HospitalPricer

Q4124

HCPCS

HC OASIS ULTRA TRI-LAYER PER SQ CM

Verified from hospital fileNot a bill estimate
iDirect answer

Based on the latest published hospital price files, code Q4124 (HC OASIS ULTRA TRI-LAYER PER SQ CM) appears at 14 hospitals with disclosed cash prices from $16.10 to $289. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

13
hospitals publish a price
1
list this service without a published price
27
Cash
27
List
17
Negotiated
0
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 Q4124 prices

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

Published cash prices for code Q4124 vary by about 18× across the 12 hospitals with disclosed prices here — from $16.10 to $289. Shopping around can matter.

12
Hospitals
30
Prices shown
$16.10
Lowest cash
$289
Highest cash
code Q4124 cash price27 disclosed · 12 hospitals
$16.10median ~$43.79$289

Cash price by city

Reflects your current filters.

Cash price by city$16.10$52.00
  • Tarzana · 1 hospital$16.10
  • Burbank · 1 hospital$16.10
  • Stanford · 1 hospital$26.40–$52.00
  • Apple Valley · 1 hospital$27.36
  • Burlington · 1 hospital$27.50
  • Elkhorn · 1 hospital$27.50

30 prices shown.

ServiceHospitalCodeList priceCash priceNegotiated rangeAllowed (median)
HC OASIS ULTRA TRI-LAYER PER SQ CM
Inpatient & outpatient
Endeavor Health Edward HospitalQ4124
HCPCS
$85.00$85.00
Oasis tri-layer wound matrix
Outpatient
Endeavor Health Edward HospitalQ4124
HCPCS
$55.42 – $215
Oasis tri-layer wound matrix
Outpatient
University of Chicago Medical CenterQ4124
HCPCS
HC OASIS ULTRA GRAFT PER SQ CM
Outpatient
Froedtert Menomonee Falls HospitalQ4124
HCPCS
$78.00$42.90$10.83 – $70.20
OASIS ULTRA TRI-LAYER PER SQ CM
Inpatient
Aurora Medical Center BurlingtonQ4124
HCPCS
$55.00$27.50$33.00 – $46.75
OASIS ULTRA TRI-LAYER PER SQ CM
Inpatient
Aurora Lakeland Medical CenterQ4124
HCPCS
$55.00$27.50$33.00 – $46.75
Impl Matrx Oasis Ultr Fen 3x3.5
Outpatient
Stanford Health CareQ4124
HCPCS
$130$52.00
Impl Matrx Oasis Ultr Fen 3x3.5
Inpatient
Stanford Health CareQ4124
HCPCS
$130$52.00
Impl Matrx Oasis 3x3.5cm
Inpatient
Stanford Health CareQ4124
HCPCS
$93.00$37.20
Impl Matrx Oasis 3x3.5cm
Outpatient
Stanford Health CareQ4124
HCPCS
$93.00$37.20
Oasis Ultra Tl Wound Matx, per Sq Cm (Wasteage)
Inpatient
Stanford Health CareQ4124
HCPCS
$66.00$26.40
Oasis Ultra Tl Wound Matx, per Sq Cm (Wasteage)
Outpatient
Stanford Health CareQ4124
HCPCS
$66.00$26.40
Oasis Ultra Tl Wound Matrix, per Sq Cm
Inpatient
Stanford Health CareQ4124
HCPCS
$66.00$26.40
Oasis Ultra Tl Wound Matrix, per Sq Cm
Outpatient
Stanford Health CareQ4124
HCPCS
$66.00$26.40
HC OP OASIS ULTRATRILAYER MTRX SQ CM
Inpatient & outpatient
Providence Cedars-Sinai Tarzana Medical CenterQ4124
HCPCS
$46.00$16.10
MATRIX WND OASIS TRI MESH 7X10/70SQCM
Inpatient
Texas Health Arlington Memorial HospitalQ4124
HCPCS
$75.60$45.36$26.14 – $71.14
MATRIX WND OASIS TRI MESH 7X20/140SQCM
Inpatient
Texas Health Arlington Memorial HospitalQ4124
HCPCS
$72.98$43.79$25.24 – $68.67
TISSUE DERMASPAN 4X7/28SQCM
Inpatient
Texas Health Arlington Memorial HospitalQ4124
HCPCS
$482$289$167 – $453
MATRIX WND OASIS TRI MESH 7X10/70SQCM
Inpatient
Texas Health Presbyterian Hospital Flower MoundQ4124
HCPCS
$75.60$45.36$26.14 – $71.14
MATRIX WND OASIS TRI MESH 7X20/140SQCM
Inpatient
Texas Health Presbyterian Hospital Flower MoundQ4124
HCPCS
$72.98$43.79$25.24 – $68.67
TISSUE DERMASPAN 4X7/28SQCM
Inpatient
Texas Health Presbyterian Hospital Flower MoundQ4124
HCPCS
$482$289$167 – $453
MATRIX WND OASIS TRI MESH 7X10/70SQCM
Inpatient
Texas Health Hospital FriscoQ4124
HCPCS
$75.60$45.36$26.14 – $71.14
MATRIX WND OASIS TRI MESH 7X20/140SQCM
Inpatient
Texas Health Hospital FriscoQ4124
HCPCS
$72.98$43.79$25.24 – $68.67
TISSUE DERMASPAN 4X7/28SQCM
Inpatient
Texas Health Hospital FriscoQ4124
HCPCS
$482$289$167 – $453
HC OP OASIS ULTRATRILAYER MTRX SQ CM
Inpatient & outpatient
Providence Saint Joseph Medical CenterQ4124
HCPCS
$46.00$16.10

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 Q4124 prices

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

Code Q4124: frequently asked

What does code Q4124 cost?
Across the published hospital price files, the disclosed cash price for Q4124 ranges from $16.10 to $289. 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 Q4124?
Q4124 is the billing code hospitals use to identify "HC OASIS ULTRA TRI-LAYER PER SQ CM" 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.

Related

Hospitals publishing code Q4124 by state