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
$81
Average
$2.7k
Median
$1.1k
High
$22.5k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
401 hospitals; the 90th percentile is 27.1× 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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575 hospital rates
iThe hospitals that file a First Health 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 | AHS Pryor Hospital, LLC Pryor, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $2.3k | $2.4k | $1.9k | 77% | — | $185 – $7.5k |
| 2 | ALASKA REGIONAL HOSPITAL Anchorage, AK percent of total billed charges · outpatientfrom % of charges | 2 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 3 | Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient | 1 | $352 | $352 | — | — | — | $352 – $352 |
| 4 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $352 | $352 | — | — | — | $352 – $352 |
| 5 | Affinity Hospital LLC Birmingham, AL facility · other · outpatient | 1 | $94 | $94 | — | — | — | $94 – $94 |
| 6 | Affinity Hospital LLC Birmingham, AL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $122 | $122 | — | — | — | $122 – $122 |
| 7 | AnMed Health Anderson, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.1k | $2.1k | $676 | 33% | — | $1.1k – $2.9k |
| 8 | AnMed Health Cannon Pickens, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.1k | $2.1k | $676 | 33% | — | $1.1k – $2.9k |
| 9 | AnMed Piedmont Piedmont, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.1k | $2.1k | $676 | 33% | — | $1.1k – $2.9k |
| 10 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · inpatientfrom % of charges | 1 | $833 | $1.1k | $506 | 44% | — | $663 – $2.1k |
| 11 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $833 | $1.1k | $506 | 44% | — | $663 – $2.1k |
| 12 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · inpatientfrom % of charges | 1 | $833 | $1.1k | $506 | 44% | — | $663 – $2.1k |
| 13 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 1 | $833 | $1.1k | $506 | 44% | — | $663 – $2.1k |
| 14 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · inpatientfrom % of charges | 1 | $882 | $1.2k | $536 | 44% | — | $702 – $2.3k |
| 15 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 1 | $882 | $1.2k | $536 | 44% | — | $702 – $2.3k |
| 16 | BAKERSFIELD MEMORIAL HOSPITAL Bakersfield, CA fee schedule · inpatient | 1 | $6.5k | $12.4k | $12.8k | 103% | — | $1.3k – $40.8k |
| 17 | BAKERSFIELD MEMORIAL HOSPITAL Bakersfield, CA fee schedule · outpatient | 1 | $6.5k | $12.4k | $12.8k | 103% | — | $1.3k – $40.8k |
| 18 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · inpatient | 1 | $3.2k | $4.3k | $2.0k | 46% | — | $2.2k – $7.5k |
| 19 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient | 1 | $3.2k | $4.3k | $2.0k | 46% | — | $2.2k – $7.5k |
| 20 | Banner Wyoming Medical Center Casper, WY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $447 | $447 | — | — | — | $447 – $447 |
| 21 | Banner Wyoming Medical Center Casper, WY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $447 | $447 | — | — | — | $447 – $447 |
| 22 | Bartow Regional Medical Center Bartow, FL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $3.9k | $5.7k | $5.0k | 87% | — | $1.8k – $21.0k |
| 23 | Bartow Regional Medical Center Bartow, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.9k | $5.7k | $5.0k | 87% | — | $1.8k – $21.0k |
| 24 | BayCare Alliant Hospital Dunedin, FL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $3.9k | $5.7k | $5.0k | 87% | — | $1.8k – $21.0k |
| 25 | BayCare Alliant Hospital Dunedin, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.9k | $5.7k | $5.0k | 87% | — | $1.8k – $21.0k |
← Payers reporting HCPCS Q4133 · Snapshot 20261111T120946Z-9134e7f7