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 PALINGEN FLOW 2.0ML/PER .25ML
Arlington, TX
See all hospitals reporting HCPCS Q4174 →Price type
AMH Cath Labs LLC’s median price of $726 is 61% below the median hospital's median price ($1.9k), higher than 11% of the 833 hospitals reporting HCPCS Q4174. 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 managed medicaid percent of total billed charges · outpatientfrom % of charges | $103 | $103 | — | — | — | $103 – $103 |
| 2 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $103 | $103 | — | — | — | $103 – $103 |
| 3 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $108 | $108 | — | — | — | $108 – $108 |
| 4 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $111 | $111 | — | — | — | $111 – $111 |
| 5 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $113 | $113 | — | — | — | $113 – $113 |
| 6 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $399 | $399 | — | — | — | $399 – $399 |
| 7 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $473 | $473 | — | — | — | $473 – $473 |
| 8 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $532 | $532 | — | — | — | $532 – $532 |
| 9 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $596 | $596 | — | — | — | $596 – $596 |
| 10 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $631 | $631 | — | — | — | $631 – $631 |
| 11 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $632 | $632 | — | — | — | $632 – $632 |
| 12 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $637 | $637 | — | — | — | $637 – $637 |
| 13 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $801 | $801 | — | — | — | $801 – $801 |
| 14 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $804 | $804 | — | — | — | $804 – $804 |
| 15 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $808 | $808 | — | — | — | $808 – $808 |
| 16 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $808 | $808 | — | — | — | $808 – $808 |
| 17 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $859 | $859 | — | — | — | $859 – $859 |
| 18 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 19 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 20 | Cigna indemnity percent of total billed charges · inpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 21 | Cigna indemnity percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 22 | Blue Cross Blue Shield hmo fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 23 | Blue Cross Blue Shield exchange fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 24 | Blue Cross Blue Shield ppo fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 25 | Blue Cross Blue Shield traditional fee schedule · outpatient | $7.4k | $7.4k | — | — | — | $7.4k – $7.4k |
Last updated: Apr 21, 2026
See Palingen or Promatrx product, 0.36 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.