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 NUSHIELD 2X4/8SQCM
Arlington, TX
See all hospitals reporting HCPCS Q4160 →Price type
AMH Cath Labs LLC’s median price of $197 is 6% below the median hospital's median price ($210), higher than 47% of the 1,506 hospitals reporting HCPCS Q4160. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 | $42 | $42 | $15 | 35% | — | $25 – $72 |
| 2 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $42 | $42 | $15 | 35% | — | $25 – $72 |
| 3 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $44 | $44 | $15 | 35% | — | $27 – $76 |
| 4 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $45 | $45 | $16 | 35% | — | $27 – $78 |
| 5 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $46 | $46 | $16 | 35% | — | $28 – $79 |
| 6 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 7 | Humana medicare advantage case rate · outpatient | $130 | $130 | — | — | — | $130 – $130 |
| 8 | Humana medicare advantage ppo case rate · outpatient | $130 | $130 | — | — | — | $130 – $130 |
| 9 | Molina medicare advantage case rate · outpatient | $131 | $131 | — | — | — | $131 – $131 |
| 10 | WellCare medicare advantage hmo case rate · outpatient | $131 | $131 | — | — | — | $131 – $131 |
| 11 | Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges | $136 | $136 | $48 | 35% | — | $82 – $235 |
| 12 | WellCare medicare advantage mmp case rate · outpatient | $138 | $138 | — | — | — | $138 – $138 |
| 13 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $139 | $139 | — | — | — | $139 – $139 |
| 14 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $142 | $142 | — | — | — | $142 – $142 |
| 15 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $162 | $162 | $57 | 35% | — | $98 – $280 |
| 16 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $193 | $192 | $68 | 35% | — | $116 – $332 |
| 17 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $217 | $216 | $76 | 35% | — | $131 – $373 |
| 18 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $217 | $216 | $76 | 35% | — | $131 – $374 |
| 19 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $241 | $241 | $85 | 35% | — | $146 – $416 |
| 20 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $243 | $242 | $85 | 35% | — | $147 – $419 |
| 21 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $257 | $256 | $90 | 35% | — | $155 – $443 |
| 22 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $257 | $257 | $90 | 35% | — | $155 – $444 |
| 23 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $260 | $259 | $91 | 35% | — | $157 – $448 |
| 24 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $327 | $326 | $114 | 35% | — | $197 – $563 |
| 25 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $327 | $326 | $115 | 35% | — | $198 – $564 |
Last updated: Apr 21, 2026
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