What does code Q4103 cost?

Across the published hospital price files, the disclosed cash price for Q4103 ranges from $19.00 to $36.03. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Will this be my final bill?

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

Q4103 is the billing code hospitals use to identify "Oasis burn matrix" on their published price files. We use it to line up the same service across different hospitals.

Why do prices for this code differ between hospitals?

Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.

What this page is not

It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

Q4103

HCPCS

Oasis burn matrix

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code Q4103 (Oasis burn matrix) appears at 5 hospitals with disclosed cash prices from $19.00 to $36.03. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

hospitals publish a price

list this service without a published price

Cash

List

Negotiated

Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare Q4103 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Based on hospital-published prices verified from each hospital’s own file. Coverage expands as data is verified.

Published cash prices for code Q4103 vary by about 90% across the 3 hospitals with disclosed prices here — from $19.00 to $36.03. Shopping around can matter.

Hospitals

Prices shown

$19.00

Lowest cash

$36.03

Highest cash

code Q4103 cash price5 disclosed · 3 hospitals

$19.00median ~$21.45$36.03

Lowest cash price by hospital

Endeavor Health Swedish Hospital$19.00
Froedtert Menomonee Falls Hospital$21.45
Froedtert West Bend Hospital$21.45

Cash price by city

Reflects your current filters.

Cash price by city$19.00 – $36.03

Chicago · 1 hospital$19.00
Menomonee Falls · 1 hospital$21.45–$36.03
West Bend · 1 hospital$21.45–$36.03

7 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
Oasis burn matrix Outpatient	Endeavor Health Edward Hospital	Q4103 HCPCS	—	—	$32.23 – $215	—
Oasis burn matrix Outpatient	University of Chicago Medical Center	Q4103 HCPCS	—	—	—	—
HB SKIN SUBS, OASIS BURN MATX, PER SQ CM Inpatient & outpatient	Endeavor Health Swedish Hospital	Q4103 HCPCS	$19.00	$19.00	—	—
HC GRAFT OASIS BURN MATRIX PER SQUARE CENTIMETER (5X7CM) Outpatient	Froedtert Menomonee Falls Hospital	Q4103 HCPCS	$39.00	$21.45	$11.70 – $35.10	—
HC GRAFT OASIS BURN MATRIX PER SQUARE CENTIMETER (3X3.5CM) Outpatient	Froedtert Menomonee Falls Hospital	Q4103 HCPCS	$65.50	$36.03	$13.23 – $58.95	—
HC GRAFT OASIS BURN MATRIX PER SQUARE CENTIMETER (5X7CM) Inpatient	Froedtert West Bend Hospital	Q4103 HCPCS	$39.00	$21.45	$15.60 – $37.05	—
HC GRAFT OASIS BURN MATRIX PER SQUARE CENTIMETER (3X3.5CM) Inpatient	Froedtert West Bend Hospital	Q4103 HCPCS	$65.50	$36.03	$26.20 – $62.23	—

How to read these prices

Cash price: The discounted self-pay price for paying directly, without insurance.
List price: The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate: A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount: A historical reference for what was actually allowed, where disclosed.

Hospitals that publish Q4103 prices

Open a hospital to see this code in the context of its full published prices.

Endeavor Health Edward Hospital University of Chicago Medical Center Endeavor Health Swedish Hospital Froedtert Menomonee Falls Hospital Froedtert West Bend Hospital

Code Q4103: frequently asked

What does code Q4103 cost?: Across the published hospital price files, the disclosed cash price for Q4103 ranges from $19.00 to $36.03. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?: Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code Q4103?: Q4103 is the billing code hospitals use to identify "Oasis burn matrix" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?: Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not: It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

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