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
Amnioamp-mp per sq cm
Chicago, IL
See all hospitals reporting HCPCS Q4250 →Price type
Advocate Trinity Hospital’s median price of $4.8k is 1338% above the median hospital's median price ($337), higher than 91% of the 874 hospitals reporting HCPCS Q4250. 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Cigna commercial fee schedule · outpatient | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 2 | UnitedHealthcare commercial fee schedule · outpatient | $4.7k | $6.4k | $2.3k | 37% | — | $4.7k – $9.7k |
| 3 | UnitedHealthcare hmo fee schedule · outpatient | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
Last updated: Nov 4, 2025
See Amniotic membrane allograft, per square centimeter pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.