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
OASIS WOUND MATRIX PER 1 SQCM
Temecula, CA
See all hospitals reporting HCPCS Q4102 →Price type
Temecula Valley Hospital’s median price of $198 is 306% above the median hospital's median price ($49), higher than 86% of the 1,638 hospitals reporting HCPCS Q4102. 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, 10 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 | Anthem managed_care fee schedule · both | $3 | $3 | — | — | — | $3 – $3 |
| 2 | UnitedHealthcare medicaid fee schedule · both | $4 | $4 | — | — | — | $4 – $4 |
| 3 | Kaiser medicaid fee schedule · both | $6 | $6 | — | — | — | $6 – $6 |
| 4 | Molina medicaid fee schedule · both | $10 | $10 | — | — | — | $10 – $10 |
| 5 | Aetna managed_care fee schedule · both | $27 | $27 | — | — | — | $27 – $27 |
| 6 | Kaiser managed_care percent of total billed charges · bothfrom % of charges | $1.1k | $835 | $467 | 56% | — | $175 – $1.2k |
| 7 | Blue Cross Blue Shield qhp percent of total billed charges · bothfrom % of charges | $1.2k | $863 | $483 | 56% | — | $181 – $1.2k |
| 8 | Cigna managed_care percent of total billed charges · bothfrom % of charges | $1.4k | $1.0k | $565 | 56% | — | $212 – $1.4k |
| 9 | Blue Cross Blue Shield managed_care percent of total billed charges · bothfrom % of charges | $1.4k | $1.0k | $568 | 56% | — | $213 – $1.5k |
| 10 | MultiPlan managed_care percent of total billed charges · bothfrom % of charges | $3.4k | $2.5k | $1.4k | 56% | — | $531 – $3.6k |
Last updated: Jan 1, 2026
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