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
Xwrap 1 sq cm
Isle, ME
See all hospitals reporting HCPCS Q4204 →Price type
The Aroostook Medical Center’s median price of $3.8k is 887% above the median hospital's median price ($381), higher than 85% of the 930 hospitals reporting HCPCS Q4204. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 9 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 commercial professional · fee schedule · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 2 | Anthem enhanced pathways professional · fee schedule · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 3 | Anthem mcr advantage professional · fee schedule · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 4 | Cigna commercial professional · fee schedule · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 5 | UnitedHealthcare mcr advantage professional · fee schedule · outpatient | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 6 | WellCare mcr advantage professional · fee schedule · outpatient | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 7 | Aetna mcr advantage professional · fee schedule · outpatient | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 8 | Aetna commercial professional · fee schedule · outpatient | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 9 | UnitedHealthcare commercial professional · fee schedule · outpatient | $6.6k | $6.6k | — | — | — | $6.6k – $6.6k |
Last updated: Mar 30, 2026
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