Dermacell skin graft substitute material 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.

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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

DERMIS DCELL MP 8X16/128SQCM

Arlington, TX

See all hospitals reporting HCPCS Q4122 →

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Pricing by billing methodology

Price type

How this price compares nationally

AMH Cath Labs LLC’s median price of $130 is 30% below the median hospital's median price ($186), higher than 32% of the 1,355 hospitals reporting HCPCS Q4122. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4122 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	$27	$23	$10	44%	—	$11 – $44
2	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$27	$23	$10	44%	—	$11 – $44
3	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$29	$24	$11	44%	—	$11 – $46
4	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$29	$25	$11	44%	—	$11 – $47
5	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$30	$25	$11	44%	—	$12 – $48
6	Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges	$89	$75	$33	44%	—	$34 – $142
7	Aetna whole health percent of total billed charges · inpatientfrom % of charges	$106	$89	$39	44%	—	$41 – $169
8	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$126	$106	$47	44%	—	$49 – $201
9	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$141	$119	$52	44%	—	$55 – $226
10	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$142	$119	$53	44%	—	$55 – $226
11	Blue Cross Blue Shield medicare advantage case rate · outpatient	$125	$125	—	—	—	$125 – $125
12	Humana medicare advantage case rate · outpatient	$130	$130	—	—	—	$130 – $130
13	Humana medicare advantage ppo case rate · outpatient	$130	$130	—	—	—	$130 – $130
14	Molina medicare advantage case rate · outpatient	$131	$131	—	—	—	$131 – $131
15	WellCare medicare advantage hmo case rate · outpatient	$131	$131	—	—	—	$131 – $131
16	Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges	$157	$133	$59	44%	—	$61 – $252
17	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$158	$134	$59	44%	—	$61 – $253
18	WellCare medicare advantage mmp case rate · outpatient	$138	$138	—	—	—	$138 – $138
19	UnitedHealthcare medicare advantage ppo case rate · outpatient	$139	$139	—	—	—	$139 – $139
20	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$168	$141	$62	44%	—	$65 – $268
21	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$168	$141	$62	44%	—	$65 – $268
22	UnitedHealthcare medicare advantage hmo case rate · outpatient	$142	$142	—	—	—	$142 – $142
23	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$169	$143	$63	44%	—	$65 – $271
24	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$213	$179	$79	44%	—	$82 – $340
25	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$213	$180	$79	44%	—	$82 – $341

Page 1 of 2 · 33 rates

Last updated: Apr 21, 2026

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