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
ALLOGRAFT EPIFIX 40MG/PER MG
Arlington, TX
See all hospitals reporting HCPCS Q4145 →Price type
AMH Cath Labs LLC’s median price of $69 is 83% above the median hospital's median price ($38), higher than 82% of the 1,009 hospitals reporting HCPCS Q4145. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 25 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 hmo fee schedule · outpatient | $41 | $41 | — | — | — | $41 – $41 |
| 2 | Blue Cross Blue Shield exchange fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 3 | Blue Cross Blue Shield ppo fee schedule · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 4 | Blue Cross Blue Shield traditional fee schedule · outpatient | $185 | $185 | — | — | — | $185 – $185 |
| 5 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $315 | $315 | $308 | 98% | — | $7 – $623 |
| 6 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $315 | $315 | $308 | 98% | — | $7 – $623 |
| 7 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $331 | $331 | $324 | 98% | — | $7 – $655 |
| 8 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $340 | $340 | $333 | 98% | — | $7 – $673 |
| 9 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $346 | $346 | $339 | 98% | — | $7 – $686 |
| 10 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.2k | $1.2k | 98% | — | $26 – $2.4k |
| 11 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | $1.4k | 98% | — | $31 – $2.9k |
| 12 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $1.6k | $1.6k | $1.6k | 98% | — | $35 – $3.2k |
| 13 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.8k | $1.8k | 98% | — | $39 – $3.6k |
| 14 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | $1.9k | 98% | — | $41 – $3.8k |
| 15 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | $1.9k | 98% | — | $41 – $3.8k |
| 16 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | $1.9k | 98% | — | $42 – $3.9k |
| 17 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $2.5k | $2.5k | $2.4k | 98% | — | $52 – $4.9k |
| 18 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $2.5k | $2.5k | $2.4k | 98% | — | $53 – $4.9k |
| 19 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $2.5k | $2.5k | $2.4k | 98% | — | $53 – $4.9k |
| 20 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $2.5k | $2.5k | $2.4k | 98% | — | $53 – $4.9k |
| 21 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $2.6k | $2.6k | $2.6k | 98% | — | $56 – $5.2k |
| 22 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $3.1k | $3.1k | $3.0k | 98% | — | $66 – $6.1k |
| 23 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $3.1k | $3.1k | $3.0k | 98% | — | $66 – $6.1k |
| 24 | Cigna indemnity percent of total billed charges · inpatientfrom % of charges | $3.3k | $3.3k | $3.3k | 98% | — | $71 – $6.6k |
| 25 | Cigna indemnity percent of total billed charges · outpatientfrom % of charges | $3.3k | $3.3k | $3.3k | 98% | — | $71 – $6.6k |
Last updated: Apr 21, 2026
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