other · outpatient | $10.0k | $11.7k | $5.3k | 46% | — | $6.0k – $19.8k |
| 14 | MultiPlan all payor other · inpatient | $10.6k | $12.4k | $5.7k | 46% | — | $6.4k – $21.0k |
Last updated: Apr 1, 2026
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