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
Amnioamp-mp per sq cm
Quincy, IL
See all hospitals reporting HCPCS Q4250 →Price type
Blessing Hospital’s median price of $116 is 66% below the median hospital's median price ($337), higher than 3% of the 874 hospitals reporting HCPCS Q4250. 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, 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 commercial professional · case rate · both | $116 | $116 | — | — | — | $116 – $116 |
| 2 | UnitedHealthcare medicare advantage professional · case rate · both | $116 | $116 | — | — | — | $116 – $116 |
| 3 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $133 | $133 | — | — | — | $133 – $133 |
| 4 | UnitedHealthcare commercial professional · fee schedule · both | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 5 | Bcbs Il commercial professional · fee schedule · both | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
Last updated: Jun 8, 2026
See Amniotic membrane allograft, per square centimeter pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.