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
$128
Average
$936
Median
$225
High
$12.9k
Each hospital's average Oscar rate, under the methodology and billing class chosen below.
148 hospitals; the 90th percentile is 27.2× 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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192 hospital rates
iThe hospitals that file a Oscar 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 | ADVENTIST HEALTH DELANO Delano, CA other · outpatient | 1 | $223 | $223 | — | — | — | $223 – $223 |
| 2 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $160 | $160 | — | — | — | $160 – $160 |
| 3 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA other · outpatient | 1 | $223 | $223 | — | — | — | $223 – $223 |
| 4 | AHS Hillcrest Medical Center, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $1.1k | $1.3k | $868 | 64% | — | $211 – $2.8k |
| 5 | AHS Pryor Hospital, LLC Pryor, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $773 | $822 | $632 | 77% | — | $63 – $2.5k |
| 6 | AHS Southcrest Hospital, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $659 | $862 | $805 | 93% | — | $99 – $2.8k |
| 7 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $349 | $384 | $174 | 45% | — | $189 – $612 |
| 8 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $274 | $301 | $137 | 45% | — | $148 – $480 |
| 9 | Adventhealth Ottawa Ottawa, KS fee schedule · outpatient | 1 | $199 | $199 | — | — | — | $199 – $199 |
| 10 | Banner Baywood Medical Center Mesa, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $282 | $282 | $49 | 18% | — | $233 – $332 |
| 11 | Banner Boswell Medical Center Sun City, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $195 | $219 | $72 | 33% | — | $155 – $332 |
| 12 | Banner Casa Grande Medical Center Casa Grande, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $194 | $194 | $39 | 20% | — | $155 – $233 |
| 13 | Banner Del E Webb Medical Center Sun City West, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $332 | $537 | $363 | 68% | — | $233 – $1.0k |
| 14 | Banner Desert Medical Center Mesa, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $233 | $240 | $71 | 30% | — | $157 – $332 |
| 15 | Banner Estrella Medical Center Phoenix, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $233 | $240 | $72 | 30% | — | $155 – $332 |
| 16 | Banner Gateway Medical Center Gilbert, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $282 | $282 | $49 | 18% | — | $233 – $332 |
| 17 | Banner Ironwood Medical Center San Tan Valley, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $282 | $282 | $49 | 18% | — | $233 – $332 |
| 18 | Banner Ocotillo Medical Center Chandler, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $332 | $537 | $363 | 68% | — | $233 – $1.0k |
| 19 | Banner Thunderbird Medical Center Glendale, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $194 | $204 | $77 | 38% | — | $103 – $332 |
| 20 | Banner University Med Center South Tucson, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $155 | $164 | $53 | 33% | — | $103 – $233 |
| 21 | Banner University Medical Center Phoenix Phoenix, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $256 | $322 | $248 | 77% | — | $103 – $1.0k |
| 22 | Banner University Medical Center Tucson Tucscon, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $157 | $196 | $79 | 41% | — | $103 – $332 |
| 23 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $182 | $182 | — | — | — | $182 – $182 |
| 24 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $189 | $252 | $195 | 77% | — | $66 – $686 |
| 25 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $148 | $198 | $153 | 77% | — | $52 – $537 |
← Payers reporting HCPCS Q4133 · Snapshot 20261111T120946Z-9134e7f7