Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC GRAFIX PRIME PER 1SQ CM Q4133 (HIGH)
Low
$110
Average
$306
Median
$140
High
$832
Each hospital's average Bcbs Al rate, under the methodology and billing class chosen below.
6 hospitals; the 90th percentile is 5.6× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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6 hospital rates
iThe hospitals that file a Bcbs Al rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Affinity Hospital LLC Birmingham, AL facility · other · outpatient | 1 | $156 | $156 | — | — | — | $156 – $156 |
| 2 | Gadsden Regional Medical Center LLC Gadsden, AL facility · fee schedule · outpatient | 1 | $110 | $110 | — | — | — | $110 – $110 |
| 3 | Jackson Hospital Montgomery, AL fee schedule · both | 2 | $486 | $486 | — | — | — | $486 – $486 |
| 4 | Triad of Alabama LLC Dothan, AL facility · other · outpatient | 1 | $832 | $832 | — | — | — | $832 – $832 |
| 5 | USA Health Children's & Women's Hospital Mobile, AL facility · case rate · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 6 | USA Health University Hospital Mobile, AL facility · case rate · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
← Payers reporting HCPCS Q4133 · Snapshot 20261111T120946Z-9134e7f7