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
App Skin Sub Add 25Sq cm/Less
Clarion, PA
See all hospitals reporting HCPCS Q4100 →Price type
Clarion Hospital’s median price of $171 is 91% below the median hospital's median price ($1.8k), higher than 18% 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: 4 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 | Highmark chip facility · percent of total billed charges · outpatientfrom % of charges | $116 | $116 | — | — | — | $116 – $116 |
| 2 | Highmark mcr advantage facility · percent of total billed charges · outpatientfrom % of charges | $116 | $116 | — | — | — | $116 – $116 |
| 3 | Devoted mcr advantage facility · percent of total billed charges · inpatientfrom % of charges | $137 | $137 | — | — | — | $137 – $137 |
| 4 | Devoted mcr advantage facility · percent of total billed charges · outpatientfrom % of charges | $137 | $137 | — | — | — | $137 – $137 |
| 5 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $171 | $171 | — | — | — | $171 – $171 |
| 6 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $171 | $171 | — | — | — | $171 – $171 |
| 7 | Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges | $304 | $304 | — | — | — | $304 – $304 |
Last updated: Jan 1, 2026
See Amniotic membrane allograft, 9 x 20 cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.