Oasis ultra tri-layer wound matrix, per square centimeter at Windom Area Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

DRSG TRILYR OASIS 5X7CM=35SQ

Windom, MN

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Pricing by billing methodology

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How this price compares nationally

Windom Area Hospital’s median price of $17 is 84% below the median hospital's median price ($108), higher than 25% of the 1,421 hospitals reporting HCPCS Q4124. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4124 at Windom Area Hospital

Negotiated rates from the hospital’s own file: 9 payers, 20 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	Bcbs Mn pmap facility · percent of total billed charges · inpatientfrom % of charges	$13	$13	—	—	—	$13 – $13
2	Bcbs Mn pmap facility · percent of total billed charges · outpatientfrom % of charges	$13	$13	—	—	—	$13 – $13
3	Blue Cross Blue Shield managed medicaid facility · percent of total billed charges · inpatientfrom % of charges	$13	$13	—	—	—	$13 – $13
4	Blue Cross Blue Shield managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$13	$13	—	—	—	$13 – $13
5	Aetna medicare replacement facility · percent of total billed charges · outpatientfrom % of charges	$15	$15	—	—	—	$15 – $15
6	Blue Cross Blue Shield medicare replacement facility · percent of total billed charges · outpatientfrom % of charges	$15	$15	—	—	—	$15 – $15
7	Humana medicare replacement facility · percent of total billed charges · outpatientfrom % of charges	$15	$15	—	—	—	$15 – $15
8	Medica medicare replacement facility · percent of total billed charges · outpatientfrom % of charges	$15	$15	—	—	—	$15 – $15
9	Ucare medicare replacement facility · percent of total billed charges · outpatientfrom % of charges	$15	$15	—	—	—	$15 – $15
10	UnitedHealthcare medicare replacement facility · percent of total billed charges · outpatientfrom % of charges	$15	$15	—	—	—	$15 – $15
11	Medica pmap facility · percent of total billed charges · inpatientfrom % of charges	$17	$17	—	—	—	$17 – $17
12	Medica pmap facility · percent of total billed charges · outpatientfrom % of charges	$17	$17	—	—	—	$17 – $17
13	UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$28	$28	—	—	—	$28 – $28
14	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$28	$28	—	—	—	$28 – $28
15	Bcbs Mn commercial facility · percent of total billed charges · outpatientfrom % of charges	$29	$29	—	—	—	$29 – $29
16	Bcbs Nd commercial facility · percent of total billed charges · outpatientfrom % of charges	$29	$29	—	—	—	$29 – $29
17	Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges	$29	$29	—	—	—	$29 – $29
18	Wellmark commercial facility · percent of total billed charges · outpatientfrom % of charges	$29	$29	—	—	—	$29 – $29
19	Medica commercial facility · percent of total billed charges · inpatientfrom % of charges	$32	$32	—	—	—	$32 – $32
20	Medica commercial facility · percent of total billed charges · outpatientfrom % of charges	$32	$32	—	—	—	$32 – $32

Last updated: Feb 3, 2026

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