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
Puraply xt 1 sq cm
Chicago, IL
See all hospitals reporting HCPCS Q4197 →Price type
Advocate Trinity Hospital’s median price of $191 is 30% above the median hospital's median price ($147), higher than 70% of the 1,125 hospitals reporting HCPCS Q4197. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 2 payers, 3 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 | Cigna commercial fee schedule · outpatient | $191 | $191 | — | — | — | $191 – $191 |
| 2 | UnitedHealthcare commercial fee schedule · outpatient | $156 | $210 | $77 | 37% | — | $156 – $319 |
| 3 | UnitedHealthcare hmo fee schedule · outpatient | $319 | $319 | — | — | — | $319 – $319 |
Last updated: Nov 4, 2025
See Puraply XT skin graft substitute, per square centimeter pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.