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
Amniocore sl, per square centimeter (add-on, list separately in addition to primary procedure)
CHESTERFIELD, VA
See all hospitals reporting HCPCS Q4367 →Price type
Chippenham Hospital’s median price of $337 is 47% above the median hospital's median price ($229), higher than 59% of the 632 hospitals reporting HCPCS Q4367. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 2 payers, 7 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 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $337 | $337 | — | — | — | $337 – $337 |
| 2 | UnitedHealthcare navigatecorepayer fee schedule · outpatient | $337 | $337 | — | — | — | $337 – $337 |
| 3 | UnitedHealthcare newbusiness fee schedule · outpatient | $337 | $337 | — | — | — | $337 – $337 |
| 4 | UnitedHealthcare smallbusiness fee schedule · outpatient | $337 | $337 | — | — | — | $337 – $337 |
| 5 | Cigna ifp fee schedule · outpatient | $482 | $482 | — | — | — | $482 – $482 |
| 6 | Cigna hmo fee schedule · outpatient | $707 | $707 | — | — | — | $707 – $707 |
| 7 | Cigna ppo fee schedule · outpatient | $707 | $707 | — | — | — | $707 – $707 |
Last updated: Mar 1, 2026
See Amniocore sheet graft, per square centimeter pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.