OASIS WOUND MATRIX, PER SQUARE CENTIMETER
OASIS wound matrix graft material applied to a wound, billed per square centimeter.
AI Summary
HCPCS Q4102
atPortneuf Medical Center•Pocatello, IDStandard Cash Price
$686
This is the self-pay rate for the facility fee (the hospital's portion of the bill only). It typically excludes doctor fees, anesthesia, and lab work, so your final total may be higher.
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Price Analysis
Higher than typical
98% higher than typical.
State Median$347
Middle 50%$178 – $516
Based on data from 2 hospitals
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Prices shown are estimates based on the hospital's machine-readable data files. Final bills can vary. Always ask for a "Good Faith Estimate" in writing before scheduling care.