Price Checker / CPT Q4104
CPT Q4104 — Integra bmwd
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$127
What Medicare pays in a hospital/ASC setting
$127
What Medicare pays in a physician's office
$26,658
Based on 204 hospital(s) in our database
What do these numbers mean?
The Medicare rateis what the federal government determines is a fair payment for this procedure. It's based on the Relative Value Unit (RVU) system, which accounts for physician work, practice expense, and malpractice cost. Hospitals and providers often charge 3-20x this amount. If your bill is significantly higher than the Medicare rate, you may have grounds to negotiate.
Hospital Charges for CPT Q4104
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| MARY IMMACULATE HOSPITAL , VA | $63,613 | $38,168 | 49886% |
| ST ELIZABETH YOUNGSTOWN HOSPITAL , OH | $61,989 | $37,194 | 48611% |
| ST JOSEPH WARREN HOSPITAL , OH | $61,989 | $37,194 | 48611% |
| Fort Sanders Regional Medical Center , TN | $60,940 | $30,470 | 47786% |
| HARBOUR VIEW MEDICAL CENTER , VA | $59,287 | $35,572 | 46487% |
| MARYVIEW HOSPITAL , VA | $59,287 | $35,572 | 46487% |
| Crestwood Medical Center , AL | $56,367 | $11,837 | 44193% |
| "ST RITA'S MEDICAL CENTER" , OH | $55,147 | $33,088 | 43234% |
| ST ELIZABETH BOARDMAN HOSPITAL , OH | $54,572 | $32,743 | 42782% |
| Ochsner Acadia General Hospital , LA | $53,439 | $11,222 | 41892% |
| Ochsner Lafayette General Medical Center , LA | $53,439 | $11,222 | 41892% |
| Ochsner Lafayette General Orthopedic Hospital , LA | $53,439 | $11,222 | 41892% |
| Ochsner Lafayette General Surgical Hospital , LA | $53,439 | $11,222 | 41892% |
| The University of Tennessee Medical Center Knoxville, TN | $59,234 | — | 41791% |
| ANDERSON HOSPITAL , OH | $52,594 | $31,556 | 41228% |
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About CPT Q4104
CPT code Q4104 refers to “Integra bmwd”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $127 in a facility (hospital or ambulatory surgery center) and $127in a non-facility (physician's office) setting.
These rates are set by CMS (Centers for Medicare & Medicaid Services) and represent what the government considers a fair payment for this service. While commercial insurance typically pays somewhat more than Medicare, many hospitals charge significantly higher amounts — sometimes 10-50x the Medicare rate.
What to do if you were overcharged
- Upload your bill— we'll identify this code and compare it against the rates shown above.
- Get a dispute letter— citing the Medicare rate and your hospital's own published pricing data.
- Negotiate or let us handle it — 25% of savings, no savings = no fee.