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
HC Graft Hp 1620 Flexhd P Thk 16cmx20cm X 0.8-1.4mm per Sq Cm
St. Louis, MO
See all hospitals reporting HCPCS Q4115 →Price type
Christian Hospital’s median price of $64 is 23% below the median hospital's median price ($83), higher than 46% of the 1,027 hospitals reporting HCPCS Q4115. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 10 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 | Cigna bjc hb cigna hmo/ppo community percent of total billed charges · bothfrom % of charges | $58 | $58 | — | — | — | $58 – $58 |
| 2 | Cigna bjc hb cigna local plus community percent of total billed charges · bothfrom % of charges | $58 | $58 | — | — | — | $58 – $58 |
| 3 | Cigna bjc hb cigna special community percent of total billed charges · bothfrom % of charges | $58 | $58 | — | — | — | $58 – $58 |
| 4 | Blue Cross Blue Shield bjc hb wash u student health percent of total billed charges · bothfrom % of charges | $61 | $61 | — | — | — | $61 – $61 |
| 5 | Humana bjc hb humana choicecare community percent of total billed charges · bothfrom % of charges | $62 | $62 | — | — | — | $62 – $62 |
| 6 | Blue Cross Blue Shield bjc hb anthem choice community percent of total billed charges · bothfrom % of charges | $72 | $72 | — | — | — | $72 – $72 |
| 7 | Blue Cross Blue Shield bjc hb anthem access community percent of total billed charges · bothfrom % of charges | $73 | $73 | — | — | — | $73 – $73 |
| 8 | Medica bjc hb wellfirst first health community percent of total billed charges · bothfrom % of charges | $89 | $89 | — | — | — | $89 – $89 |
| 9 | Phcs bjc hb wellfirst first health community percent of total billed charges · bothfrom % of charges | $89 | $89 | — | — | — | $89 – $89 |
| 10 | Blue Cross Blue Shield bjc hb anthem traditional percent of total billed charges · bothfrom % of charges | $97 | $97 | — | — | — | $97 – $97 |
Last updated: Dec 15, 2025
See Alloskin tissue 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.