Graftjacket regenerative tissue graft material at Conway Hospital, Inc.

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.

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Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Graftjacket Per 1 Sq cm

Conway, SC

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Pricing by billing methodology

Price type

How this price compares nationally

Conway Hospital, Inc.’s median price of $224 is 4% above the median hospital's median price ($216), higher than 51% of the 1,589 hospitals reporting HCPCS Q4107. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4107 at Conway Hospital, Inc.

Negotiated rates from the hospital’s own file: 5 payers, 16 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 facility · percent of total billed charges · outpatientfrom % of charges	$76	$76	—	—	—	$76 – $76
2	Blue Cross Blue Shield narrow network facility · percent of total billed charges · inpatientfrom % of charges	$113	$113	—	—	—	$113 – $113
3	Blue Cross Blue Shield narrow network facility · percent of total billed charges · outpatientfrom % of charges	$113	$113	—	—	—	$113 – $113
4	Blue Cross Blue Shield exchange facility · percent of total billed charges · inpatientfrom % of charges	$127	$127	—	—	—	$127 – $127
5	Blue Cross Blue Shield exchange facility · percent of total billed charges · outpatientfrom % of charges	$127	$127	—	—	—	$127 – $127
6	Blue Cross Blue Shield state health plan facility · percent of total billed charges · inpatientfrom % of charges	$211	$211	—	—	—	$211 – $211
7	Blue Cross Blue Shield state health plan facility · percent of total billed charges · outpatientfrom % of charges	$211	$211	—	—	—	$211 – $211
8	Medcost commercial facility · percent of total billed charges · inpatientfrom % of charges	$237	$237	—	—	—	$237 – $237
9	Medcost commercial facility · percent of total billed charges · outpatientfrom % of charges	$237	$237	—	—	—	$237 – $237
10	Aetna commercial professional · fee schedule · outpatient	$261	$261	—	—	—	$261 – $261
11	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$287	$287	—	—	—	$287 – $287
12	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$295	$295	—	—	—	$295 – $295
13	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$295	$295	—	—	—	$295 – $295
14	Blue Cross Blue Shield ppo facility · percent of total billed charges · inpatientfrom % of charges	$303	$303	—	—	—	$303 – $303
15	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$303	$303	—	—	—	$303 – $303
16	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$305	$305	$1	0%	—	$303 – $306

Last updated: May 20, 2026

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