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
Surgigraft dual per sq cm
Eureka, IL
See all hospitals reporting HCPCS Q4219 →Price type
Carle Eureka Hospital’s median price of $960 is 358% above the median hospital's median price ($210), higher than 82% of the 822 hospitals reporting HCPCS Q4219. 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 | WellCare medicare advantage hmo case rate · outpatient | $133 | $133 | — | — | — | $133 – $133 |
| 2 | Humana medicare-medicaid (d-snp) fee schedule · inpatient | $960 | $960 | — | — | — | $960 – $960 |
| 3 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $960 | $960 | — | — | — | $960 – $960 |
| 4 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $989 | $989 | — | — | — | $989 – $989 |
| 5 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $989 | $989 | — | — | — | $989 – $989 |
Last updated: Apr 15, 2026
See Surgigraft-dual skin graft material, per square centimeter pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.