Miroderm skin substitute, per square centimeter at Christian Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC Miroderm Fenestrated Blm-200-02-0505 5x5 Cm per Sq Cm

St. Louis, MO

See all hospitals reporting HCPCS Q4175 →

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How this price compares nationally

Christian Hospital’s median price of $156 is 21% above the median hospital's median price ($129), higher than 69% of the 1,003 hospitals reporting HCPCS Q4175. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4175 at Christian Hospital

Negotiated rates from the hospital’s own file: 10 payers, 28 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	Aetna bjc hb medicare gold advantage ch percent of total billed charges · bothfrom % of charges	$41	$43	$7	17%	—	$35 – $57
2	Aetna bjc hb medicare advantra ch percent of total billed charges · bothfrom % of charges	$47	$49	$8	17%	—	$40 – $64
3	Cigna bjc hb cigna hmo/ppo community percent of total billed charges · bothfrom % of charges	$118	$123	$21	17%	—	$101 – $162
4	Cigna bjc hb cigna local plus community percent of total billed charges · bothfrom % of charges	$118	$123	$21	17%	—	$101 – $162
5	Cigna bjc hb cigna special community percent of total billed charges · bothfrom % of charges	$118	$123	$21	17%	—	$101 – $162
6	Blue Cross Blue Shield bjc hb wash u student health percent of total billed charges · bothfrom % of charges	$122	$128	$21	16%	—	$107 – $171
7	Humana bjc hb humana choicecare community percent of total billed charges · bothfrom % of charges	$124	$128	$22	17%	—	$108 – $173
8	Cigna bjc hb cigna local plus community fee schedule · both	$151	$151	—	—	—	$151 – $151
9	Blue Cross Blue Shield bjc hb anthem choice community percent of total billed charges · bothfrom % of charges	$145	$151	$25	16%	—	$127 – $203
10	Blue Cross Blue Shield bjc hb anthem access community percent of total billed charges · bothfrom % of charges	$147	$153	$25	16%	—	$129 – $206
11	Cigna bjc hb cigna hmo/ppo community fee schedule · both	$171	$171	—	—	—	$171 – $171
12	Cigna bjc hb cigna special community fee schedule · both	$171	$171	—	—	—	$171 – $171
13	Aetna bjc hb aetna national percent of total billed charges · bothfrom % of charges	$169	$176	$29	17%	—	$145 – $231
14	Aetna bjc hb first health percent of total billed charges · bothfrom % of charges	$169	$176	$29	17%	—	$145 – $231
15	First Health bjc hb first health percent of total billed charges · bothfrom % of charges	$169	$176	$29	17%	—	$145 – $231
16	UnitedHealthcare bjc hb first health percent of total billed charges · bothfrom % of charges	$169	$176	$29	17%	—	$145 – $231
17	Aetna bjc hb group health plan ppo select percent of total billed charges · bothfrom % of charges	$171	$178	$30	17%	—	$146 – $233
18	Beechstreet bjc hb multiplan percent of total billed charges · bothfrom % of charges	$171	$178	$30	17%	—	$146 – $233
19	MultiPlan bjc hb multiplan percent of total billed charges · bothfrom % of charges	$171	$178	$30	17%	—	$146 – $233
20	Phcs bjc hb phcs community percent of total billed charges · bothfrom % of charges	$171	$178	$30	17%	—	$146 – $233
21	Medica bjc hb wellfirst first health community percent of total billed charges · bothfrom % of charges	$178	$186	$30	16%	—	$156 – $249
22	Phcs bjc hb wellfirst first health community percent of total billed charges · bothfrom % of charges	$178	$186	$30	16%	—	$156 – $249
23	Cigna bjc hb cigna behavioral health percent of total billed charges · bothfrom % of charges	$182	$190	$32	17%	—	$156 – $249
24	Blue Cross Blue Shield bjc hb anthem alliance epo percent of total billed charges · bothfrom % of charges	$194	$202	$34	17%	—	$166 – $264
25	Blue Cross Blue Shield bjc hb anthem blue preferred percent of total billed charges · bothfrom % of charges	$194	$202	$34	17%	—	$166 – $264

Page 1 of 2 · 28 rates

Last updated: Dec 15, 2025

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