Human dermal matrix graft at Boulder Community Health

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

IMPLANT FLEXHD 19CM X 22CM

Boulder, CO

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Pricing by billing methodology

Price type

How this price compares nationally

Boulder Community Health’s median price of $12.8k is 9562% above the median hospital's median price ($133), higher than 98% 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 Boulder Community Health

Negotiated rates from the hospital’s own file: 9 payers, 39 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	Cigna commercial facility · fee schedule · outpatient	$24	$24	—	—	—	$24 – $24
2	Anthem commercial professional · fee schedule · both	$30	$30	—	—	—	$30 – $30
3	Anthem managed care professional · fee schedule · both	$30	$30	—	—	—	$30 – $30
4	UnitedHealthcare commercial professional · fee schedule · both	$31	$31	—	—	—	$31 – $31
5	Aetna medicare advantage professional · fee schedule · both	$33	$33	—	—	—	$33 – $33
6	Aetna commercial professional · fee schedule · both	$47	$47	$14	31%	—	$33 – $61
7	Cigna commercial professional · fee schedule · both	$127	$127	—	—	—	$127 – $127
8	UnitedHealthcare medicare advantage professional · fee schedule · both	$130	$130	$3	2%	—	$127 – $133
9	Aetna medicare advantage facility · case rate · outpatient	$133	$133	—	—	—	$133 – $133
10	Anthem medicare advantage facility · case rate · outpatient	$133	$133	—	—	—	$133 – $133
11	Humana medicare advantage facility · case rate · outpatient	$135	$135	—	—	—	$135 – $135
12	UnitedHealthcare medicare advantage facility · case rate · outpatient	$135	$135	—	—	—	$135 – $135
13	Anthem medicare advantage professional · fee schedule · both	$135	$135	—	—	—	$135 – $135
14	Devoted medicare advantage professional · fee schedule · both	$135	$135	—	—	—	$135 – $135
15	Humana medicare advantage professional · fee schedule · both	$135	$135	—	—	—	$135 – $135
16	Kaiser medicare advantage facility · case rate · outpatient	$136	$136	$1	0%	—	$135 – $137
17	Devoted medicare advantage facility · case rate · outpatient	$137	$137	—	—	—	$137 – $137
18	Kaiser medicare advantage professional · fee schedule · both	$168	$168	—	—	—	$168 – $168
19	Kaiser commercial professional · fee schedule · both	$214	$214	—	—	—	$214 – $214
20	Anthem commercial facility · case rate · outpatient	$297	$337	$82	24%	—	$257 – $471
21	Anthem commercial facility · fee schedule · outpatient	$330	$490	$341	70%	—	$261 – $1.2k
22	Anthem managed care facility · case rate · outpatient	$501	$501	—	—	—	$501 – $501
23	Anthem managed care facility · fee schedule · outpatient	$529	$529	—	—	—	$529 – $529
24	Kaiser commercial facility · percent of total billed charges · inpatientfrom % of charges	$11.2k	$11.3k	$1.8k	16%	—	$9.0k – $13.8k
25	Kaiser commercial facility · percent of total billed charges · outpatientfrom % of charges	$11.2k	$11.3k	$1.8k	16%	—	$9.0k – $13.8k

Page 1 of 2 · 39 rates

Last updated: Sep 16, 2026

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