Donor skin tissue graft (Arthroflex) 5x20x30mm at Aurora Medical Center Summit

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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

3045045 - GRAFT SOFT TISS THK3.7-4.6 MM L30 CM X W20 CM 6CM2 DECELLULARIZE

Summit, WI

See all hospitals reporting HCPCS Q4125 →

SharePost on X LinkedIn

Pricing by billing methodology

Price type

How this price compares nationally

Aurora Medical Center Summit’s median price of $563 is 7% below the median hospital's median price ($606), higher than 49% of the 1,310 hospitals reporting HCPCS Q4125. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4125 at Aurora Medical Center Summit

Negotiated rates from the hospital’s own file: 6 payers, 21 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.

Filter by billing methodology

Filter by billing class

#
1	Aetna hmo percent of total billed charges · outpatientfrom % of charges	$421	$421	—	—	—	$421 – $421
2	UnitedHealthcare charter percent of total billed charges · outpatientfrom % of charges	$514	$514	—	—	—	$514 – $514
3	UnitedHealthcare exchange percent of total billed charges · outpatientfrom % of charges	$514	$514	—	—	—	$514 – $514
4	UnitedHealthcare hmo percent of total billed charges · outpatientfrom % of charges	$514	$514	—	—	—	$514 – $514
5	UnitedHealthcare nexus percent of total billed charges · outpatientfrom % of charges	$514	$514	—	—	—	$514 – $514
6	Anthem blue priority percent of total billed charges · outpatientfrom % of charges	$520	$520	—	—	—	$520 – $520
7	Healthpartners employee trust fund percent of total billed charges · outpatientfrom % of charges	$520	$520	—	—	—	$520 – $520
8	Molina commercial percent of total billed charges · outpatientfrom % of charges	$520	$520	—	—	—	$520 – $520
9	Anthem blue preferred percent of total billed charges · outpatientfrom % of charges	$563	$563	—	—	—	$563 – $563
10	Cigna ppo-gppo percent of total billed charges · outpatientfrom % of charges	$650	$650	—	—	—	$650 – $650
11	Healthpartners broad percent of total billed charges · inpatientfrom % of charges	$650	$650	—	—	—	$650 – $650
12	Healthpartners broad percent of total billed charges · outpatientfrom % of charges	$650	$650	—	—	—	$650 – $650
13	Healthpartners robin percent of total billed charges · outpatientfrom % of charges	$650	$650	—	—	—	$650 – $650
14	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$715	$715	—	—	—	$715 – $715
15	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$715	$715	—	—	—	$715 – $715
16	UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges	$729	$729	—	—	—	$729 – $729
17	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$729	$729	—	—	—	$729 – $729
18	Cigna ppo percent of total billed charges · inpatientfrom % of charges	$733	$733	—	—	—	$733 – $733
19	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$733	$733	—	—	—	$733 – $733
20	Anthem ppo percent of total billed charges · inpatientfrom % of charges	$736	$736	—	—	—	$736 – $736
21	Anthem ppo percent of total billed charges · outpatientfrom % of charges	$736	$736	—	—	—	$736 – $736

Last updated: Nov 21, 2025

Compare to other hospitals

See Donor skin tissue graft (Arthroflex) 5x20x30mm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.