Human dermal matrix graft at Blessing Hospital

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

FLEXHD PLI PERF 16X20/CM2

Quincy, IL

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How this price compares nationally

Blessing Hospital’s median price of $138 is 4% above the median hospital's median price ($133), higher than 53% of the 1,539 hospitals reporting HCPCS Q4128. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4128 at Blessing Hospital

Negotiated rates from the hospital’s own file: 7 payers, 19 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	UnitedHealthcare commercial professional · fee schedule · both	$30	$30	—	—	—	$30 – $30
2	Bcbs Il commercial professional · fee schedule · both	$31	$31	—	—	—	$31 – $31
3	Aetna commercial professional · case rate · both	$116	$116	—	—	—	$116 – $116
4	UnitedHealthcare medicare advantage professional · case rate · both	$116	$116	—	—	—	$116 – $116
5	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$116	$119	$28	24%	—	$83 – $161
6	UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$118	$121	$29	24%	—	$85 – $164
7	Bcbs Il commercial facility · percent of total billed charges · inpatientfrom % of charges	$118	$121	$29	24%	—	$85 – $164
8	Bcbs Il commercial facility · percent of total billed charges · outpatientfrom % of charges	$118	$121	$29	24%	—	$85 – $164
9	UnitedHealthcare medicare advantage facility · case rate · outpatient	$133	$133	—	—	—	$133 – $133
10	Bcbs Mo commercial facility · percent of total billed charges · inpatientfrom % of charges	$137	$141	$33	24%	—	$99 – $191
11	Bcbs Mo commercial facility · percent of total billed charges · outpatientfrom % of charges	$137	$141	$33	24%	—	$99 – $191
12	Blue Cross Blue Shield commercial facility · percent of total billed charges · inpatientfrom % of charges	$137	$141	$33	24%	—	$99 – $191
13	Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges	$137	$141	$33	24%	—	$99 – $191
14	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$147	$151	$36	24%	—	$106 – $204
15	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$147	$151	$36	24%	—	$106 – $204
16	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$147	$151	$36	24%	—	$106 – $204
17	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$147	$151	$36	24%	—	$106 – $204
18	Humana commercial facility · percent of total billed charges · inpatientfrom % of charges	$147	$151	$36	24%	—	$106 – $204
19	Humana commercial facility · percent of total billed charges · outpatientfrom % of charges	$147	$151	$36	24%	—	$106 – $204

Last updated: Jun 8, 2026

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