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 Drsg Mtrx 5x4in 1 Lyr Thn Wnd <125 Sq Cm>
McCall, ID
See all hospitals reporting HCPCS Q4108 →Price type
St Luke's McCall, LTD’s median price of $56 is 58% below the median hospital's median price ($132), higher than 14% of the 1,390 hospitals reporting HCPCS Q4108. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 13 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 | Cigna hb mccall cigna fee schedule · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 2 | Molina hb mccall molina mmcp percent of total billed charges · bothfrom % of charges | $70 | $70 | $36 | 52% | — | $34 – $106 |
| 3 | Regence hb mccall medicare advantage percent of total billed charges · bothfrom % of charges | $70 | $70 | $36 | 52% | — | $34 – $106 |
| 4 | Blue Cross Blue Shield hb mccall bci true & secure med adv percent of total billed charges · bothfrom % of charges | $71 | $71 | $37 | 52% | — | $34 – $107 |
| 5 | Molina hb mccall molina med adv percent of total billed charges · bothfrom % of charges | $71 | $71 | $37 | 52% | — | $34 – $108 |
| 6 | Aetna hb mccall aetna med adv percent of total billed charges · bothfrom % of charges | $77 | $77 | $40 | 52% | — | $37 – $117 |
| 7 | Bcbs Id hb mccall bci percent of total billed charges · bothfrom % of charges | $106 | $106 | $55 | 52% | — | $51 – $161 |
| 8 | Blue Cross Blue Shield hb mccall bci percent of total billed charges · bothfrom % of charges | $106 | $106 | $55 | 52% | — | $51 – $161 |
| 9 | Aetna hb mccall aetna trinity health (st al's) percent of total billed charges · bothfrom % of charges | $108 | $108 | $56 | 52% | — | $52 – $165 |
| 10 | Cigna hb mccall cigna percent of total billed charges · inpatientfrom % of charges | $112 | $112 | $58 | 52% | — | $54 – $170 |
| 11 | Aetna hb mccall bp aetna percent of total billed charges · bothfrom % of charges | $114 | $114 | $59 | 52% | — | $55 – $174 |
| 12 | First Health hb mccall first choice health percent of total billed charges · bothfrom % of charges | $114 | $114 | $59 | 52% | — | $55 – $174 |
| 13 | UnitedHealthcare hb mccall united healthcare percent of total billed charges · bothfrom % of charges | $116 | $116 | $60 | 52% | — | $56 – $176 |
Last updated: Mar 25, 2026
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