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
ALLOGRAFT MEMBRANE 2X4CM=8 SQCM
Clovis, CA
See all hospitals reporting HCPCS Q4154 →Price type
Clovis Community Medical Center’s median price of $160 is 8% below the median hospital's median price ($174), higher than 43% of the 1,084 hospitals reporting HCPCS Q4154. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 27 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 | Blue Cross Blue Shield managed medi-cal facility · fee schedule · inpatient | $158 | $158 | — | — | — | $158 – $158 |
| 2 | Molina managed medi-cal facility · fee schedule · inpatient | $158 | $158 | — | — | — | $158 – $158 |
| 3 | Aetna medicare advantage facility · case rate · inpatient | $160 | $160 | — | — | — | $160 – $160 |
| 4 | Aetna medicare hmo for chp facility · case rate · inpatient | $160 | $160 | — | — | — | $160 – $160 |
| 5 | Aetna ppo facility · case rate · inpatient | $160 | $160 | — | — | — | $160 – $160 |
| 6 | Blue Cross Blue Shield medicare advantage facility · case rate · inpatient | $160 | $160 | — | — | — | $160 – $160 |
| 7 | Cigna access (pffs) facility · case rate · inpatient | $160 | $160 | — | — | — | $160 – $160 |
| 8 | Cigna healthspring facility · case rate · inpatient | $160 | $160 | — | — | — | $160 – $160 |
| 9 | Humana medicare advantage facility · case rate · inpatient | $160 | $160 | — | — | — | $160 – $160 |
| 10 | Kaiser commercial facility · case rate · inpatient | $160 | $160 | — | — | — | $160 – $160 |
| 11 | Kaiser senior advantage medicare facility · case rate · inpatient | $160 | $160 | — | — | — | $160 – $160 |
| 12 | WellCare medicare advantage facility · case rate · inpatient | $160 | $160 | — | — | — | $160 – $160 |
| 13 | UnitedHealthcare medicare advantage facility · case rate · inpatient | $162 | $162 | — | — | — | $162 – $162 |
| 14 | Aetna medicare hmo for non-chp facility · case rate · inpatient | $168 | $168 | — | — | — | $168 – $168 |
| 15 | Aetna hmoposppo facility · fee schedule · inpatient | $420 | $420 | — | — | — | $420 – $420 |
| 16 | Aetna qualified health plan facility · fee schedule · inpatient | $425 | $425 | — | — | — | $425 – $425 |
| 17 | UnitedHealthcare hmo facility · fee schedule · inpatient | $482 | $482 | — | — | — | $482 – $482 |
| 18 | UnitedHealthcare ppo facility · fee schedule · inpatient | $482 | $482 | — | — | — | $482 – $482 |
| 19 | Cigna hmo facility · fee schedule · inpatient | $510 | $510 | — | — | — | $510 – $510 |
| 20 | Cigna ppo facility · fee schedule · inpatient | $510 | $510 | — | — | — | $510 – $510 |
| 21 | Blue Cross Blue Shield hmopos facility · fee schedule · inpatient | $513 | $513 | — | — | — | $513 – $513 |
| 22 | Blue Cross Blue Shield epoppo facility · fee schedule · inpatient | $523 | $523 | — | — | — | $523 – $523 |
| 23 | Blue Cross Blue Shield hmoppo facility · fee schedule · inpatient | $574 | $574 | — | — | — | $574 – $574 |
| 24 | Blue Cross Blue Shield exchange hmo facility · fee schedule · inpatient | $584 | $584 | — | — | — | $584 – $584 |
| 25 | MultiPlan ppo facility · fee schedule · inpatient | $689 | $689 | — | — | — | $689 – $689 |
Last updated: Sep 11, 2026
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