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
$0
Average
$968
Median
$297
High
$23.1k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1407 hospitals; the 90th percentile is 17.5× 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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2,148 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION DBA INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL BRIGHTON, CO facility · percent of total billed charges · outpatientfrom % of charges | 11 | $782 | $1.3k | $543 | 42% | 140 | $586 – $1.8k |
| 2 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · both | 1 | $2.0k | $2.0k | — | — | 17 | $2.0k – $2.0k |
| 3 | Mount Carmel St Ann's Lewis Center, OH facility · percent of total billed charges · bothfrom % of charges | 2 | $341 | $350 | $94 | 27% | 15–150 | $184 – $501 |
| 4 | ST. MARY'S HOSPITAL & MEDICAL CENTER, INC. DBA INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL JUNCTION, CO facility · percent of total billed charges · outpatientfrom % of charges | 12 | $979 | $981 | $296 | 30% | 14 | $445 – $1.8k |
| 5 | Mount Carmel Grove City Grove City, OH facility · percent of total billed charges · bothfrom % of charges | 2 | $341 | $346 | $97 | 28% | 13–130 | $184 – $501 |
| 6 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges | 1 | $7.1k | $7.9k | $3.8k | 48% | 12–120 | $2.1k – $13.1k |
| 7 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · other · outpatient | 2 | $125 | $125 | — | — | 12–120 | $125 – $125 |
| 8 | Mercy Hospital Oklahoma City Inc City, OK facility · other · outpatient | 1 | $125 | $125 | — | — | 8–80 | $125 – $125 |
| 9 | SAN JOAQUIN COMMUNITY HOSPITAL Bakersfield, CA percent of total billed charges · outpatientfrom % of charges | 3 | $234 | $238 | $101 | 42% | 6–60 | $133 – $345 |
| 10 | MCLAREN BAY REGION CITY, MI percent of total billed chargesfrom % of charges | 1 | $430 | $430 | — | — | 1–10 | $430 – $430 |
| 11 | ADVENTIST HEALTH DELANO Delano, CA other · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 12 | ADVENTIST HEALTH DELANO Delano, CA percent of total billed charges · outpatientfrom % of charges | 3 | $2.5k | $2.3k | $1.3k | 58% | — | $543 – $3.8k |
| 13 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 3 | $136 | $137 | $1 | 1% | — | $136 – $139 |
| 14 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 3 | $3.2k | $3.2k | $1.4k | 42% | — | $1.3k – $5.0k |
| 15 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 3 | $127 | $131 | $6 | 4% | — | $127 – $139 |
| 16 | ADVENTIST HEALTH TULARE Tulare, CA other · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 17 | ADVENTIST HEALTH TULARE Tulare, CA percent of total billed charges · outpatientfrom % of charges | 2 | $1.9k | $2.3k | $1.9k | 80% | — | $546 – $5.1k |
| 18 | AHS Pryor Hospital, LLC Pryor, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 19 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $298 | $298 | — | — | — | $298 – $298 |
| 20 | ALASKA REGIONAL HOSPITAL Anchorage, AK percent of total billed charges · outpatientfrom % of charges | 5 | $2.4k | $2.5k | $612 | 25% | — | $1.7k – $3.4k |
| 21 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient | 2 | $229 | $275 | $254 | 92% | — | $33 – $1.3k |
| 22 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · inpatient | 1 | $2.4k | $3.2k | $1.7k | 52% | — | $1.5k – $6.7k |
| 23 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · outpatient | 3 | $2.1k | $2.5k | $1.4k | 57% | — | $976 – $6.7k |
| 24 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · outpatient | 2 | $229 | $257 | $224 | 87% | — | $29 – $1.1k |
| 25 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 1 | $2.4k | $3.3k | $1.8k | 52% | — | $1.6k – $6.9k |
← Payers reporting HCPCS Q4133 · Snapshot 20261111T120946Z-9134e7f7