Marigen wound dressing, 1 square cm 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

GRAFT OMEGA3 MESHED 2:1 4X6/24SQCM

Arlington, TX

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Pricing by billing methodology

Price type

How this price compares nationally

AMH Cath Labs LLC’s median price of $128 is 16% below the median hospital's median price ($152), higher than 34% of the 1,521 hospitals reporting HCPCS Q4158. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4158 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	$18	$20	$11	55%	—	$12 – $63
2	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$18	$20	$11	55%	—	$12 – $63
3	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$19	$21	$12	55%	—	$13 – $66
4	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$19	$22	$12	55%	—	$13 – $68
5	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$20	$22	$12	55%	—	$13 – $69
6	Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges	$58	$66	$36	55%	—	$40 – $205
7	Aetna whole health percent of total billed charges · inpatientfrom % of charges	$69	$79	$43	55%	—	$47 – $245
8	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$82	$94	$51	55%	—	$56 – $291
9	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$92	$105	$57	55%	—	$63 – $326
10	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$92	$105	$58	55%	—	$63 – $327
11	Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges	$103	$117	$64	55%	—	$71 – $364
12	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$104	$118	$64	55%	—	$71 – $366
13	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$110	$125	$68	55%	—	$75 – $388
14	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$110	$125	$68	55%	—	$75 – $388
15	Blue Cross Blue Shield medicare advantage case rate · outpatient	$125	$125	—	—	—	$125 – $125
16	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$111	$126	$69	55%	—	$76 – $391
17	Humana medicare advantage case rate · outpatient	$130	$130	—	—	—	$130 – $130
18	Humana medicare advantage ppo case rate · outpatient	$130	$130	—	—	—	$130 – $130
19	Molina medicare advantage case rate · outpatient	$131	$131	—	—	—	$131 – $131
20	WellCare medicare advantage hmo case rate · outpatient	$131	$131	—	—	—	$131 – $131
21	WellCare medicare advantage mmp case rate · outpatient	$138	$138	—	—	—	$138 – $138
22	UnitedHealthcare medicare advantage ppo case rate · outpatient	$139	$139	—	—	—	$139 – $139
23	UnitedHealthcare medicare advantage hmo case rate · outpatient	$142	$142	—	—	—	$142 – $142
24	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$139	$158	$87	55%	—	$95 – $492
25	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$139	$159	$87	55%	—	$96 – $493

Page 1 of 2 · 33 rates

Last updated: Apr 21, 2026

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