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
Novachor 1 sq cm
Arlington, TX
See all hospitals reporting HCPCS Q4194 →Price type
AMH Cath Labs LLC’s median price of $131 is 64% below the median hospital's median price ($364), higher than 21% of the 957 hospitals reporting HCPCS Q4194. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 8 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 medicare advantage case rate · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 2 | Humana medicare advantage case rate · outpatient | $130 | $130 | — | — | — | $130 – $130 |
| 3 | Humana medicare advantage ppo case rate · outpatient | $130 | $130 | — | — | — | $130 – $130 |
| 4 | Molina medicare advantage case rate · outpatient | $131 | $131 | — | — | — | $131 – $131 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $131 | $131 | — | — | — | $131 – $131 |
| 6 | WellCare medicare advantage mmp case rate · outpatient | $138 | $138 | — | — | — | $138 – $138 |
| 7 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $139 | $139 | — | — | — | $139 – $139 |
| 8 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $142 | $142 | — | — | — | $142 – $142 |
Last updated: Apr 21, 2026
See Novachor skin graft substitute, per square centimeter pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.