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
Memoderm/derma/tranz/integup
Summit, WI
See all hospitals reporting HCPCS Q4126 →Price type
Aurora Medical Center Summit’s median price of $80 is 42% below the median hospital's median price ($139), higher than 12% of the 1,131 hospitals reporting HCPCS Q4126. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 5 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 | Aetna hmo fee schedule · outpatient | $61 | $61 | — | — | — | $61 – $61 |
| 2 | Healthpartners employee trust fund fee schedule · outpatient | $69 | $69 | — | — | — | $69 – $69 |
| 3 | Healthpartners robin fee schedule · outpatient | $73 | $73 | — | — | — | $73 – $73 |
| 4 | Cigna ppo-gppo fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 5 | Molina commercial fee schedule · outpatient | $145 | $145 | — | — | — | $145 – $145 |
Last updated: Nov 21, 2025
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