Donor skin tissue graft (Arthroflex) 5x20x30mm at Clovis Community Medical Center

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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

ARTHROFLEX 1.76 - 2.25 MM 7 X 4 CM=28 SQ CM

Clovis, CA

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How this price compares nationally

Clovis Community Medical Center’s median price of $168 is 72% below the median hospital's median price ($606), higher than 24% of the 1,310 hospitals reporting HCPCS Q4125. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4125 at Clovis Community Medical Center

Negotiated rates from the hospital’s own file: 9 payers, 26 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 medicare advantage facility · case rate · inpatient	$160	$160	—	—	—	$160 – $160
2	Aetna medicare hmo for chp facility · case rate · inpatient	$160	$160	—	—	—	$160 – $160
3	Aetna ppo facility · case rate · inpatient	$160	$160	—	—	—	$160 – $160
4	Blue Cross Blue Shield medicare advantage facility · case rate · inpatient	$160	$160	—	—	—	$160 – $160
5	Cigna access (pffs) facility · case rate · inpatient	$160	$160	—	—	—	$160 – $160
6	Cigna healthspring facility · case rate · inpatient	$160	$160	—	—	—	$160 – $160
7	Humana medicare advantage facility · case rate · inpatient	$160	$160	—	—	—	$160 – $160
8	Kaiser commercial facility · case rate · inpatient	$160	$160	—	—	—	$160 – $160
9	Kaiser senior advantage medicare facility · case rate · inpatient	$160	$160	—	—	—	$160 – $160
10	WellCare medicare advantage facility · case rate · inpatient	$160	$160	—	—	—	$160 – $160
11	UnitedHealthcare medicare advantage facility · case rate · inpatient	$162	$162	—	—	—	$162 – $162
12	Aetna medicare hmo for non-chp facility · case rate · inpatient	$168	$168	—	—	—	$168 – $168
13	Blue Cross Blue Shield epn facility · fee schedule · inpatient	$257	$267	$34	13%	—	$224 – $313
14	Aetna hmoposppo facility · fee schedule · inpatient	$265	$276	$35	13%	—	$231 – $323
15	Aetna qualified health plan facility · fee schedule · inpatient	$269	$279	$36	13%	—	$234 – $328
16	UnitedHealthcare hmo facility · fee schedule · inpatient	$304	$316	$40	13%	—	$265 – $371
17	UnitedHealthcare ppo facility · fee schedule · inpatient	$304	$316	$40	13%	—	$265 – $371
18	Cigna hmo facility · fee schedule · inpatient	$323	$335	$43	13%	—	$281 – $393
19	Cigna ppo facility · fee schedule · inpatient	$323	$335	$43	13%	—	$281 – $393
20	Blue Cross Blue Shield hmopos facility · fee schedule · inpatient	$324	$337	$43	13%	—	$282 – $395
21	Blue Cross Blue Shield epoppo facility · fee schedule · inpatient	$330	$343	$44	13%	—	$288 – $403
22	Blue Cross Blue Shield hmoppo facility · fee schedule · inpatient	$363	$377	$48	13%	—	$316 – $442
23	Blue Cross Blue Shield exchange hmo facility · fee schedule · inpatient	$369	$384	$49	13%	—	$322 – $450
24	MultiPlan ppo facility · fee schedule · inpatient	$436	$453	$58	13%	—	$379 – $531
25	Phcs commercial facility · fee schedule · inpatient	$436	$453	$58	13%	—	$379 – $531

Page 1 of 2 · 26 rates

Last updated: Sep 11, 2026

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See Donor skin tissue graft (Arthroflex) 5x20x30mm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.