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
ARTHROFLEX; PER SQUARE CENTIMETER
Dunn, NC
See all hospitals reporting HCPCS Q4125 →Price type
Betsy Johnson Hospital’s median price of $129 is 79% below the median hospital's median price ($603), higher than 14% of the 1,317 hospitals reporting HCPCS Q4125. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 7 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 | Humana medicare advantage facility · other · outpatient | $127 | $127 | — | — | — | $127 – $127 |
| 2 | Optum optum veterans affairs community care network facility · other · outpatient | $127 | $127 | — | — | — | $127 – $127 |
| 3 | WellCare medicare advantage facility · other · outpatient | $127 | $127 | — | — | — | $127 – $127 |
| 4 | Aetna medicare advantage facility · other · outpatient | $129 | $129 | — | — | — | $129 – $129 |
| 5 | Ambetter commercial facility · other · outpatient | $190 | $190 | — | — | — | $190 – $190 |
| 6 | Aetna commercial facility · other · outpatient | $316 | $316 | — | — | — | $316 – $316 |
| 7 | UnitedHealthcare commercial facility · fee schedule · outpatient | $318 | $318 | — | — | — | $318 – $318 |
Last updated: Apr 7, 2026
See Donor skin tissue graft (Arthroflex) 5x20x30mm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.