Price Checker / CPT Q4104
How much does Integra Bmwd cost?
CPT Q4104 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 78x the fair price — among the most extreme markups. Dispute this.
Fair price
$190–$380
What this should cost
With insurance
~$3,900
Typical out-of-pocket
Overcharged if over
$480
Push back above this
The average hospital charge of $22,615 is $22,325 over the fair price (about 78x the fair rate).
What hospitals charge for Integra Bmwd
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Crestwood Medical Center HUNTSVILLE, AL | $56,367 | $11,837 | 44193% |
| The University of Tennessee Medical Center Knoxville, TN | $59,234 | — | 41791% |
| Ochsner St. Mary MORGAN CITY, LA | $46,068 | $6,910 | 36100% |
| Ochsner Abrom Kaplan Memorial Hospital , LA | $44,962 | $21,132 | 35231% |
| Slidell Memorial Hospital- East Campus Slidell, LA | $41,461 | $6,219 | 32480% |
| Slidell Memorial Hospital - Main Campus Slidell, LA | $41,461 | $6,219 | 32480% |
| FAIRFIELD HOSPITAL , OH | $40,938 | $24,563 | 32069% |
| Good Samaritan University Hospital , NY | $35,161 | $35,161 | 27529% |
| St. Catherine of Siena Hospital SMITHTOWN, NY | $35,161 | $35,161 | 27529% |
| Clifton Springs Hospital and Clinic CLIFTON SPRINGS, NY | $33,024 | $21,466 | 25850% |
| United Memorial Medical Center BATAVIA, NY | $33,024 | $21,466 | 25850% |
| ST FRANCIS MEDICAL CENTER BRECKENRIDGE, VA | $32,918 | $19,751 | 25767% |
| Mon Health Medical Center MORGANTOWN, WV | $32,754 | $16,377 | 25638% |
| UPMC Carlisle CARLISLE, PA | $31,439 | $18,863 | 24604% |
| UPMC Community Osteopathic , PA | $31,439 | $18,863 | 24604% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Integra Bmwd
CPT code Q4104 refers to integra bmwd (billing description: "Integra bmwd"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $127 in a facility (hospital or surgery center) and $127 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.