APLIGRAF SKIN SQ CM at Affinity Hospital LLC

Birmingham, AL

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Pricing by billing methodology

Price type

How this price compares nationally

Affinity Hospital LLC’s median price of $212 is 76% above the median hospital's median price ($120), higher than 79% of the 1,906 hospitals reporting HCPCS Q4101. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4101 at Affinity Hospital LLC

Negotiated rates from the hospital’s own file: 13 payers, 22 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 uhc iex facility · percent of total billed charges · outpatientfrom % of charges	$91	$91	—	—	—	$91 – $91
2	UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges	$104	$104	—	—	—	$104 – $104
3	Humana node humana mcr adv facility · fee schedule · outpatient	$112	$112	—	—	—	$112 – $112
4	UnitedHealthcare node uhc mcr adv facility · per diem · outpatient	$112	$112	—	—	—	$112 – $112
5	Optum node united optum va ccn facility · fee schedule · outpatient	$114	$114	—	—	—	$114 – $114
6	Cigna Healthspring node cigna healthspring mcr adv facility · fee schedule · outpatient	$114	$114	—	—	—	$114 – $114
7	Devoted node devoted health mcr adv facility · fee schedule · outpatient	$114	$114	—	—	—	$114 – $114
8	Clover node clover health mcr adv facility · fee schedule · outpatient	$115	$115	—	—	—	$115 – $115
9	Aetna node aetna mcr adv facility · fee schedule · outpatient	$115	$115	—	—	—	$115 – $115
10	WellCare node wellcare mcr adv facility · fee schedule · outpatient	$116	$116	—	—	—	$116 – $116
11	Tricare node tricare facility · fee schedule · outpatient	$127	$127	—	—	—	$127 – $127
12	Aetna aetna all facility · per diem · outpatient	$168	$168	—	—	—	$168 – $168
13	WellCare node wellcare ambetter marketplace facility · fee schedule · outpatient	$171	$171	—	—	—	$171 – $171
14	Cigna cigna all facility · fee schedule · outpatient	$199	$199	—	—	—	$199 – $199
15	Optum optum health facility · percent of total billed charges · outpatientfrom % of charges	$272	$272	—	—	—	$272 – $272
16	First Health first health facility · other · outpatient	$363	$363	—	—	—	$363 – $363
17	MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges	$369	$369	—	—	—	$369 – $369
18	MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges	$375	$375	—	—	—	$375 – $375
19	MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges	$424	$424	—	—	—	$424 – $424
20	MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges	$424	$424	—	—	—	$424 – $424
21	First Health first health work comp al facility · percent of total billed charges · outpatientfrom % of charges	$473	$473	—	—	—	$473 – $473
22	Bcbs Al bcbs al all facility · other · outpatient	$605	$605	—	—	—	$605 – $605

Last updated: Apr 1, 2026

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