Epicord surgical tissue patch, 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

1175665 - GRAFT EPICORD 1X2CM 2SQ CM SFT TIS AMNIO EPTH WHARTONS

Summit, WI

See all hospitals reporting HCPCS Q4187 →

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Pricing by billing methodology

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How this price compares nationally

Aurora Medical Center Summit’s median price of $494 is 58% above the median hospital's median price ($313), higher than 70% of the 1,435 hospitals reporting HCPCS Q4187. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4187 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	$250	$250	—	—	—	$250 – $250
2	Healthpartners employee trust fund fee schedule · outpatient	$283	$283	—	—	—	$283 – $283
3	Healthpartners robin fee schedule · outpatient	$296	$296	—	—	—	$296 – $296
4	Cigna ppo-gppo fee schedule · outpatient	$364	$364	—	—	—	$364 – $364
5	Molina commercial fee schedule · outpatient	$592	$592	—	—	—	$592 – $592
6	UnitedHealthcare charter percent of total billed charges · outpatientfrom % of charges	$473	$618	$223	36%	—	$448 – $934
7	UnitedHealthcare exchange percent of total billed charges · outpatientfrom % of charges	$473	$618	$223	36%	—	$448 – $934
8	UnitedHealthcare hmo percent of total billed charges · outpatientfrom % of charges	$473	$618	$223	36%	—	$448 – $934
9	UnitedHealthcare nexus percent of total billed charges · outpatientfrom % of charges	$473	$618	$223	36%	—	$448 – $934
10	Anthem blue priority percent of total billed charges · outpatientfrom % of charges	$478	$625	$225	36%	—	$453 – $943
11	Anthem blue preferred percent of total billed charges · outpatientfrom % of charges	$518	$677	$244	36%	—	$490 – $1.0k
12	Healthpartners broad percent of total billed charges · inpatientfrom % of charges	$597	$781	$282	36%	—	$566 – $1.2k
13	Healthpartners broad percent of total billed charges · outpatientfrom % of charges	$597	$781	$282	36%	—	$566 – $1.2k
14	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$658	$860	$310	36%	—	$623 – $1.3k
15	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$658	$860	$310	36%	—	$623 – $1.3k
16	UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges	$671	$876	$316	36%	—	$635 – $1.3k
17	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$671	$876	$316	36%	—	$635 – $1.3k
18	Cigna ppo percent of total billed charges · inpatientfrom % of charges	$674	$881	$318	36%	—	$638 – $1.3k
19	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$674	$881	$318	36%	—	$638 – $1.3k
20	Anthem ppo percent of total billed charges · inpatientfrom % of charges	$677	$885	$319	36%	—	$641 – $1.3k
21	Anthem ppo percent of total billed charges · outpatientfrom % of charges	$677	$885	$319	36%	—	$641 – $1.3k

Last updated: Nov 21, 2025

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