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
Flexhd/allopatchhd/sq cm
Summit, WI
See all hospitals reporting HCPCS Q4128 →Price type
Aurora Medical Center Summit’s median price of $41 is 69% below the median hospital's median price ($133), higher than 15% of the 1,531 hospitals reporting HCPCS Q4128. 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna hmo fee schedule · outpatient | $32 | $32 | — | — | — | $32 – $32 |
| 2 | Healthpartners employee trust fund fee schedule · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 3 | Healthpartners robin fee schedule · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 4 | Cigna ppo-gppo fee schedule · outpatient | $46 | $46 | — | — | — | $46 – $46 |
| 5 | Molina commercial fee schedule · outpatient | $75 | $75 | — | — | — | $75 – $75 |
Last updated: Nov 21, 2025
See Human dermal matrix graft pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.