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
Puraply am 1 sq cm
Summit, WI
See all hospitals reporting HCPCS Q4196 →Price type
Aurora Medical Center Summit’s median price of $141 is 33% below the median hospital's median price ($210), higher than 26% of the 1,826 hospitals reporting HCPCS Q4196. 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 | $109 | $109 | — | — | — | $109 – $109 |
| 2 | Healthpartners employee trust fund fee schedule · outpatient | $123 | $123 | — | — | — | $123 – $123 |
| 3 | Healthpartners robin fee schedule · outpatient | $129 | $129 | — | — | — | $129 – $129 |
| 4 | Cigna ppo-gppo fee schedule · outpatient | $159 | $159 | — | — | — | $159 – $159 |
| 5 | Molina commercial fee schedule · outpatient | $258 | $258 | — | — | — | $258 – $258 |
Last updated: Nov 21, 2025
See PuraPly wound covering, 1 square centimeter pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.