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
Grafix duo per sq cm
Low
$1
Average
$567
Median
$786
High
$935
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
10 hospitals; the 90th percentile is 7.7× 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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15 hospital rates
iThe hospitals that file a MultiPlan 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 | HCA FLORIDA NORTH FLORIDA HOSPITAL GAINESVILLE, FL percent of total billed charges · outpatientfrom % of charges | 2 | $1 | $1 | $0 | 5% | — | $1 – $1 |
| 2 | Novant Health Rowan Medical Center LLC Salisbury, NC fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 3 | The Presbyterian Hospital Charlotte, NC fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 4 | University Medical Center, Inc. Louisville, KY facility · percent of total billed charges · inpatientfrom % of charges | 2 | $632 | $798 | $418 | 52% | — | $254 – $1.6k |
| 5 | University Medical Center, Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $632 | $798 | $418 | 52% | — | $254 – $1.6k |
| 6 | UofL Health -Shelbyville, Inc. Shelbyville, KY facility · percent of total billed charges · inpatientfrom % of charges | 2 | $869 | $924 | $391 | 42% | — | $434 – $1.6k |
| 7 | UofL Health -Shelbyville, Inc. Shelbyville, KY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $869 | $924 | $391 | 42% | — | $434 – $1.6k |
| 8 | UofL Health-Louisville Inc. Louisville, KY facility · percent of total billed charges · inpatientfrom % of charges | 2 | $632 | $788 | $377 | 48% | — | $382 – $1.6k |
| 9 | UofL Health-Louisville Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $632 | $788 | $377 | 48% | — | $382 – $1.6k |
| 10 | UofL Health-Louisville Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $684 | $784 | $338 | 43% | — | $434 – $1.6k |
| 11 | UofL Health-Louisville Inc. Shepherdville, KY facility · percent of total billed charges · inpatientfrom % of charges | 2 | $869 | $935 | $380 | 41% | — | $463 – $1.6k |
| 12 | UofL Health-Louisville Inc. Shepherdville, KY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $869 | $935 | $380 | 41% | — | $463 – $1.6k |
| 13 | UofL Health-Louisville Inc. Louisville, KY facility · percent of total billed charges · inpatientfrom % of charges | 2 | $632 | $798 | $418 | 52% | — | $254 – $1.6k |
| 14 | UofL Health-Louisville Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $632 | $798 | $418 | 52% | — | $254 – $1.6k |
| 15 | Valley County Hospital NE 68862-1240; 400 S 23rd St Ord, NE professional · fee schedule · both | 1 | $379 | $379 | — | — | — | $379 – $379 |
← Payers reporting HCPCS Q4392 · Snapshot 20261113T090226Z-3ce6c0b8