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
99999-0921-67 - Amnion Allograft 1 EA Misc
Prices here combine facility and professional fees. See them separately →Experimental
Low
$125
Average
$194
Median
$145
High
$361
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Reflects a negotiated per diem rate paid per day of care.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Porter Hospital LLC Valparaiso, IN | $132 | $132 | — | — | — | $132 – $132 |
| 2 | Las Cruces Medical Center LLC Las Cruces, NM | $125 | $125 | — | — | — | $125 – $125 |
| 3 | Granbury Hospital Corporation Granbury, TX | $361 | $361 | — | — | — | $361 – $361 |
| 4 | Prisma Health Blount Memorial Hospital MARYVILLE, TN | $159 | $159 | — | — | — | $159 – $159 |
Ask Claude or any MCP client for HCPCS Q4170 pricing at a specific hospital — see how to connect.