Theraskin skin substitute, per square centimeter at AMH Cath Labs LLC

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

TISSUE THERASKIN 1"X2"/13SQCM

Arlington, TX

See all hospitals reporting HCPCS Q4121 →

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Pricing by billing methodology

Price type

How this price compares nationally

AMH Cath Labs LLC’s median price of $125 is 4% below the median hospital's median price ($130), higher than 46% of the 1,610 hospitals reporting HCPCS Q4121. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4121 at AMH Cath Labs LLC

Negotiated rates from the hospital’s own file: 9 payers, 33 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	Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges	$21	$30	$21	72%	—	$11 – $64
2	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$21	$30	$21	72%	—	$11 – $64
3	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$23	$31	$22	72%	—	$12 – $67
4	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$23	$32	$23	72%	—	$12 – $69
5	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$24	$32	$23	72%	—	$12 – $70
6	Blue Cross Blue Shield hmo fee schedule · outpatient	$94	$94	—	—	—	$94 – $94
7	Blue Cross Blue Shield exchange fee schedule · outpatient	$96	$96	—	—	—	$96 – $96
8	Blue Cross Blue Shield ppo fee schedule · outpatient	$104	$104	—	—	—	$104 – $104
9	Aetna whole health percent of total billed charges · inpatientfrom % of charges	$83	$115	$82	72%	—	$44 – $248
10	Blue Cross Blue Shield medicare advantage case rate · outpatient	$125	$125	—	—	—	$125 – $125
11	Humana medicare advantage case rate · outpatient	$130	$130	—	—	—	$130 – $130
12	Humana medicare advantage ppo case rate · outpatient	$130	$130	—	—	—	$130 – $130
13	Molina medicare advantage case rate · outpatient	$131	$131	—	—	—	$131 – $131
14	WellCare medicare advantage hmo case rate · outpatient	$131	$131	—	—	—	$131 – $131
15	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$99	$136	$98	72%	—	$52 – $295
16	WellCare medicare advantage mmp case rate · outpatient	$138	$138	—	—	—	$138 – $138
17	UnitedHealthcare medicare advantage ppo case rate · outpatient	$139	$139	—	—	—	$139 – $139
18	UnitedHealthcare medicare advantage hmo case rate · outpatient	$142	$142	—	—	—	$142 – $142
19	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$111	$153	$110	72%	—	$59 – $331
20	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$125	$172	$123	72%	—	$66 – $371
21	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$132	$182	$131	72%	—	$70 – $393
22	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$132	$182	$131	72%	—	$70 – $393
23	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$133	$183	$132	72%	—	$70 – $397
24	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$168	$231	$166	72%	—	$88 – $499
25	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$168	$231	$166	72%	—	$89 – $500

Page 1 of 2 · 33 rates

Last updated: Apr 21, 2026

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