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
AMNIO-MAXX OR LITE PER SQ CM
Clovis, CA
See all hospitals reporting HCPCS Q4239 →Price type
Clovis Community Medical Center’s median price of $160 is 37% below the median hospital's median price ($252), higher than 32% of the 924 hospitals reporting HCPCS Q4239. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 12 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 · outpatient | $160 | $160 | — | — | — | $160 – $160 |
| 2 | Aetna medicare hmo for chp facility · case rate · outpatient | $160 | $160 | — | — | — | $160 – $160 |
| 3 | Aetna ppo facility · case rate · outpatient | $160 | $160 | — | — | — | $160 – $160 |
| 4 | Blue Cross Blue Shield medicare advantage facility · case rate · outpatient | $160 | $160 | — | — | — | $160 – $160 |
| 5 | Cigna access (pffs) facility · case rate · outpatient | $160 | $160 | — | — | — | $160 – $160 |
| 6 | Cigna healthspring facility · case rate · outpatient | $160 | $160 | — | — | — | $160 – $160 |
| 7 | Humana medicare advantage facility · case rate · outpatient | $160 | $160 | — | — | — | $160 – $160 |
| 8 | Kaiser commercial facility · case rate · outpatient | $160 | $160 | — | — | — | $160 – $160 |
| 9 | Kaiser senior advantage medicare facility · case rate · outpatient | $160 | $160 | — | — | — | $160 – $160 |
| 10 | WellCare medicare advantage facility · case rate · outpatient | $160 | $160 | — | — | — | $160 – $160 |
| 11 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $162 | $162 | — | — | — | $162 – $162 |
| 12 | Aetna medicare hmo for non-chp facility · case rate · outpatient | $168 | $168 | — | — | — | $168 – $168 |
Last updated: Sep 11, 2026
See Amniotic membrane wound 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.