Epifix skin graft material per square centimeter 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

ALLOGRAFT EPIFIX DISK 18/2.5 SQCM (BX/10)

Arlington, TX

See all hospitals reporting HCPCS Q4186 →

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Pricing by billing methodology

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How this price compares nationally

AMH Cath Labs LLC’s median price of $300 is 2% above the median hospital's median price ($295), higher than 51% of the 1,871 hospitals reporting HCPCS Q4186. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4186 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	$67	$62	$22	36%	—	$2 – $91
2	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$67	$62	$22	36%	—	$2 – $91
3	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$70	$65	$23	36%	—	$3 – $96
4	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$72	$67	$24	36%	—	$3 – $99
5	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$73	$68	$25	36%	—	$3 – $100
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	WellCare medicare advantage mmp case rate · outpatient	$138	$138	—	—	—	$138 – $138
12	UnitedHealthcare medicare advantage ppo case rate · outpatient	$139	$139	—	—	—	$139 – $139
13	UnitedHealthcare medicare advantage hmo case rate · outpatient	$142	$142	—	—	—	$142 – $142
14	Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges	$217	$202	$73	36%	—	$8 – $297
15	Aetna whole health percent of total billed charges · inpatientfrom % of charges	$259	$241	$87	36%	—	$9 – $355
16	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$307	$286	$103	36%	—	$11 – $421
17	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$345	$321	$115	36%	—	$12 – $473
18	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$346	$321	$116	36%	—	$12 – $474
19	Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges	$385	$358	$129	36%	—	$14 – $527
20	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$387	$360	$130	36%	—	$14 – $530
21	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$410	$381	$137	36%	—	$15 – $561
22	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$410	$381	$137	36%	—	$15 – $562
23	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$414	$385	$138	36%	—	$15 – $567
24	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$520	$484	$174	36%	—	$19 – $713
25	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$522	$485	$175	36%	—	$19 – $715

Page 1 of 2 · 33 rates

Last updated: Apr 21, 2026

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