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 TRUSKIN 2X4CM/8 SQCM
Arlington, TX
See all hospitals reporting HCPCS Q4167 →Price type
AMH Cath Labs LLC’s median price of $127 is 16% below the median hospital's median price ($150), higher than 35% of the 859 hospitals reporting HCPCS Q4167. 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 | $23 | $23 | $11 | 48% | — | $12 – $34 |
| 2 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $23 | $23 | $11 | 48% | — | $12 – $34 |
| 3 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $24 | $24 | $12 | 48% | — | $13 – $36 |
| 4 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $25 | $25 | $12 | 48% | — | $13 – $37 |
| 5 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $25 | $25 | $12 | 48% | — | $13 – $38 |
| 6 | Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges | $75 | $75 | $36 | 48% | — | $39 – $111 |
| 7 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $90 | $90 | $43 | 48% | — | $47 – $133 |
| 8 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $107 | $107 | $51 | 48% | — | $55 – $158 |
| 9 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $120 | $120 | $58 | 48% | — | $62 – $177 |
| 10 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $120 | $120 | $58 | 48% | — | $62 – $178 |
| 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 | $133 | $133 | $64 | 48% | — | $69 – $198 |
| 17 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $134 | $134 | $65 | 48% | — | $70 – $199 |
| 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 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $142 | $142 | — | — | — | $142 – $142 |
| 21 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $142 | $142 | $68 | 48% | — | $74 – $210 |
| 22 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $142 | $142 | $68 | 48% | — | $74 – $211 |
| 23 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $143 | $143 | $69 | 48% | — | $74 – $212 |
| 24 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $180 | $180 | $87 | 48% | — | $93 – $267 |
| 25 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $181 | $181 | $87 | 48% | — | $94 – $268 |
Last updated: Apr 21, 2026
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