Human dermal matrix graft at Campbell County HMA, LLC

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

FLX/ALLO/MAT HD SQCM

LaFollette, TN

See all hospitals reporting HCPCS Q4128 →

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How this price compares nationally

Campbell County HMA, LLC’s median price of $119 is 10% below the median hospital's median price ($133), higher than 39% 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 Campbell County HMA, LLC

Negotiated rates from the hospital’s own file: 10 payers, 21 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 humana ky mcd facility · percent of total billed charges · outpatientfrom % of charges	$19	$19	—	—	—	$19 – $19
2	Aetna aetna better health mcd ky facility · percent of total billed charges · outpatientfrom % of charges	$21	$21	—	—	—	$21 – $21
3	UnitedHealthcare uhc ky mcd facility · percent of total billed charges · outpatientfrom % of charges	$21	$21	—	—	—	$21 – $21
4	WellCare wellcare ky mcd facility · percent of total billed charges · outpatientfrom % of charges	$21	$21	—	—	—	$21 – $21
5	UnitedHealthcare uhc hsa facility · percent of total billed charges · outpatientfrom % of charges	$42	$42	—	—	—	$42 – $42
6	UnitedHealthcare uhc options ppo facility · percent of total billed charges · outpatientfrom % of charges	$42	$42	—	—	—	$42 – $42
7	Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges	$53	$53	—	—	—	$53 – $53
8	MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges	$65	$65	—	—	—	$65 – $65
9	MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges	$65	$65	—	—	—	$65 – $65
10	UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges	$86	$86	—	—	—	$86 – $86
11	UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges	$86	$86	—	—	—	$86 – $86
12	Blue Cross Blue Shield node bcbs mcr adv facility · fee schedule · outpatient	$119	$119	—	—	—	$119 – $119
13	Humana node humana mcr adv facility · fee schedule · outpatient	$119	$119	—	—	—	$119 – $119
14	UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient	$119	$119	—	—	—	$119 – $119
15	Optum node united optum va ccn facility · fee schedule · outpatient	$121	$121	—	—	—	$121 – $121
16	WellCare node wellcare mcr adv facility · fee schedule · outpatient	$121	$121	—	—	—	$121 – $121
17	Devoted node devoted health mcr adv facility · fee schedule · outpatient	$121	$121	—	—	—	$121 – $121
18	Aetna node aetna mcr adv facility · per diem · outpatient	$123	$123	—	—	—	$123 – $123
19	UnitedHealthcare node uhc mcr dual adv facility · fee schedule · outpatient	$125	$125	—	—	—	$125 – $125
20	Tricare node tricare facility · fee schedule · outpatient	$127	$127	—	—	—	$127 – $127
21	Ambetter node ambetter health exchange facility · fee schedule · outpatient	$224	$224	—	—	—	$224 – $224

Last updated: Apr 1, 2026

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See Human dermal matrix graft pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.