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
Esano ac, per sq cm
Summit, WI
See all hospitals reporting HCPCS Q4274 →Price type
Aurora Medical Center Summit’s median price of $935 is 216% above the median hospital's median price ($296), higher than 54% of the 863 hospitals reporting HCPCS Q4274. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 4 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 | Healthpartners employee trust fund fee schedule · outpatient | $158 | $158 | — | — | — | $158 – $158 |
| 2 | Healthpartners robin fee schedule · outpatient | $166 | $166 | — | — | — | $166 – $166 |
| 3 | Aetna hmo fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 4 | Cigna ppo-gppo fee schedule · outpatient | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
Last updated: Nov 21, 2025
See Amniotic membrane allograft add-on per square centimeter pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.