Apligraf Skin Substitute at Carle BroMenn Medical Center

Normal, IL

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Pricing by billing methodology

Price type

How this price compares nationally

Carle BroMenn Medical Center’s median price of $56 is 53% below the median hospital's median price ($120), higher than 22% of the 1,917 hospitals reporting HCPCS Q4101. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4101 at Carle BroMenn Medical Center

Negotiated rates from the hospital’s own file: 9 payers, 22 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-medicaid (d-snp) fee schedule · inpatient	$31	$31	—	—	—	$31 – $31
2	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$31	$31	—	—	—	$31 – $31
3	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$32	$32	—	—	—	$32 – $32
4	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$32	$32	—	—	—	$32 – $32
5	Aetna medicare advantage case rate · outpatient	$133	$133	—	—	—	$133 – $133
6	Blue Cross Blue Shield medicare advantage case rate · outpatient	$133	$133	—	—	—	$133 – $133
7	Humana medicare advantage case rate · outpatient	$133	$133	—	—	—	$133 – $133
8	Molina medicare-medicaid (d-snp) case rate · outpatient	$133	$133	—	—	—	$133 – $133
9	UnitedHealthcare medicare advantage case rate · outpatient	$133	$133	—	—	—	$133 – $133
10	UnitedHealthcare va ccn/optum case rate · outpatient	$133	$133	—	—	—	$133 – $133
11	WellCare medicare advantage hmo case rate · outpatient	$133	$133	—	—	—	$133 – $133
12	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$15	$284	$381	134%	—	$15 – $823
13	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$15	$284	$381	134%	—	$15 – $823
14	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$15	$284	$381	134%	—	$15 – $823
15	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$46	$873	$1.2k	134%	—	$46 – $2.5k
16	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$46	$874	$1.2k	134%	—	$46 – $2.5k
17	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$46	$877	$1.2k	134%	—	$46 – $2.5k
18	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$47	$881	$1.2k	134%	—	$47 – $2.6k
19	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$47	$881	$1.2k	134%	—	$47 – $2.6k
20	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$50	$940	$1.3k	134%	—	$50 – $2.7k
21	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$50	$940	$1.3k	134%	—	$50 – $2.7k
22	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$56	$1.1k	$1.4k	134%	—	$56 – $3.1k

Last updated: Apr 15, 2026

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