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
Restorigin 1 sq cm
Rome, GA
See all hospitals reporting HCPCS Q4191 →Price type
Adventhealth Redmond’s median price of $165 is 55% below the median hospital's median price ($369), higher than 31% of the 917 hospitals reporting HCPCS Q4191. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 5 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna medicare managed care plan fee schedule · outpatient | $129 | $129 | — | — | — | $129 – $129 |
| 2 | Blue Cross Blue Shield anthem medicare managed care plan fee schedule · outpatient | $133 | $133 | — | — | — | $133 – $133 |
| 3 | Devoted medicare managed care plan fee schedule · outpatient | $136 | $136 | — | — | — | $136 – $136 |
| 4 | Humana hmo/ppo fee schedule · outpatient | $360 | $360 | — | — | — | $360 – $360 |
| 5 | UnitedHealthcare hmo/ppo fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
Last updated: Apr 1, 2026
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