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CPT Q4101

APLIGRAF 44 SQ CM, PER SQ CM

Reported by 73 hospitals in the network.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

National pricing summary

Low

$82

Average

$1.5k

Median

$1.1k

High

$9.2k

Hospitals reporting this code

#HospitalLocation
1Virginia Mason Medical CenterSeattle, WA$71$83$82$94$8
2Holy Cross Hospital-Ft. LauderdaleFt. Lauderdale, FL$127$13.3k$9.2k$15.5k$5.9k
3Mount Carmel St Ann'sWesterville, OH$105$7.4k$5.5k$7.4k$2.9k
4Mount Carmel EastColumbus, OH$104$7.4k$5.5k$7.4k$2.9k
5UPMC ColeCoudersport, PA$30$79$116$219$64
6IHC Health Services Inc., DBA Intermountain Health Intermountain Medical CenterMurray, UT$30$2.6k$2.1k$4.1k$1.5k
7IHC Health Services Inc., DBA Intermountain Health Utah Valley HospitalProvo, UT$30$2.8k$2.2k$4.1k$1.5k
8IHC Health Services Inc., DBA Intermountain Health McKay-Dee HospitalOgden, UT$30$2.7k$2.1k$4.5k$1.5k
9Benefis Hospitals IncFalls, MT$27$172$150$369$65
10IHC Health Services Inc., DBA Intermountain Health St George Regional HospitalSt. George, UT$30$3.0k$2.2k$3.2k$1.3k
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