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
Revoshield+ amnio, per sq cm
Chicago, IL
See all hospitals reporting HCPCS Q4289 →Price type
Advocate Trinity Hospital’s median price of $5.6k is 1872% above the median hospital's median price ($283), higher than 98% of the 837 hospitals reporting HCPCS Q4289. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 1 payer, 2 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 | UnitedHealthcare commercial fee schedule · outpatient | $3.7k | $4.9k | $1.8k | 37% | — | $3.7k – $7.5k |
| 2 | UnitedHealthcare hmo fee schedule · outpatient | $7.5k | $7.5k | — | — | — | $7.5k – $7.5k |
Last updated: Nov 4, 2025
See Amniotic membrane wound covering, per square centimeter pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.