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
GRAFT SOFT TISSUE ALLOMEND THK2-3.3 MM XTHICK L16 CM X W4 CM ALLOGRAFT NONMESH L64 CM
Macon, GA
See all hospitals reporting HCPCS Q4100 →Price type
Central Georgia Rehabilitation LLC’s median price of $762 is 59% below the median hospital's median price ($1.8k), higher than 34% of the 968 hospitals reporting HCPCS Q4100. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 | Ambetter managed medicaid percent of total billed charges · outpatientfrom % of charges | $347 | $410 | $235 | 57% | — | $122 – $825 |
| 2 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $463 | $548 | $315 | 57% | — | $163 – $1.1k |
| 3 | Anthem hmo/ppo percent of total billed charges · inpatientfrom % of charges | $505 | $598 | $343 | 57% | — | $178 – $1.2k |
| 4 | Anthem hmo/ppo percent of total billed charges · outpatientfrom % of charges | $505 | $598 | $343 | 57% | — | $178 – $1.2k |
| 5 | Ambetter managed medicaid percent of total billed charges · inpatientfrom % of charges | $589 | $697 | $400 | 57% | — | $207 – $1.4k |
| 6 | Humana hmo/pos percent of total billed charges · outpatientfrom % of charges | $680 | $805 | $462 | 57% | — | $239 – $1.6k |
| 7 | Kaiser commercial percent of total billed charges · inpatientfrom % of charges | $751 | $889 | $510 | 57% | — | $264 – $1.8k |
| 8 | Kaiser commercial percent of total billed charges · outpatientfrom % of charges | $751 | $889 | $510 | 57% | — | $264 – $1.8k |
| 9 | MultiPlan pho agreement primary network percent of total billed charges · inpatientfrom % of charges | $751 | $889 | $510 | 57% | — | $264 – $1.8k |
| 10 | MultiPlan pho agreement primary network percent of total billed charges · outpatientfrom % of charges | $751 | $889 | $510 | 57% | — | $264 – $1.8k |
| 11 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $760 | $900 | $516 | 57% | — | $267 – $1.8k |
| 12 | Aetna hmo percent of total billed charges · inpatientfrom % of charges | $762 | $902 | $518 | 57% | — | $268 – $1.8k |
| 13 | Aetna hmo percent of total billed charges · outpatientfrom % of charges | $762 | $902 | $518 | 57% | — | $268 – $1.8k |
| 14 | Aetna pos percent of total billed charges · inpatientfrom % of charges | $762 | $902 | $518 | 57% | — | $268 – $1.8k |
| 15 | Aetna pos percent of total billed charges · outpatientfrom % of charges | $762 | $902 | $518 | 57% | — | $268 – $1.8k |
| 16 | Cigna commercial percent of total billed charges · inpatientfrom % of charges | $762 | $902 | $518 | 57% | — | $268 – $1.8k |
| 17 | Humana ppo percent of total billed charges · outpatientfrom % of charges | $793 | $939 | $539 | 57% | — | $279 – $1.9k |
| 18 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $809 | $957 | $549 | 57% | — | $284 – $1.9k |
| 19 | MultiPlan pho agreement complimentary network percent of total billed charges · inpatientfrom % of charges | $924 | $1.1k | $627 | 57% | — | $325 – $2.2k |
| 20 | MultiPlan pho agreement complimentary network percent of total billed charges · outpatientfrom % of charges | $924 | $1.1k | $627 | 57% | — | $325 – $2.2k |
| 21 | Beechstreet commercial percent of total billed charges · inpatientfrom % of charges | $1.1k | $1.3k | $729 | 57% | — | $378 – $2.6k |
| 22 | Beechstreet commercial percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.3k | $729 | 57% | — | $378 – $2.6k |
Last updated: Nov 19, 2025
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