Collagen skin substitute, 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.

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Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

ALLOGRAFT COLL-E-DERM RT 4X7/28SQCM

Arlington, TX

See all hospitals reporting HCPCS Q4193 →

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Pricing by billing methodology

Price type

How this price compares nationally

AMH Cath Labs LLC’s median price of $299 is 18% below the median hospital's median price ($364), higher than 47% of the 902 hospitals reporting HCPCS Q4193. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4193 at AMH Cath Labs LLC

Negotiated rates from the hospital’s own file: 9 payers, 31 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	$51	$51	—	—	—	$51 – $51
2	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$51	$51	—	—	—	$51 – $51
3	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$53	$53	—	—	—	$53 – $53
4	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$55	$55	—	—	—	$55 – $55
5	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$56	$56	—	—	—	$56 – $56
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	$177	$177	—	—	—	$177 – $177
15	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$234	$234	—	—	—	$234 – $234
16	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$285	$285	—	—	—	$285 – $285
17	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$312	$312	—	—	—	$312 – $312
18	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$315	$315	—	—	—	$315 – $315
19	Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges	$317	$317	—	—	—	$317 – $317
20	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$317	$317	—	—	—	$317 – $317
21	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$359	$359	—	—	—	$359 – $359
22	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$380	$380	—	—	—	$380 – $380
23	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$396	$396	—	—	—	$396 – $396
24	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$398	$398	—	—	—	$398 – $398
25	Aetna asa percent of total billed charges · outpatientfrom % of charges	$400	$400	—	—	—	$400 – $400

Page 1 of 2 · 31 rates

Last updated: Apr 21, 2026

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