Epifix skin graft material per square centimeter 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-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

1184747 - GRAFT EPIFIX AMNIOTIC 24MM 5SQ CM DISK

Summit, WI

See all hospitals reporting HCPCS Q4186 →

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Pricing by billing methodology

Price type

How this price compares nationally

Aurora Medical Center Summit’s median price of $384 is 30% above the median hospital's median price ($295), higher than 63% of the 1,858 hospitals reporting HCPCS Q4186. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4186 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.

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#
1	Aetna hmo fee schedule · outpatient	$163	$163	—	—	—	$163 – $163
2	Healthpartners employee trust fund fee schedule · outpatient	$185	$185	—	—	—	$185 – $185
3	Healthpartners robin fee schedule · outpatient	$193	$193	—	—	—	$193 – $193
4	Cigna ppo-gppo fee schedule · outpatient	$238	$238	—	—	—	$238 – $238
5	UnitedHealthcare charter percent of total billed charges · outpatientfrom % of charges	$375	$386	$57	15%	—	$324 – $469
6	UnitedHealthcare exchange percent of total billed charges · outpatientfrom % of charges	$375	$386	$57	15%	—	$324 – $469
7	UnitedHealthcare hmo percent of total billed charges · outpatientfrom % of charges	$375	$386	$57	15%	—	$324 – $469
8	UnitedHealthcare nexus percent of total billed charges · outpatientfrom % of charges	$375	$386	$57	15%	—	$324 – $469
9	Molina commercial fee schedule · outpatient	$386	$386	—	—	—	$386 – $386
10	Anthem blue priority percent of total billed charges · outpatientfrom % of charges	$379	$390	$58	15%	—	$327 – $474
11	Anthem blue preferred percent of total billed charges · outpatientfrom % of charges	$410	$422	$63	15%	—	$355 – $514
12	Healthpartners broad percent of total billed charges · inpatientfrom % of charges	$473	$487	$72	15%	—	$409 – $593
13	Healthpartners broad percent of total billed charges · outpatientfrom % of charges	$473	$487	$72	15%	—	$409 – $593
14	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$521	$536	$80	15%	—	$451 – $653
15	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$521	$536	$80	15%	—	$451 – $653
16	UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges	$531	$547	$81	15%	—	$459 – $665
17	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$531	$547	$81	15%	—	$459 – $665
18	Cigna ppo percent of total billed charges · inpatientfrom % of charges	$534	$549	$82	15%	—	$462 – $668
19	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$534	$549	$82	15%	—	$462 – $668
20	Anthem ppo percent of total billed charges · inpatientfrom % of charges	$537	$552	$82	15%	—	$464 – $672
21	Anthem ppo percent of total billed charges · outpatientfrom % of charges	$537	$552	$82	15%	—	$464 – $672

Last updated: Nov 21, 2025

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